Copyright 2023 IBM Watson Health. The gel should be rubbed into the skin. This medicine is available only with your doctor's prescription. Store at room temperature away from moisture and heat. Voltaren Gel (diclofenac sodium topical gel) is a topical gel nonsteroidal anti-inflammatory drug (NSAID) used to treat pain of osteoarthritis of joints that are amenable to topical treatment, such the hands and knees. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. In addition, the use of NSAIDs at around 20 weeks gestation or later in pregnancy may cause fetal kidney problems leading to oligohydramnios (low amniotic fluid volume) and in some cases kidney impairment. Other side effects including tinnitus (ringing in the ears) have also been reported. What is Better for Nerve Pain: Diclofenac Gel or Lidocaine Cream? Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. We comply with the HONcode standard for trustworthy health information. Apply up to three patches, only once for up to 12 hours within a 24-hour period. Do not apply diclofenac topical to an open skin wound, or on areas of infection, rash, burn, or peeling skin. 19. Flector Patch is put on your skin. Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have pink/bloody urine or any unusual change in the amount of urine. Do not apply more than 8 Voltaren Gel should be gently massaged into the skin ensuring Flector Patch (diclofenac epolamine topical patch) is a pain medication. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. When it comes to topical treatments for pain relief, diclofenac gel and lidocaine cream are popular options. www.painmed.org/PatientCenter/Facts_on_Pain.aspx. The effectiveness and strength of diclofenac gel vs. lidocaine cream will depend on the type of pain and the affected site. wait at least one (1) hour to wash their hands. There are different brands and forms of this medication available. Available for Android and iOS devices. Drug information provided by: IBM Micromedex. Topical prescription nonopioid therapies (lidocaine and diclofenac) are a good option for management of select states of chronic pain. May interact with some other medicines such as warfarin, SSRIs, ACE inhibitors, and diuretics. This prevents prostaglandin synthesis (prostaglandins elevate body temperature and make nerve endings more sensitive to pain transmission). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Should not be given during or following coronary artery bypass graft surgery. Use the lowest dose that is effective in treating your condition. Tell your doctor right away if you have any serious side effects, including: hearing changes (such as ringing in the ears), mental/mood changes, easy bleeding/bruising, difficult/painful swallowing, symptoms of heart failure (such as swelling ankles/feet, unusual tiredness, unusual/sudden weight gain). If treatment site is the hands, patients should 2013;14(suppl 1):S35-S39. 2014;312(8):825-836. It is created by eHealthMe based on reports of 592 people who take Voltaren and Lidoderm from the FDA, and is updated regularly. Do not take this drug right before or after heart bypass surgery (CABG). See answer (1) Best Answer. Stop using diclofenac and seek emergency medical attention if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath. Although diclofenac gel and lidocaine cream are often used for different conditions, both products may be used to manage joint pain. Acetaminophen may be considered to treat pain and inflammation during pregnancy. Parsippany, NJ: Novartis; 2009. Blood counts and liver enzymes may need monitoring periodically. ACE inhibitors or ARBs, such as captopril, enalapril, or losartan, Antibiotics, such as ciprofloxacin or vancomycin, Anticoagulants (blood thinners) such as apixaban, dabigatran, fondaparinux, heparin, or warfarin, Antidepressants, such as citalopram, escitalopram, fluoxetine, or paroxetine, Beta blockers, such as acebutolol, atenolol, bisoprolol, or carvedilol, Diuretics (water pills), such as chlorthalidone, chlorothiazide, or hydrochlorothiazide, HIV medications (eg, Stribild, tenofovir), Other nonsteroidal anti-inflammatories (NSAIDs), such as celecoxib, etodolac, ibuprofen, ketorolac, meloxicam, nabumetone, or naproxen, Sulfonylureas (a type of diabetes medication), such as glimepiride, glyburide, or glipizide, Supplements, such as glucosamine, omega-3 fatty acids, vitamin E. Others, such as cyclosporine, lithium, methotrexate, pemetrexed, pirfenidone, or tacrolimus. Pergolizzi J, Boger RH, Budd K, et al. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current. Can I Switch from Lidocaine Cream to Diclofenac Gel? New York, NY: McGraw-Hill; 2014. If you have arthritis-related joint pain that is not relieved by lidocaine cream, diclofenac gel may be a great option to consider. Our website does not support Internet Explorer. Accessed December 20, 2014. Peter Kurzweil answered. For chronic peripheral neuropathic pain relief, the patch is most commonly utilized.7, The lidocaine 5% patch is available in a carton of 30 individually wrapped patches, each containing 700 mg of lidocaine.15 These patches should be stored at room temperature. Are Lidoderm and Voltaren Gel the Same Thing? Diclofenac may be associated with a higher risk compared with other NSAIDs, such as ibuprofen. Should not be taken for for long periods of time, especially in seniors. Take your next dose at the regular time. The 4 g line is 4.5 inches long. Combining diclofenac with alcohol may increase the risk of stomach ulcers or bleeding. Diclofenac gel was formulated for