Volteren emulgel 1% 50g

The distribution of this drug over the Internet is strictly prohibited and regulated by the laws of the Republic of Serbia, while its presentation on the Internet is allowed, solely for the purpose of informing the general and professional public about its purpose and better familiarization with the basic characteristics of the drug itself.

YOU CAN VIEW THE REGULATION ON THE METHOD OF ADVERTISING MEDICINE, REGARDING MEDICINE ("Sl. Gl. RS", no. 79/2010) HERE.

Read this manual carefully, because it contains information that is important to you. 
This medicine can be obtained without a prescription. However, it is necessary to use Voltaren Emulgel 1% carefully to achieve the best results.

• Save the instructions. You may need to read it again.
• If you have any further questions, ask your pharmacist.
• If your symptoms worsen or you do not feel better after 7 days, you must contact your doctor.
• If any side effect becomes serious or you notice any side effect that is not listed in this guide, please inform your doctor or pharmacist.

In this guide you will read: 
1. What is the drug Voltaren Emulgel 1% and what is it intended for
2. What you need to know before taking Voltaren Emulgel 1%
3. How to use Voltaren Emulgel 1%
4. Possible side effects
5. How to store Voltaren Emulgel 1%
6. Additional information

1. WHAT IS THE DRUG Voltaren Emulgel 1% AND WHAT IS IT FOR? 
   The drug Voltaren Emulgel 1% contains diclofenac as an active substance, which belongs to the group of drugs called non-steroidal anti-inflammatory drugs (NSAIDs).
   The drug Voltaren Emulgel 1% is specially formulated for rubbing into the skin and penetrates well through the layers of the skin. The active substance penetrates deep into inflamed tissues.
   The drug Voltaren Emulgel 1% is used to relieve pain, reduce inflammation and swelling in a number of painful conditions that affect joints and muscles.
   It can be used:
   To relieve pain, inflammation and swelling in:

• soft tissue injury: injuries to tendons, ligaments, muscles and joints, e.g. due to sprains, strains, injuries, back pain (sports injuries);
• localized forms of soft tissue rheumatism: tendinitis (eg tennis elbow), bursitis, shoulder-hand syndrome and periarthropathy;

To relieve pain in mild forms of knee or finger arthritis.

• localized forms of degenerative rheumatism (eg osteoarthritis of peripheral joints and vertebrae)

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE THE MEDICINE Voltaren Emulgel 1% 
   Voltaren Emulgel 1% should not be used:

• If you are allergic (hypersensitive) to diclofenac or any of the excipients (see section 6. Further information
• If you suffer from asthma and have an allergy (hypersensitivity) to acetylsalicylic acid (aspirin) or other non-steroidal anti-inflammatory drugs (NSAIDs)
• If, after previous use of acetylsalicylic acid (aspirin) or other drugs from the group of non-steroidal anti-inflammatory drugs (NSAIDs), asthma (difficulty breathing accompanied by wheezing in the chest), hives or acute rhinitis (inflammation of the nasal mucosa, accompanied by increased secretion) has occurred
• During the last trimester of pregnancy
• If you simultaneously apply other preparations containing diclofenac or other non-steroidal anti-inflammatory drugs (NSAIDs).
•  Children and adolescents under 14; DO NOT use Voltaren Emulgel 1% in children and adolescents under 14 years of age.

If any of the above applies to you, do not use Voltaren Emulgel 1%.

When taking the drug Voltaren Emulgel 1%, be especially careful:
Tell your doctor if you have or have had:
a stomach ulcer
asthma

• DO NOT apply Voltaren Emulgel 1% to skin with cuts, open wounds, or skin with rashes or eczema.
• Voltaren Emulgel 1% is intended for external use only. Do not put it in your mouth. Do not swallow it. Wash your hands after use. Be careful that Voltaren Emulgel 1% does not come into contact with the eyes. If this happens, rinse your eyes thoroughly with clean water. If the discomfort persists, contact your doctor or pharmacist.
• The drug Voltaren Emulgel 1% can be used under braces or bandages, which are commonly used for injuries such as sprains, with the note that you do not use the drug Voltaren Emulgel 1% under plastic (hermetic) bandages.
• If the gel is applied to a large part of the skin, if it is used often or in a higher dose than recommended, the concentration in the blood will be higher and thus will increase the risk of side effects.
• During the application of Voltaren Emulgel 1%, avoid exposure to sunlight, as a photosensitivity reaction may occur on the skin.

Stop using Voltaren Emulgel 1% if you notice a skin rash

Administration of other drugs 
Tell your doctor and pharmacist if you are taking or have recently taken any other medicines, including those that can be obtained without a prescription.
With local application of diclofenac, there are low concentrations of the drug in the bloodstream, so it is unlikely that interactions with other drugs you are taking will occur. So far, no drug interactions have been reported during the use of diclofenac gel, but it should be borne in mind that there is a theoretical risk of their occurrence.

• Lithium (a medicine to treat mental disorders) and digoxin (a medicine to treat heart disease)
• Anticoagulants (medicines to prevent blood clotting, such as warfarin)
• Oral antidiabetics (medicines for the treatment of diabetes)
• Cyclosporine (a drug used in organ transplantation)
• Methotrexate (medicine to treat tumors)
• Quinolone antimicrobial drugs
• Other NSAIDs (eg aspirin and ibuprofen) and steroids
• Potassium-sparing diuretics
• Mifepristone (drug for medical termination of pregnancy)
• Antihypertensives (medicines for the treatment of high blood pressure)

Taking Voltaren Emulgel 1% with food or drinks
It has no effect on the application of the drug.

