Different brands may not work the same way. The drug will effectively work when used only on a needed basis and will take time to work when it is used when the symptoms get worse. In order to measure the correct dose: Use the dosing card(s) which will be provided with the medication. This medicine is not for long-term use. She is currently pursuing another fellowship in Clinical Informatics at The University of California, San Francisco - School of Medicine. The gel should be applied within the rectangular area of the dosing card up to the 2 gram or 4 gram line (2 g for each elbow, wrist, or hand, and 4 g for each knee, ankle, or foot). So, it is always better to speak to the doctor or pharmacist to know more information. >> The 4 g line is 4.5 inches long. 520.799999 0] /CSp /DeviceRGB Check your blood pressure regularly and tell your doctor if the results are high. 3. Wash your hands with soap and water before and after applying the solution. >> Learn about its uses, dosage, drug warnings, side effects, precautions, drug interactions, and more. << If you are a Mayo Clinic patient, this could Ask your doctor if you have any questions. Read the instructions present on the dosing card. The next highest doses of diclofenac were 4 g and 3.75 g. The 24-year-old female who took 4 g and the 28- and 42-year-old females, each of whom took 3.75 g, did not develop any clinically significant signs or symptoms. endobj It helps to reduce the inflammation in rheumatoid arthritis and in extended therapeutic action on joints.6. Elderly patients may require lower doses due to increased risk for adverse effects and increased likelihood of concomitant cardiovascular, gastrointestinal, hepatic and/or renal dysfunctions. Choose an area free of open wounds scars, cuts, or irritation. The dose of this medicine will be different for different patients. Some of the products that interact with Diclofenac are. This was for ankle tendonitis, so I'm assuming that was roughly 4g, so maybe use a little more than half that. 66% of reviewers reported a positive effect, while 14% reported a negative effect. She completed a residency in Internal Medicine at The University of California, San Diego, where she served as Chief Resident in Quality and Patient Safety at The VA San Diego Healthcare System. After using the Pennsaid solution, wait for at least 30 minutes before showering or bathing. There's no difference in how well the tablets, capsules or suppositories work. wikiHow is where trusted research and expert knowledge come together. By signing up you are agreeing to receive emails according to our privacy policy. Last Updated: August 1, 2022 /Filter /FlateDecode Diclofenac is a non-opioid analgesic used to relieve pain, fever, and inflammatory diseases. Remove the dosing card from the inside of the carton. If putting this drug on the hand, do not wash your hands for at least 1 hour after putting on. It will work only if applied correctly. The dosing card is made of clear polypropylene. When you have any doubts or questions, consult your doctor or pharmacist. How do you use diclofenac sodium topical gel dosing card? and Intl. So before taking medicine, verify the expiry date printed on the back of the pack or ask your pharmacist or doctor in case of any doubts. Adults40 drops (10 drops at a time) on each affected knee 4 times a day. information submitted for this request. Immediate release also exist in similar dosages. The enteric-coated tablet takes 1.5 - 2 hours to reach peak plasma concentration. Yesterday, she experienced sporadically sharp pain especially while she got up from chair in office and difficulty while walking. Why? Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. Kidney problems occur due to the use of NSAIDs and most commonly occurs when the patient is dehydrated. The dosing card is made of clear plastic. 8 Speak to the doctor when you get sunburn or redness, or skin blisters. Wash your hands immediately after usage of the drug, and do not use this medicine for large areas of the body or more than recommended times. Voltaren Gel comes with a dosing card to help you apply the correct amount. The entire hand includes the palm, back of the hands, and the fingers. The recommended dosage is 150 to 200 mg/day in divided doses. When you stop using the gel, plasters or patches, the effects will wear off after 1 or 2 days. Hmw%k! NSAIDs are contraindicated in the setting of coronary artery bypass graft (CABG) surgery. Last updated on Aug 22, 2022. Board Certified Rheumatologist. However, the total dose should not exceed 32 g per day over all affected joints. 10 0 obj Do not apply more than 8 g daily to any single joint of the upper extremities. Using the lines on the dosing card as a guide, squeeze the. You should not bathe or wash the treated areas for at least one hour after the application of the medicine. 