What you need to know about Voltaren (diclofenac sodium)


Voltaren (diclofenac sodium) is a non-steroidal anti -inflammatory drug (NSAID) that is often used to relieve pain associated with various arthritis conditions, including rheumatoid arthritis (RA), osteoarthritis (OA), and ankylosing spondylitis (AS). ).

Your healthcare provider may also prescribe it to treat pain caused by bone or joint injury or surgery, or other types of mild to moderate pain, such as migraines .

Voltaren formulations include oral tablets or capsules, eye drops, topical preparations, and powder for oral solution. Oral Voltaren is a prescription drug; You can get topical gel and eye drops without a prescription.

Read on to learn more about Voltaren, including its forms and uses, what you need to know before you start taking it, the dosage, side effects, and more.

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Voltaren comes in a variety of forms, including oral tablets, ophthalmic solution (eye drops), topical gel, and powder for oral solution.


Oral Voltaren is used to treat pain and reduce inflammation in arthritic conditions such as rheumatoid arthritis and ankylosing spondylitis. These tablets and capsules are only available with a prescription from your healthcare provider.


Ophthalmic Voltaren is a sterile solution containing 0.1% or 1 mg / ml (milligram per milliliter) of diclofenac sodium. It is used to treat edema after cataract surgery . It may also be prescribed after other types of eye surgeries to relieve pain and photosensitivity or eye symptoms associated with seasonal allergies.

You can buy these eye drops at your local store or online, or your healthcare professional can prescribe a higher dose.

Topical gel

Voltaren gel is a topical gel. Like oral voltaren, it treats joint pain, stiffness, and swelling. It can also reduce inflammation and pain in inflammatory arthritis diseases such as RA and AD.

The Food and Drug Administration (FDA) has approved Voltaren gel only for the joints of the hands and feet. Do not apply it on your spine, hips or shoulders.

Oral solution

Voltaren-XR (diclofenac potassium) powder for oral solution is prescribed for the treatment of acute migraine attacks (migraines not diagnosed as chronic) in people over 18 years of age. Voltaren-XR is also sometimes used to treat pain and inflammation in arthritis.

Before drinking

Before starting a new prescription, be sure to tell your doctor about all the medications you are taking: prescription and non-prescription drugs, herbal supplements, and vitamins.

Voltaren oral

Some people should not use oral Voltaren. An incomplete list includes:

Your healthcare provider can provide more information on how oral voltarenum may affect you, based on your current health status. You must inform them of all your health conditions and the treatments you are taking to deal with them.


Before starting Voltaren Ophthalmic, tell your doctor about your medical history, even if you have ever had an allergic reaction to aspirin or another NSAID. Your healthcare provider should also know if you have asthma, nasal lumps, bleeding or clotting problems, other eye problems, or diabetes .

If you are pregnant, trying to get pregnant, or breastfeeding, you should talk to your healthcare provider about the risks and benefits of using Voltaren Ophthalmic.

Topical gel

Like other types of Voltaren, Voltaren gel is not for everyone. You should consult your healthcare professional if you have ever had an allergic reaction to aspirin or another NSAID, or if you have had any of the following medical conditions:

  • Asthma
  • High blood pressure
  • History of heart disease, heart attack, or stroke .
  • Fluid retention condition
  • Liver or kidney disease

According to FDA labeling, people who are pregnant or planning to become pregnant should not use Voltaren Gel. People who are breastfeeding should also avoid its use.

Oral solution

Avoid using Voltaren-XR oral powder solution if you are allergic to aspirin or other NSAIDs. Voltaren-XR should not be given to children because no relevant studies have been performed to show that it is safe and effective for pediatric use.

Older people should avoid this as well because of the potential for side effects. People who are breastfeeding should not take Voltaren-XR because there have not been adequate studies on the risk to babies through breast milk.

Voltaren-XR powder for oral solution should not be used with certain medications, including ketorolac, an NSAID used for moderate to severe acute pain in adults. Voltaren-XR may interact with other medications, such as Voltaren oral tablets and capsules.

Be sure to tell your doctor about all the medications you take for other conditions, including other NSAIDs.

