Volteren Emulgel forte 2% 100g

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 2% with care 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 2% and what is it intended for
2. What you need to know before taking Voltaren Emulgel 2%
3. How to use Voltaren Emulgel 2%
4. Possible side effects
5. How to store Voltaren Emulgel 2%
6. Additional information

1. WHAT IS THE DRUG Voltaren Emulgel 2% AND WHAT IS IT FOR
   The drug Voltaren Emulgel 2% contains diclofenac as an active substance, which belongs to the group of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). The drug Voltaren Emulgel 2% 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 2% 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 2%
   Voltaren Emulgel 2% 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 2% in children and adolescents under 14 years of age.

If any of the above applies to you, do not use Voltaren Emulgel 2%.

When taking Voltaren Emulgel 2%, take special care:
Tell your doctor if you have or have had:
a stomach ulcer
asthma

• DO NOT apply Voltaren Emulgel 2% to skin with cuts, open wounds, or skin with rashes or eczema.
• Voltaren Emulgel 2% 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 2% 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 2% 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 2% 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 2%, avoid exposure to sunlight, as a photosensitivity reaction may occur on the skin.

Stop using Voltaren Emulgel 2% 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 2% with food or drinks
It has no effect on the application of the drug.

Use of Voltaren Emulgel 2% during pregnancy and breastfeeding
Do not use Voltaren Emulgel 2% 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 2% 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 2% if you are breastfeeding. Before you start taking any medicine, consult your doctor or pharmacist.

The effect of Voltaren Emulgel 2% on driving and using machines
Application of Voltaren Emulgel 2% 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 2%
The drug Voltaren Emulgel 2% 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 2%
   Always use Voltaren Emulgel 2% as your doctor has told you.
   If you are not absolutely sure, check with your doctor or pharmacist.
   For adults and adolescents over 14 years old
   Apply the medicine Voltaren Emulgel 2% 2 times a day to the affected area, in the morning and in the evening, which will remove the pain for the next 12 hours.
   The amount required depends on the size of the affected area: 2g to 4g of the drug Voltaren Emulgel 2% (the amount of gel to be applied is the size of a cherry to the size of a walnut) is enough to treat an area with a diameter of about 2 to 2.5 cm.
   The maximum daily dose is 8 g. The maximum weekly dose is 56 g.

How to apply Voltaren Emulgel 2%
1. 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.
2. Gently squeeze a small amount of gel from the tube and apply to the painful or swollen area, gently rubbing 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.
Voltaren Emulgel 2% is for external use only.

How long should Voltaren Emulgel 2% be used?
Do not use Voltaren Emulgel 2% gel longer than:

• 2 weeks in the treatment of muscle and joint injuries (eg sprains, strains, contusions) or tendinitis (inflammation of tendons or tendon sheaths)
• 3 weeks for arthritic (inflammation of the joints) pain unless the doctor recommends otherwise.

If the pain and swelling do not decrease in 7 days or the condition even worsens, consult your doctor.

Pediatric population (under 14 years of age):
It is not recommended to use Voltaren Emulgel 2% gel in children under 14 years of age.
Elderly patients (over 65 years of age): Take the usual dose for adults.
If you have taken more Voltaren Emulgel 2% than you should
If you or your child accidentally swallows the medicine Voltaren Emulgel 2% or you have mistakenly used a much higher dose than recommended, contact your doctor immediately.

If you forget to take Voltaren Emulgel 2%
If you forget to apply the drug Voltaren Emulgel 2% 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
   The drug Voltaren Emulgel 2%, like other drugs, can have unwanted effects, although they do not necessarily occur in everyone.
   Some rare and very rare side effects can be serious.
   If you experience any of the following signs of allergy, STOP using Voltaren Emulgel 2% IMMEDIATELY and tell your doctor or pharmacist immediately:

• Skin rash with blisters, urticaria (hives) (these side effects may affect 1 to 10 people in 10,000)
• Wheezing in the chest, difficulty breathing or a feeling of pressure in the chest (asthma) (these side effects may affect up to 1 in 10,000 people)
• Swelling of the face, lips, tongue or throat (these side effects may affect up to 1 in 10,000 people)

Other side effects that may occur are usually moderate, transient and not dangerous. If you are concerned about them, consult your doctor or pharmacist.

Common side effects (may affect 1 to 10 people in 100): Skin rash, itching, redness or burning of the skin.

Very rare side effects (may affect up to 1 in 10,000 people): Increased skin sensitivity to sunlight. Possible signs are sunburn with itching, swelling and blisters.

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

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