ATX code
M02AA15 (Diclofenac)

Active ingredient: diclofenac sodium (diclofenac)

Release form, composition and packaging: gel for external use, 1% white or white with a yellowish or creamy hue, homogeneous, with a specific smell.

- post-traumatic inflammation of the soft tissues and joints due to sprains, overstrain and bruises;
- rheumatic diseases of soft tissues (including tenosynovitis, bursitis, damage to periarticular tissues);
- pain and swelling associated with diseases of the muscles and joints (including rheumatoid arthritis, osteoarthritis, radiculitis, lumbago, sciatica);
- muscle pain of rheumatic and non-rheumatic origin (for gel 5%).

Dosage regimen:
Outwardly. The amount of the drug depends on the size of the painful area. A single dose of 1% gel is 2-4 g (comparable in volume to the size of cherries or walnuts). A single dose of 5% gel is up to 2 g (about 4 cm with the neck of the tube fully open).
Adults and children over the age of 12 years, the drug should be applied to the skin 3-4 times / day and gently rub.
For children aged 6 to 12 years, a 1% gel preparation should be applied to the skin no more than 2 g (per application) up to 2 times / day; the preparation in the form of a gel of 5% - not more than 1 g (about 2 cm with the mouth of the tube fully open) for one application up to 2 times / day.
After applying the drug, hands should be washed.
The duration of treatment depends on the indications and the observed effect. After 2 weeks of using the drug, consult your doctor.

Side effects:
Local reactions: eczema, photosensitivity, contact dermatitis (itching, redness, swelling of the treated area of ​​the skin, papules, vesicles, peeling).
Systemic reactions: generalized skin rash, allergic reactions (urticaria, angioedema, bronchospastic reactions), photosensitivity.

Contraindications for use:
- violation of the integrity of the skin;
- a history of asthma attacks after the use of NSAIDs and salicylates (including acetylsalicylic acid);
- III trimester of pregnancy;
- lactation period;
- children's age up to 6 years;
- Hypersensitivity to diclofenac or other components of the drug;
- Hypersensitivity to salicylates (including to acetylsalicylic acid) or other NSAIDs.

With caution, the drug should be used for hepatic porphyria (exacerbation), erosive and ulcerative lesions of the gastrointestinal tract, severe violations of the liver and kidneys, chronic heart failure, bronchial asthma, in the first and second trimesters of pregnancy, in elderly patients.

Additionally, for the preparation in the form of a gel of 5%: with caution should be used for bleeding disorders (including hemophilia, prolonged bleeding time, tendency to bleed).

Special instructions:
The gel should be applied only to intact skin, avoiding contact with open wounds.
After application, an occlusive dressing should not be applied.
Avoid contact with eyes and mucous membranes.
With prolonged use of large quantities of the drug, the occurrence of systemic side effects characteristic of NSAIDs cannot be ruled out.

Seropositive rheumatoid arthritis, Polyarthrosis, Ankylosing spondylitis, Radiculopathy, Sciatica, Lumbago with sciatica, Synovitis and tenosynovitis, Soft tissue diseases associated with exercise, overload and pressure, Other bursopathies, Other soft tissue diseases, not elsewhere classified, trauma of an unspecified area of ​​the body (including abrasion, bruising, bruising, hematoma, a bite of a non-toxic insect), Dislocation, sprain and strain of the capsule-ligamentous apparatus of the joint of an unspecified area of ​​the body.

Diclofenac Gel 5% 30g. No.1