People with certain medical conditions, including anemia , bleeding problems, heart problems, blood and liver problems, should inform their healthcare provider before starting Voltaren-XR.

Other NSAIDs

Other NSAIDs include:


Voltaren is available in different formulas and brands. Each brand and prescription has a specific purpose and contains a different amount of the drug.


Oral Voltaren is available in standardized oral tablets and sustained-release capsules. Standard tablets come in three strengths: 25 milligrams (mg), 50 mg, and 75 mg. Sustained-release tablets are 100 mg (Voltaren XR).

Voltaren tablets and capsules should be taken by mouth with a full glass of water, unless your doctor tells you otherwise.

Capsules and tablets must be taken whole. They cannot be minced, chewed, or cut in half. Breaking the tablets can erode the outer coating and increase the possibility of side effects.

The dose your doctor prescribes depends on the condition you are treating, your response to treatment, and other medications you are taking. Due to the potential for side effects (such as gastric bleeding), your doctor will prescribe Voltaren at the lowest effective dose for the shortest possible time.

Do not take more than prescribed by your doctor. For chronic pain and arthritis, take it only as directed by your healthcare professional. Be sure to discuss all the risks and benefits of taking Voltaren by mouth for pain and inflammation.


Ophthalmic Voltaren is applied to the affected eye as directed by your healthcare professional. The dose and duration of treatment will depend on what is being treated and how you respond to treatment. You should avoid wearing contact lenses unless your healthcare professional tells you otherwise.

Wash your hands before applying the drops. When applying, do not touch the tip of the pipette or allow the tip to touch the eye or other surface. Tilt your head back and, looking up, pull your lower eyelid to form a pocket. Put one drop in a bag, then look down and gently close your eyes for a minute or two.


Voltaren gel contains a powerful anti-inflammatory component that is absorbed into the joints through the skin. Use the gel according to the dosage indicated on the package. Using too much can increase the risk of side effects.

The over-the-counter Voltaren gel pack has an information card that indicates the amount of product. There are two doses: 2 grams and 4 grams. The dose will vary depending on the joint to which it is applied.

Do not apply the gel to more than two areas of your body at the same time. The dose for hands, wrists and elbows is 2 grams per affected joint up to 4 times a day. Knees, feet or ankles: apply 4 grams to the affected joints up to 4 times a day.

After applying the medicine, do not wrap the affected joint with a bandage. This can cause heating and cause the body to absorb more of the medicine than is safe. The FDA has approved the use of Voltaren gel daily for up to 21 days. If pain persists after 21 days, see your doctor.

Wash your hands after applying Voltaren Gel. If the gel has been applied to your hands, wait at least an hour to wash your hands. Be careful not to touch your eyes or face.

Oral solution

You should use Voltaren-XR Oral solution for the entire time prescribed by your healthcare professional. Do not use it for longer than prescribed by your doctor.

To use the oral solution, open the bag of powder and pour the contents into a cup. Add 1 to 2 ounces of water. Do not use any other liquid to mix the medicine. Mix well with water and drink immediately on an empty stomach.

The exact dose of the drug depends on the condition you are treating. Follow the directions from your healthcare professional or the label.

Missed dose

If you miss a dose of Voltaren, take the missed dose as soon as you remember. If it is time for your next dose, take the next scheduled dose; Do not double the dose.

If you think you have taken too much Voltaren, call your doctor or the American Poison Control hotline at 1-800-222-1222. If you overdose, call 911 or have someone drive you to the nearest emergency room .


All Voltaren formulations should be stored at room temperature away from sources of heat and moisture. Keep medicine vials or tubes closed when you are not using them.

Side effects

Each formulation of Voltaren has its own set of side effects that can occur when used.


Mild side effects of oral Voltaren include stomach upset, nausea, diarrhea, constipation, bloating, headache, dizziness, and drowsiness. If side effects persist or get worse, tell your doctor immediately.

Oral Voltaren can raise blood pressure. Make sure to check your blood pressure regularly and tell your doctor if your blood pressure is constantly rising.