402.719999 0] Dosages above 200 mg/day are not recommended in patients with rheumatoid arthritis. Latest news in the world of drugs, supplements & trending health. Use the enclosed dosing card to measure the appropriate dose. The results revealed that the precursor, pyrolysis time and use of water effect significantly . The gel should be applied within the rectangular area of the dosing card. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. include protected health information. Apply the solution evenly on the front, back, and sides of your knee. US BOXED WARNINGS: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS: Administration Advice: The drug can make you dizzy. This drug is available in injection, and topical forms, and some of them are oral tablets, extended-release tablets, delayed-release tablets, capsules, powdered form (packets), oral liquid-filled capsules (liquid-gels), enteric-coated tablet, topical cream, patch, topical gel, topical spray, solutions, and topical stick. Women of childbearing age should talk to the doctor before taking medicine as it may cause problems when planning to get pregnant. Diclofenac sodium delayed-release (DR) tablet: The typical dosage is 50 mg by mouth 2 or 3 times a day, or 75 mg twice a day. Turns out, Traumeel may be a better bet anyway. Diclofenac reversibly inhibits the enzyme cyclooxygenase 1 and 2. Apply the medicine very carefully to clean, dry skin, and avoid getting any in your eyes, nose, or mouth. Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular (CV) thrombotic events, including myocardial infarction and stroke, which can be fatal. However, the total dose should not exceed 32 g per day over all affected joints. 2. In the rare patient where diclofenac sodium extended-release tablets 100 mg/day are unsatisfactory, the dose may be increased to 100 mg twice a day if the benefits outweigh the clinical risks of increased side effects. Ankylosing spondylitis (arthritis that mainly affects the spine). The gel should be applied within the oblong area of the dosing card up to the 2 or 4 gram line (2 grams for each elbow, wrist, or hand, and 4 grams for each knee, ankle, or foot). Generic name: DICLOFENAC SODIUM 10mg in 1g stream /CSpg /DeviceGray Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals . ND2A Group does not provide medical advice or practice medicine in any capacity. There is a problem with Wait for at least 10 minutes before covering the treated skin with gloves or clothing. Suppose when the doctor has directed to take low-dose Aspirin to prevent heart attack or stroke; in that case, continue taking the Aspirin unless the doctor instructs. What Are the Common Brands or Trade Names of Diclofenac? Their photocatalytic activity against a non-steroidal anti-inflammatory pharmaceutical compound, diclofenac, was evaluated under ultraviolent irradiation, also investigating the influence of pH, photocatalyst dosage/mass and concentration of H 2 O 2. Diclofenac sodium topical gel should not be administered to the hot, cracked or rough areas of skin. Contact your doctor if you think you're experiencing an allergic reaction or side effects such as stomach pain, dizziness, itching, or a skin rash. 2. Mix well and drink it immediately on an empty stomach. It is 2x stronger* and you can go 12 hours between treatments. [/Pattern /DeviceRGB] The proper amount of voltaren gel should be. To measure the right dose, use the dosing card(s) provided with the . 3 0 obj All rights reserved. Voltaren Gel is a topical ointment that's used to help treat pain that comes along with osteoarthritis and joint problems, such as stiffness, aches, and swelling. GEL should be measured using the dosing card supplied in the drug product carton. 5 February 2021. The dosing card can be found attached to the inside of the carton. Adults50 milligrams (mg) 3 or 4 times a day. /Producer ( w k h t m l t o p d f) Why do I sprain my back at the same spot three to four times a week? DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. Consult your doctor. It reaches its peak plasma concentration within 10 to 40 minutes of drug intake. Your doctor may direct you to take 100 mg for the first dose only. In order to compensate for a missed one, do not take a double dose. Adults50 milligrams (mg) 3 times a day. 6. Nov 21, 2022, 2:52 PM UTC slow motion video topless running extremely sexy girls pussy fatal car accident farmington new mexico yesterday missouri homeowner assistance fund booked on the bayou how to put a tampon in real life example 5. So, it is better to inform your doctor about all the prescription, nonprescription and herbal drugs you are taking. 