Voltaren Tablets – Pain Killer with Proven Effectiveness
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Voltaren 100 mg tablets contain diclofenac sodium. It is a non-steroidal substance with an expressed anti-inflammatory, analgesic and antipyretic effect. The main mechanism of diclofenac action, established under the experimental conditions, is the inhibition of prostaglandin biosynthesis. Prostaglandins play an important role in the genesis of inflammation, pain, and fever.
Is Voltaren a painkiller?
Yes, it is. Voltaren is applied in the following conditions:
- inflammatory and degenerative forms of rheumatic diseases (rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, spondyloarthritis), pain syndromes localized in the spine;
- extra-articular rheumatism;Acute gout attacks;
- post-traumatic and postoperative pain syndromes that are accompanied by inflammation and edema, for example, after dental, surgical and orthopedic interventions;
- gynecological diseases that are accompanied by pain and inflammation, for example, primary dysmenorrhea or adnexitis;
- as an adjuvant in severe inflammatory diseases of the ENT organs, which are accompanied by a sensation of pain, for example, with pharyngotonsillitis, otitis media.
Adhering to general therapeutic principles, the underlying disease should be treated with basic therapy. Fever alone is not an indication for the drug.
Is Voltaren the same as Ibuprofen?
These are two similar drugs. Voltaren and Ibuprofen are applied as an efficient painkiller. The dosage of the first mentioned drug is applied in an individual case. The dosage may be prescribed by a doctor.
Is this drug safe to use?
Voltaren is safe to use in reasonable dosages. There may be found cases of an overdose. There is no typical clinical picture characteristic of diclofenac overdose. Overdose may be accompanied by symptoms such as vomiting, gastrointestinal bleeding, diarrhea, dizziness, tinnitus, or seizures. In case of severe poisoning, the development of acute renal failure and liver damage is possible.
Treatment of acute NSAID intoxication consists in the use of supportive and symptomatic therapy. Supportive and symptomatic treatment is indicated for complications such as arterial hypotension, renal failure, convulsions, gastrointestinal tract disorders and respiratory depression. Special measures, such as forced diuresis, hemodialysis, or hemoperfusion, are likely to be ineffective in eliminating NSAIDs, including diclofenac, since the active substances of such drugs are largely bound to plasma proteins and are subject to intensive metabolism.
It is possible to take activated charcoal in case of a potentially toxic overdose and conduct gastric decontamination (vomiting, gastric lavage) in case of a potentially life-threatening overdose.
What are the side effects of Voltaren?
- The blood and lymphatic system: very rarely – thrombocytopenia, leukopenia, hemolytic anemia, aplastic anemia, agranulocytosis.
- The immune system: rarely – hypersensitivity reactions, anaphylactic reactions, including arterial hypotension and anaphylactic shock; very rarely – angioedema (including facial edema).
- Mental disorders: very rarely – disorientation, depression, insomnia, nightmares, irritability, psychotic disorders.
- The nervous system: often – headache, dizziness; rarely – drowsiness; very rarely – paresthesia, memory impairment, convulsions, anxiety, tremors, aseptic meningitis, taste disorders, impaired cerebral circulation.
- The side of the organs of vision: very rarely – visual disturbances, blurred vision, diplopia.
- The part of the hearing organs: often – vertigo; very rarely – ringing in the ears, hearing impairment.
- The cardiovascular system: infrequently – myocardial infarction, heart failure, palpitations, chest pain; very rarely – arterial hypertension, vasculitis; frequency unknown – Kounis syndrome.
- The respiratory system: rarely – asthma (including shortness of breath); very rarely – pneumonitis.
- The gastrointestinal tract: often – nausea, vomiting, diarrhea, dyspepsia, abdominal pain, flatulence, anorexia; rarely – gastritis, gastrointestinal bleeding, vomiting of blood, hemorrhagic diarrhea, melena, stomach or intestinal ulcer; very rarely – colitis (including hemorrhagic colitis, ischemic colitis and exacerbation of ulcerative colitis or Crohn’s disease), constipation, stomatitis, glossitis, esophageal disorders, diaphragmatic intestinal strictures, pancreatitis.
- The hepatobiliary system: often – an increased level of transaminases; rarely – hepatitis, jaundice, liver disorders; very rarely – fulminant hepatitis, liver necrosis, liver failure.
- The part of the skin and subcutaneous tissue: often – rash; rarely – urticaria; very rarely – bullous rash, eczema, erythema, erythema polymorphism, Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell’s syndrome), exfoliative dermatitis, hair loss, photosensitivity reactions, purpura, allergic purpura, itching.
- The urinary system: often – fluid retention, edema and arterial hypertension; very rarely – acute kidney damage (acute renal failure), hematuria, proteinuria, nephrotic syndrome, interstitial nephritis, renal papillary necrosis.
- General disorders: rarely – edema. Frequency reflects data from long-term therapy using a high dose (150 mg per day).
Description of selected side effects
Arteriothrombotic phenomena. Clinical studies and data from epidemiological studies indicate that the use of diclofenac increases the risk of thrombotic complications (for example, myocardial infarction or stroke), especially with prolonged use or at high doses (150 mg per day).
Visual impairment. Visual impairment, blurred vision, or double vision are characteristic adverse effects for the NSAID class and are usually reversible upon discontinuation. A possible mechanism of occurrence is inhibition of the synthesis of prostaglandins and other compounds that disrupt the regulation of retinal blood flow, causing possible visual disturbances. If such disorders occur during treatment with diclofenac, an ophthalmological examination should be performed to exclude other possible causes of their occurrence.
Which is stronger Ibuprofen or Voltaren?
Each of the drugs is designed for a specific type of pain. This list will help you understand general principles:
Nonsteroidal anti-inflammatory drugs (NSAIDs):
- Ibuprofen;
- Voltaren;
- Nimesulide;
- Ketoprofen.
Antipyretic pain relievers:
- Paracetamol (Panadol);
- Metamizole (analgin);
- Combined means: Pentalgin (NSAIDs + paracetamol).
Local anesthetics:
- Lidocaine;
- Benzocaine.
The first group contains the most popular pain relievers that are used most often: ibuprofen, diclofenac, nimesulide, ketoprofen. These are called non-steroidal anti-inflammatory drugs (NSAIDs).
They primarily have an anti-inflammatory effect. This action is not associated with steroids (biologically active substances of a special structure that act directly on cells). Simply put, NSAIDs affect the production of specific substances in our body, this process reduces pain and inflammation.
Is Voltaren the same as Tramadol?
Voltaren relieves pain and inflammation. It works well for pain and is available in many different forms. If you have a history of heart problems or stomach bleeds, it may not be the best choice.
Tramadol relieves pain and fever. Acetaminophen effectively reduces fever and relieves pain, but it doesn’t lower inflammation and swelling.
How quickly does Voltaren work?
According to Voltaren reviews, diclofenac penetrates into the synovial fluid, where its Cmax is reached 2–4 hours later than in blood plasma. T1/2 of the synovial fluid is 3–6 hours. 2 hours after reaching Cmax in the blood plasma, the concentration of diclofenac in the synovial fluid remains higher; this phenomenon is noted within 12 hours. So, the effect starts within several hours.
How good is it for pain?
NSAIDs are considered effective and fairly safe drugs. You have to pay for the analgesic effect. By suppressing cyclooxygenase, we get a number of unpleasant side effects. Among them, there are an increase in acidity and irritation of the stomach (as well as possible kidney problems).
Is it good for back pain?
Yes, it is. It is applied for back pain of different severity.