Serious side effects are rare but can occur. Tell your doctor right away if you experience serious side effects, such as ringing in the ears or other hearing changes, mood swings, difficulty swallowing, and signs of heart failure: ankle or foot swelling, shortness of breath, extreme or unusual fatigue . symptom. or sudden weakness.

You should seek medical attention if you experience signs of kidney problems , such as changes in urine output and fluid retention in the ankles or feet. Like other NSAIDs, Voltaren can cause serious liver problems. Seek medical help for signs of liver problems, such as dark urine, stomach pain, or yellowing of the skin or eyes.

In rare cases, some people may have a severe allergic reaction to taking Voltaren by mouth. You should seek medical attention if you have signs of an allergic reaction, such as swelling of the face, tongue, or throat; rash or itching; difficulty breathing; and severe dizziness.

The side effects mentioned above are not the only possible side effects. If you experience additional side effects, inform your doctor.

Voltaren Oral comes with black box warnings. Black box warnings alert you and your healthcare professional to the worst possible side effects of a drug.

Oral Voltaren's black box warnings include:

  • Increased risk of serious and potentially fatal cardiovascular events, including heart attacks and strokes.
  • Increased risk of serious gastrointestinal (GI) events, including stomach bleeding, ulcers, or perforation of the stomach or intestines. Severe gastrointestinal upset is more common in older people or those with a history of peptic ulcers or previous gastrointestinal bleeding.
  • Possible contradictions after coronary artery bypass graft (CABG)


Common side effects of Voltaren Ophthalmic include burning, burning, or itching of the eyes and temporary blurred vision after using the medication.

Up to 3% of people using Voltaren ophthalmic will experience systemic side effects (affecting the whole body). Systemic side effects can include abdominal pain, decreased muscle strength, chills or fever, dizziness, facial swelling, headache, nausea and / or vomiting, insomnia, nasal congestion, or a viral infection .


The most common side effects associated with Voltaren gel are application site reactions, including itching, dryness, redness, and peeling. If you experience an allergic reaction with severe skin symptoms, you should stop using the gel and call your doctor.

Systemic side effects of Voltaren gel can include:

  • Nausea and / or vomiting
  • Abdominal pain and bloating
  • Stomach ache
  • Stomach ulcer
  • Numbness and tingling
  • Cysts
  • Acne
  • Other skin irritation
  • High blood pressure
  • Fluid retention
  • Swelling of the feet or ankles.

Oral solution

The mild side effects of the powdered solution are similar to those of oral tablets and capsules. More serious side effects include fainting, fast or rapid heartbeat, changes in hearing such as ringing in the ears, persistent or severe headache, sudden or unexplained weight gain, vision changes, and unusual tiredness.

The powdered solution has the same black box warnings as oral tablets and capsules.

Warnings and interactions

When taking Voltaren by mouth, alcohol should be avoided. This can increase the risk of stomach bleeding. You should also avoid taking other NSAIDs or aspirin with Voltaren, unless your doctor tells you to.

Ask your doctor if it is safe for you to use other pain relievers with Voltaren powder or oral solution, including for pain and swelling, fever, or cold and flu symptoms. These products may contain ingredients similar to those in Voltaren, which may increase the risk of side effects and adverse reactions.

Voltaren ophthalmic can cause blurred vision. You should avoid driving, using heavy machinery, or any activity that requires clear vision. Wait until you are sure it is safe to do this.

Avoid using Voltaren gel in doses higher than recommended. Taking more than directed can increase the risk of serious complications, such as sudden gastrointestinal bleeding, stroke, or heart attack.

Some drugs can interact with Voltaren, regardless of its form. They may include:

  • Antidepressants: Taking NSAIDs with some antidepressants can cause bruising or bleeding.
  • Heart or blood medications, including diuretics.
  • Other forms of diclofenac (including other brand names or generics)
  • Blood thinners such as warfarin or Coumadin
  • Other NSAIDs, including aspirin, naproxen, meloxicam, and others.

Other medications may interact with Voltaren, including prescription medications, over-the-counter medications, vitamins, and herbal supplements. Consult with your doctor before starting Voltaren to manage pain from arthritis or another condition.

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