Use of Voltaren Emulgel 1% during pregnancy and breastfeeding 
Do not use Voltaren Emulgel 1% if you are pregnant, especially in the last trimester of pregnancy, as it may have a negative effect on the newborn or cause problems during childbirth. Also, it is not recommended to use Voltaren Emulgel 1% during the first and second trimester of pregnancy, but it can be used under the supervision of a doctor if it is absolutely necessary. Do not use Voltaren Emulgel 1% if you are breastfeeding. Before you start taking any medicine, consult your doctor or pharmacist.

The effect of Voltaren Emulgel 1% on driving and using machines
Application of Voltaren Emulgel 1% to the skin has no effect on psychophysical abilities when driving motor vehicles and machines.

Important information about some of the ingredients of Voltaren Emulgel 1% 
The drug Voltaren Emulgel 1% contains propylene glycol, which in some people can cause moderate, localized skin irritation, as well as butylhydroxytoluene, which can cause local skin reactions (e.g. contact dermatitis) or eye and mucous membrane irritation.

3. HOW TO USE THE DRUG Voltaren Emulgel 1% 
   Always take Voltaren Emulgel 1% exactly as your doctor has told you.
   If you are not absolutely sure, check with your doctor or pharmacist. Dermal use (application on the skin).
   The usual dose is: Adults and children over 14 years of age, rub the drug Voltaren Emulgel 1% lightly into the skin.
   Depending on the size of the affected region, 2-4 g of gel is applied (in circular motions with a diameter of 2 to 2.5 cm) 3-4 times a day.
   The maximum daily dose is 16 g.
   The maximum weekly dose is 112 g. In case of arthritic pain, it may be necessary to apply the gel for up to 7 days (to exert its effect on the joints) in order to achieve improvement.
   It is possible to use the gel for up to 14 days with consultation with a pharmacist.
   After applying the gel, wash your hands unless the hands are the site of therapeutic application of the gel. If there is no improvement after 7 days, or the symptoms worsen, a doctor's advice is necessary, which is also recommended in the case when two large joints are affected. The medicine must not be used for longer than 14 days, unless recommended by a doctor. Elderly (over 65): recommended doses are the same as for adults. Children and adolescents: Voltaren Emulgel 1% should not be used in children and adolescents under 14 years of age. In children over 14 years of age, if it is necessary to use the gel for more than 7 days to relieve pain or if symptoms worsen, a doctor's advice is necessary.

How to apply Voltaren Emulgel 1% 
1. Before the first use, pierce the membrane of the tube with the sharp tip of the closure (aluminum tube). Do not use the medicine if the membrane is damaged. Before first use, remove the seal by unscrewing and removing the cap, insert the opposite side of the cap, twist and remove the seal from the tube (aluminum laminate tube)
2. Gently squeeze a small amount of gel from the tube and apply it to the painful or swollen area, gently rubbing it into the skin. The required amount depends on the size of the diseased or swollen area; an amount varying from the size of a cherry to a walnut is usually sufficient. When rubbing the gel into the skin, you can feel a slight cooling effect.
3. Wash your hands after finishing applying the medicine, unless you are treating your hands with the medicine.

If you have taken more Voltaren Emulgel 1% than you should 
If you or your child accidentally swallows the medicine Voltaren Emulgel 1% or you have mistakenly used a much higher dose than recommended, contact your doctor immediately.

If you forget to take Voltaren Emulgel 1% 
If you have forgotten to apply Voltaren Emulgel 1% at the scheduled time, apply it when you remember, and then continue with the usual application of the gel.
Do not apply a double dose to make up for a missed dose.
If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
   Like other drugs, Voltaren Emulgel 1% can have side effects, although they may not occur in all patients. When diclofenac is applied to the skin, the concentration of the drug in the blood is much lower than after oral administration. This means that side effects are much less likely to occur than after oral administration of the drug (eg after administration of film-coated tablets or modified-release tablets). If Voltaren Emulgel 1% is applied to a large part of the skin, if it is used frequently or in a higher dose than recommended, the concentrations in the blood will be higher, and thus the risk of side effects will increase.

Local reactions
Voltaren Emulgel 1% is usually well tolerated. However, mild and transient local skin irritation in the form of rash or eczema, erythema (redness), itching or dermatitis can often occur. Photosensitivity reactions, desquamation (flaking of the skin), discoloration (changes in skin color) and bullous or vesicular eruptions (appearance of blisters on the skin) have been reported very rarely or in isolated cases. Patients should be warned not to expose themselves excessively to solar radiation, in order to avoid the possible appearance of photosensitivity. If a rash appears, stop using the product.
Very rarely, cases of asthma have been reported in patients who applied non-steroidal anti-inflammatory drugs topically (on the skin). Also, hypersensitivity reactions (in the form of urticaria - hives, or angioneurotic edema - swelling of the skin and subcutaneous tissue of the face, lips and neck) have been recorded very rarely.

Before use, study the instructions in detail. Consult your doctor or pharmacist about indications, precautions and adverse drug reactions.

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