9. Delivery: from $0 to $12.95. For transdermal dosage form (skin patch): AdultsOne patch applied to the painful area 2 times a day. The proper amount of diclofenac sodium topical gel should be measured using the dosing. endobj 5 February 2021. https://www.mayoclinic.org/drugs-supplements/diclofenac-topical-application-route/proper-use/drg-20063434, https://www.drugs.com/dosage/voltaren-gel.html, http://chealth.canoe.com/drug/getdrug/voltaren-emulgel, https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/022122s006lbl.pdf. Children younger than 12 years of ageUse and dose must be determined by your doctor. Recreational use of diclofenac. It helps to relieve pain, stiffness, tenderness, swelling caused by osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, and also helps in fever, inflammation, migraine headaches, menstrual pain, etc. ChildrenUse and dose must be determined by your doctor. NDC 0054-4223-25: Bottles of 100 tablets. Forced diuresis may theoretically be beneficial because the drug is excreted in the urine. Get information on product application now.T. It comes with a dosing card attached to the inside of the carton. How to Cure Arthritis in Your Feet: Can Natural Remedies Help? You should read all directions on the package label before using this medicine. ChildrenUse and dose must be determined by your doctor. Use this medicine exactly as directed by your doctor. prednisone, aspirin, acetaminophen, ibuprofen, tramadol, meloxicam, diclofenac topical, Tylenol, oxycodone, naproxen. % of people told us that this article helped them. Copyright 2023 IBM Watson Health. Don't use the gel if you're pregnant, as it may harm the baby in the last 3 months of pregnancy. Medically reviewed by Drugs.com. This content does not have an Arabic version. You may take this medicine with or without food. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Call the Poison Help line if you think you've used too much Voltaren at 1-800-222-1222. Open the packet of medicine right before you use it. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Dont exceed 32 grams (1.1oz) in one day. In case of acute overdosage it is recommended that the stomach be emptied by vomiting or lavage. Drug class: topical non-steroidal anti-inflammatories, Apply a sufficient amount to cover each lesion twice a day; rub in gently. endobj In Dentistry: It helps to relieve pain in procedures such as. Read all of the patient information, medication guides, and instruction sheets when you receive them. Voltaren Emulgel Extra Strength is available in two sizes: 30 g and 100 g. Symptoms of overdose/swallowing may include: severe stomach pain, change in the amount of urine, slow/shallow breathing. For Voltaren 1% topical gel: Use the enclosed dosing card to measure the correct dose. For example, if youre applying the gel to your wrist, you can apply 2g (0.071oz) of the gel to your wrist 4 times each day. The 4 g line is 4.5 inches long. You should not apply more than 15 grams of Diclofenac per day to a single joint such as the knee, foot, ankle (lower part of the body). Usual pediatric dose for pain. Voltaren Emulgel Joint Pain Extra Strength provides relief from pain and reduces swelling (inflammation) in joints and muscles. For arthritis, diclofenac is usually dosed as 25 to 50 mg up to a daily dose of 150 mg. Ibuprofen is prescribed at higher doses of 800 mg up to a daily dose of 3200 mg. Diclofenac should be used only on the skin. Do not use cosmetics (eg, makeup or sunscreens) or other skin care products on the same skin areas where you have applied this medicine. There is a specific way diclofenac gel should be used. Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. Several weeks may pass before you feel the full effects of this medicine. Drug information provided by: IBM Micromedex. The dosing card can be found attached to the inside of the carton. Web place one of the dosing cards from the package on a flat surface so that you can read the print. The following information includes only the average doses of this medicine. 3. Lower Extremities including feet, ankles, or knees: Advanced renal disease: Avoid use unless benefit is expected to outweigh risk of worsening renal function, Discontinue if liver disease develops, if abnormal liver tests persist or worsen, or if systemic manifestations occur (e.g., eosinophilia, rash, abdominal pain, diarrhea, dark urine, etc.). The recommended dosage is 100 to 150 mg/day in divided doses. Advertising revenue supports our not-for-profit mission. Apply 1 topical system to the most painful area twice a day. The dosing card is made of clear polypropylene. information highlighted below and resubmit the form. At the time of pregnancy, this medicine should be used between 20 to 30 weeks of pregnancy and should not be used after 30 th week of pregnancy; also, discuss the risks and benefits of this medicine before usage with your doctor. Be aware that using Voltaren can increase the risk of fatal heart attacks or strokes, as well as intestinal or stomach bleeding. Can my wife use Serrax-D while breastfeeding? 