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Voltarol Pain Relief Gel, 12 Hour Joint Pain Relief 2.32% Gel (packaging may vary), 50 g (Pack of 1)

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If you get any side effects which worry you (even side effects not listed in this leaflet), talk to your doctor or pharmacist.

Other side effects which may occur are usually mild, passing and harmless (if you are concerned, tell a doctor or pharmacist). Voltarol contains the active substance diclofenac which belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It is specially formulated for rubbing into the skin. It is safe to take paracetamol alongside Voltarol gel. However, always read the patient information leaflet. If you are unsure, consult a doctor or pharmacist for further guidance. Can you take Voltarol and Ibuprofen together? If you have a stomach or duodenal ulcer (or a history of), tell your doctor or pharmacist before using the gel.Like all medicines, Diclofenac diethylammonium can cause side effects, although not everybody gets them. Wheezing, shortness of breath or feeling of tightness in the chest (asthma). (These side effects are likely to affect less than 1 person in every 10,000). Your medicine is known as Voltarol® Max Strength Pain Relief 2.32% Gel but will be referred to as Voltarol throughout the following leaflet. Pharmacotherapeutic group: Topical products for joint and muscular pain. Anti- inflammatory preparations, non-steroids for topical use, ATC code: M02A A15

The possibility of experiencing systemic adverse events (those associated with the use of systemic forms of diclofenac) from application of this medicine cannot be excluded if the preparation is used at higher dosage/large amounts over large areas of skin and/or over a prolonged period (see the product information of systemic forms of diclofenac e.g. oral or injection for systemic adverse reactions). The quantity of diclofenac absorbed through the skin is proportional to the size of the treated area, and depends on both the total dose applied and the degree of skin hydration. After topical application to approximately 400 cm2 of skin, the extent of systemic exposure as determined by plasma concentration of this medicine (2 applications/day) was equivalent to diclofenac 1.16% gel (4 applications/day). The relative bioavailability of diclofenac (AUC ratio) for this medicine versus tablet was 4.5% on day 7 (for equivalent diclofenac sodium dose). Absorption was not modified by a moisture and vapour permeable bandage.Do not apply to skin with conditions such as cuts, open wounds, or on skin that has a rash or eczema. Discontinue the treatment if a skin rash develops after applying the product. Please tell your doctor or pharmacist if you are taking, or have recently taken, or want to start taking any other medicines, including those obtained without a medical prescription. For our 100g tube, which has a flip top cap, use a finger, thumb, side of your hand or even edge of a table against the underside of the cap lid to open the flip-top cap. Easy peasy! The active substance is diclofenac diethylammonium. Each gram of gel contains 23.2 mg of diethylammonium diclofenac.

This medicine is used to relieve pain and reduce inflammation and swelling in a number of painful conditions affecting the joints and muscles. Voltarol can be used to treat: Squeeze out the amount of gel you need. The amount of gel needed will vary depending upon the size of the painful or swollen area. An amount ranging in size from a one penny to two pence coin will usually be sufficient.

Patient leaflet - VOLTAROL MAX STRENGTH PAIN RELIEF 2.32% GEL, DICLOFENAC DIETHYLAMMONIUM 2.32% W/W GEL

The total systemic clearance of diclofenac from plasma is 263 ± 56 ml/min. The terminal plasma half-life is 1-2 hours. Four of the metabolites, including the two active ones, also have short plasma half-lives of 1-3 hours. One metabolite, 3'-hydroxy-4'-methoxy-diclofenac, has a longer half-life but is virtually inactive. Diclofenac and its metabolites are excreted mainly in the urine. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine. However undesirable effects, similar to those observed following an overdose of diclofenac tablets, can be expected if this medicine is inadvertently ingested (e.g. 1 tube of 50 g contains the equivalent of 1 g diclofenac sodium). This medicine is an anti-inflammatory and analgesic preparation designed for topical application. In inflammation and pain of traumatic or rheumatic origin, this medicine relieves pain, decreases swelling, and shortens the time to return to normal function. In one ankle sprain study (VOPO-P-307), this medicine significantly decreased pain on movement scores versus placebo treated subjects within three days of starting treatment, including a subgroup of patients with severe pain. In addition treatment with this medicine also significantly improved ankle joint function within 3 days of beginning treatment. Squeeze out a small amount ranging in size from 1 penny to a 2 pence coin, depending on the size of the affected area.

Swelling of the face, lips, tongue or throat. (These side effects are likely to affect less than 1 person in every 10,000). If symptoms do not improve by day 7, or if they worsen within the first 7 days, a consultation with a doctor is recommended. Do not use for more than 14 days unless recommended by a doctor. Allow 4 hours between each application and do not apply more than 4 times in a single 24 hour period. Can you take Voltarol and Paracetamol together?This is a medicine; Consult your doctor or pharmacist if you have an underlying medical condition, are taking any other medication or complementary therapy, or if symptoms persist.

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