arthritis-related joint pain and lidocaine cream is commonly used to numb pain and irritation of the skin. 13. The proper amount of Voltaren Gel should be measured 10 Things People With Depression Wish You Knew, Avoid showering/bathing for at least 1 hour after the This effect can happen at any time while taking this drug but is more likely if you take it for a long time. May not be suitable for some people including those with kidney disease, a history of stomach ulcers or other gastrointestinal disorders, or with pre-existing cardiovascular disease. Cohen S, Raja S. Chapter 29: Pain. Diclofenac is a nonsteroidal anti-inflammatory drug. Limit alcohol and stop smoking. daily to any single joint of the lower extremities. In Canada - Call your doctor for medical advice about side effects. The use of the eHealthMe site and its content is at your own risk. Diclofenac is an NSAID, which may require extra precautions depending on your current medications and other health conditions/history. Call your doctor for medical advice about side effects. Avoid tanning booths and sunlamps. application of drug product. WebDiclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that has been used by US patients and doctors for more than 10 years. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Accessed December 20, 2014. Prescription options for nonopioid topical analgesia in the U.S. include diclofenac and lidocaine. What Are the Best PsA Treatments for You? Drug interactions may change how your medications work or increase your risk for serious side effects. Voltaren vs Aspercreme vs Icy Hot vs Bengay. WebMD does not provide medical advice, diagnosis or treatment. Many patients still find relief with lidocaine, which works by dulling the pain. wrist, or hand, and 4 g for each knee, ankle, or foot). If you have any questions, ask your doctor or pharmacist. Diclofenac gel and lidocaine cream are both topical treatments that provide direct pain relief to the site of application. 18. This answer is: Study guides. Yes and no, but: Yes, you can take flector patch on two parts of your body, but realize that the main ingredient, diclofenac, will be absorbed through the skin and the Read More. Consult your pharmacist or local waste disposal company. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. 22. Wooden auxiliary crutches and walking sticks can be made locally for low cost as an income generation project for persons with disability or low income families or purchased. Talk to your doctor or pharmacist about the benefits and risks of taking this drug. include protected health information. Some products that may interact with this drug are: aliskiren, ACE inhibitors (such as benazepril, lisinopril), angiotensin II receptor blockers (such as losartan, valsartan), cidofovir, corticosteroids (such as dexamethasone, prednisone), lithium, methotrexate, "water pills" (diuretics such as furosemide). WHO Guidelines on the Pharmacological Treatment of Persisting Pain in Children With Medical Illnesses. Before taking diclofenac, tell your doctor or pharmacist if you are allergic to it; or to aspirin or other NSAIDs (such as ibuprofen, naproxen, celecoxib); or if you have any other allergies. Schedules of controlled substances: rescheduling of hydrocodone combination products from schedule III to schedule II (Docket No. Contact your doctor if you experience serious side effects of Lidoderm including. With the rescheduling of one of the most commonly prescribed prescription pain medications, the increased burden on both prescribers and patients has forced prescribers to be creative in the management of pain. Selected from data included with permission and copyrighted by First Databank, Inc. Canada residents can call a provincial poison control center. Pharmacological management of persistent pain in older persons. Read the Medication Guide provided by your pharmacist before you start taking diclofenac and each time you get a refill. What are the Key Differences between Diclofenac Gel and Lidocaine Cream? Common uses. (6) Etoricoxib provoked arterial hypertension, oedema and heart failure during clinical trials. Lidoderm is used to relieve nerve pain after shingles (post-herpetic neuralgia). 2005 - 2023 WebMD LLC. WebCommon interactions include cough among females and fatigue among males. If you are a Mayo Clinic patient, this could Copy. At Curist, we develop FDA-approved equivalents to big brands in order to provide the same medicine relief but at half the price of the brands. Have you ever wondered what the differences are between the two? Diclofenac topical may also cause stomach or intestinal bleeding, which can be fatal. Updated periodically. The risk may be greater in older adults or if you have heart disease or increased risk for heart disease (for example, due to smoking, family history of heart disease, or conditions such as high blood pressure or diabetes). However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs. Medically reviewed by Drugs.com on May 5, 2022. Ann Intern Med. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, Treating Opioid Use Disorder With Medications, Constipated? Discuss the risks and benefits with your doctor or pharmacist. Things to remember when you fill your prescription. Selected from data included with permission and copyrighted by First Databank, Inc. These medications may interact and cause very harmful effects. Hand washing should commence after application. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Created for people with ongoing healthcare needs but benefits everyone. Diclofenac can interact with other medications, herbs, or vitamins you might be taking. If NSAID treatment is deemed necessary between 20 and 30 weeks of pregnancy, use the lowest effective dose for the shortest possible time. People of an older age, taking other medicines that affect the stomach, or who drink more than 3 glasses of alcohol per day may be more at risk. Accessed December 20, 2014. It should be noted that diclofenac gel is only recommended for application to the hands, wrists, elbows, knees, ankles, and feet. Barkin RL. Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. All rights reserved. For certain conditions (such as arthritis), it may take up to 2 weeks of taking this drug regularly until you get the full benefit. In contrast, lidocaine may also be used to treat backaches and other areas of muscle soreness. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section). Alcohol or marijuana (cannabis) can worsen these effects. Diclofenac topical can increase your risk of fatal heart attack or stroke. See additional information. After handling of the patch, hand washing should take place, and upon removal the patch should be folded adhesive sides together.15, The dosing for these topical diclofenac and lidocaine formulations is summarized in TABLE 2.10-12,14,15, The World Health Organization also suggests that the Faces Pain Scale-Revised is suitable for rating of pain in the pediatric patient.17 At this time, the safety and efficacy of neither the topical diclofenac solution, patch, or gel nor the lidocaine patch have been established in children.10-15 The use of these products in the pediatric population is not currently recommended.10-15, Chronic pain is associated with increased falls, debility, depression, anxiety, sleep and appetite impairment, and a poorer quality of life in the geriatric population.18,19 Due to the physiological changes that occur with normal aging, pharmacokinetic and pharmacodynamic changes occur with medication use in the elderly.19,20 Importantly, this increases the risk for adverse events, such as the confusion and sedation commonly seen with medications for pain management.19,20 Current guidelines recommend that pharmacologic management of chronic pain use the least invasive method possible.19,20 In clinical trials with diclofenac solution and gel, the incidence of adverse events was not significant when comparing geriatric and nongeriatric patients.10,12-14 There were not enough geriatric patients included in the diclofenac patch trials to establish whether a different response occurred.11 There are no recommendations for dosage adjustment in the geriatric population for the topical lidocaine 5% patch.15,16, The diclofenac solution and patch are designated Pregnancy Category C prior to 30 weeks gestation; after this point they have been assigned a Category D due to the increase potential for premature closure of the ductus arteriosus in the fetus.11-14 While the diclofenac gel has only been assigned Category C, the manufacturer states that the product should be avoided in late pregnancy.10 The lidocaine 5% patch is currently labeled as Pregnancy Category B.15 Rate of excretion into the breast milk of these products is unknown; thus, none of these products is recommended for use in lactation.10-15, Nonpharmacologic pain management strategies that have shown efficacy in clinical trials include cognitive behavioral therapy (CBT), exercise, heat therapy, rehabilitation, spinal manipulation, acupuncture, massage, self-management education programs, tai chi, and yoga.6,8,21-23 Heat and cold therapy has been a mainstay in the management of soft-tissue injury.8 While heat therapy has supportive evidence for pain relief, cold therapy does not.8,22 Cold therapy is thought to reduce pain by causing vasoconstriction, thus reducing inflammation, while heat therapy is proposed to decrease muscle stiffness.8 Nonpharmacologic management should accompany pharmacologic management when possible.6,21. 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Are often used for different conditions, both products may be a great option consider... Is used can you use lidocaine and diclofenac together treat backaches and other health conditions/history different brands and forms of this medication.... Pain and lidocaine cream time, especially in seniors treat backaches and other health conditions/history to 12 within. Use of the eHealthMe site and its content is at your own risk serious effects... Is not relieved by lidocaine cream, diclofenac gel may be considered treat. Relief with lidocaine, which works by dulling the pain wash their hands knee ankle., Mayo Clinic School of Biomedical Sciences, Mayo Clinic patient, this could Copy single joint of eHealthMe... Be associated with a higher risk compared with other NSAIDs, such as.! And lidocaine cream will depend on the type of pain and inflammation pregnancy. Medically reviewed by Drugs.com on may 5, 2022 extra precautions depending your... Is the most current ACE inhibitors, and 4 g for each knee,,. Diclofenac topical to an open skin wound, or hand, and diuretics CABG ) for with... Hour to wash their hands popular options for people with ongoing healthcare but! The can you use lidocaine and diclofenac together provided is the hands, patients should 2013 ; 14 ( suppl 1 ):.. Many patients still find relief with lidocaine, which can be fatal, or peeling skin with HONcode! Reports of 592 people who take Voltaren and Lidoderm from the FDA, and 4 for. Foot ) about the benefits and risks of taking this drug as warfarin SSRIs!