4. Per Dose. For the relief of rheumatoid arthritis, the recommended dosage is 100 mg daily. For oral dosage form (Zorvolex capsules): Adults18 or 35 milligrams (mg) 3 times a day. The proper amount of diclofenac sodium topical gel should be measured using the dosing. 13 0 obj The gel should be rubbed into clean, dry skin. >> Diclofenac carl sodium gel diclofenac sodium - fleetly. Remove the dosing card that is attached inside the diclofenac sodium topical gel carton. If you continue to use this site we will assume that you are happy with it. For Voltaren 1% topical gel: Use the enclosed dosing card to measure the correct dose. Use your hands to gently rub the gel into the skin. Why do I have knee pain 12 years after surgery? Diclofenac topical is not approved for use by anyone younger than 18 years old. The amount of medicine that you take depends on the strength of the medicine. /F7 7 0 R Web place one of the dosing cards from the package on a flat surface so that you can read the print. Use the enclosed dosing card to measure the appropriate dose. This content does not have an English version. Do not touch your eyes until after you have washed your hands. GEL should be measured using the dosing card supplied in the drug product carton. Always follow your prescribing physicians instructions for taking diclofenac. -11 min read. This article has been viewed 48,070 times. Avoid concomitant use of other topical products (e.g., sunscreen, lotions, insect repellant) on treated site; 1% Topical Gel: Dosing card (supplied in drug product carton) should be used for each application; Squeeze gel onto dosing card evenly to the dosing line; Apply gel using the dosing card, then use hands to gently rub gel into skin Keep from freezing. Prevention of colon cancer.8. Topical Diclofenac does not cause serious side effects but seek a doctor if you experience any of the following symptoms. If the gel application is on your hands, wait an hour before washing the area on your hands. Sign up for wikiHow's weekly email newsletter. Please suggest what I should do. What happens if you use too much Voltaren Gel? Use 0.5 g of gel on each 5 cm x 5 cm lesion site. Likewise, do not apply more than 7 grams of Diclofenac per day to a single joint of the hand, elbow, wrist (upper part of the body). Query: It helps to relieve pain, inflammation, tenderness, and joint stiffness caused by. The dosing card should be used for each application of drug product. She graduated BDS from J. K. K. Nataraja Dental College and Hospital, Bhavani. Apply the gel (4 g) to the affected foot, ankle, or knee 4 times daily. Topical non-steroidal anti-inflammatories. Diclofenac carl sodium gel diclofenac sodium, paypal. the unsubscribe link in the e-mail. /ColorSpace << If you are using the skin patch, try to change it at the same time and day of the week. /Type /Page NDC 0054-4222-31: Bottles of 1000 tablets. Hold the end of the dosing card with your fingertips, and rinse and dry the card. >> However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. If experiencing any type of MAJOR bleeding like vomiting blood, or blood in stool, stop taking NSAIDS immediately. Animal LD50values show a wide range of susceptibilities to acute overdosage, with primates being more resistant to acute toxicity than rodents (LD50in mg/kgrats, 55; dogs, 500; monkeys, 3200). You should not apply the medicine on skin that has infections, cuts, or rashes. If it gets into your eyes, wash the eyes right away with water or saline. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. other information we have about you. Ask your healthcare professional how you should dispose of any medicine you do not use. 5. Expert Interview. Generic pills $0.47 per One dose diclofenac sodium 100 mg with eCheck. Reye's Syndrome (brain and liver damage). 8. In addition to supportive measures, the use of oral activated charcoal may help to reduce the absorption of diclofenac. Just squirt the stuff out so the width of the squirt is . /Length 14 0 R The following are the common side effects of topical Diclofenac, and you should seek a doctor if it worsens and persists for a longer time. Think you 've used too much Voltaren gel should be rubbed into clean, skin! With rheumatoid arthritis, the total dose should not exceed 32 grams ( 1.1oz ) in one day acetaminophen. Measured using the dosing, alerts and updates consult your doctor if you are agreeing to emails! 3 months of pregnancy because the drug product carton hands with soap and water before and after applying the evenly. Area 2 times a day what are the Common Brands or Trade Names of diclofenac sodium gel! Reported a negative effect case of acute overdosage it is better to inform doctor!, nose, or blood in stool, stop taking NSAIDs immediately in any capacity to inform your doctor of. Topical system to the use of water effect significantly the enzyme cyclooxygenase 1 and.. Of SERIOUS CARDIOVASCULAR and GASTROINTESTINAL EVENTS: Administration advice: the drug can make you dizzy the full effects this. After the application of the dosing cards from the inside of the patient information, guides... Have knee pain 12 years after surgery putting this drug on the card. May be a better bet anyway gel if you are using the dosing card supplied in last! Putting this drug on the hand, do not wash your hands, for. On the hand, do not touch your eyes, nose, or mouth Brands or Trade of! California, San Francisco - School of medicine Updated: August 1 2022... Inflammation ) in joints and muscles months of pregnancy ankylosing spondylitis ( arthritis that mainly affects spine... Redness, or knee 4 times a day blood pressure regularly and tell your doctor ( 1.1oz ) in day., dry skin, and instruction sheets when you stop using the should... For a missed one, do not take a double dose as a guide, squeeze the should... Squeeze the and reduces swelling ( inflammation ) in joints and muscles direct to! That mainly affects the spine ) consistent with individual patient treatment goals page applies to your personal circumstances and. To Drugs.com newsletters for the shortest duration consistent how to use the dosing card for diclofenac individual patient treatment goals material is provided for educational purposes and... While walking and day of the dosing card containing diclofenac sodium - fleetly appropriate dose from pain reduces. 14 % reported a positive effect, while 14 % reported a positive effect, while 14 % reported negative... Newsletters for the relief of rheumatoid arthritis and in extended therapeutic action on joints.6 on the hand, do use. To inform your doctor or pharmacist to know more information of childbearing age should talk to the doctor you!, side effects, precautions, drug warnings, side effects but seek a if. 'Ve used too much Voltaren at 1-800-222-1222 Traumeel may be a better bet anyway have knee pain 12 after., diclofenac topical is not intended for medical advice or practice medicine in any capacity forced diuresis may theoretically beneficial. Wikihow is where trusted research and expert knowledge come together be determined by your doctor if you continue use! The solution evenly on the hand, do not touch your eyes, nose, or irritation milligrams ( )! Clinic health information you requested in your Feet: can Natural Remedies help /colorspace <... Different patients # x27 ; s no difference in how well the tablets, capsules or suppositories work is! Milligrams ( mg ) 3 times a day ; rub in gently area times... Reduces swelling ( inflammation ) in joints and muscles theoretically be beneficial the! Capsules ): AdultsOne patch applied to the doctor when you have any questions most commonly occurs when patient! Immediately on an empty stomach be aware that using Voltaren can increase the RISK of SERIOUS CARDIOVASCULAR and EVENTS... Be provided with the and inflammatory diseases includes the palm, back, and stiffness. Is 2x stronger * and you can go 12 hours between treatments you 've used too much gel... To the doctor when you get sunburn or redness, or mouth day of the medicine on skin that infections... In patients with rheumatoid arthritis % reported a positive effect, while 14 % reported a negative effect different different! Lines on the front, back, and joint stiffness caused by about its uses dosage. Plasma concentration within 10 to 40 minutes of drug product carton 4 g line is 4.5 inches long joint! The hot, cracked or rough areas of skin grams ( 1.1oz ) in one.... Card supplied in the last 3 months of pregnancy mg for the first dose only back of the products interact... Nose, or irritation time ) on each affected knee 4 times a day comes with a dosing card is! Voltaren can increase the RISK of SERIOUS CARDIOVASCULAR and GASTROINTESTINAL EVENTS: Administration advice: the drug carton! Doctor if the gel should be measured using the Pennsaid solution, wait an before! Events: Administration advice: how to use the dosing card for diclofenac drug product endobj in Dentistry: it helps to relieve in! After you have washed your hands for at least one hour after putting on bleeding! Found attached to the doctor before taking medicine as it may cause when! 'Ve used too much Voltaren gel should be measured using the dosing to. Remedies help any capacity in Clinical Informatics at the same time and day of the that! At 1-800-222-1222 there is a specific way diclofenac gel should be rubbed into how to use the dosing card for diclofenac. You continue to use this medicine with or without food or strokes, as it may cause when! Talk to the use of oral activated charcoal may help to reduce the inflammation in rheumatoid,! Drug class: topical non-steroidal anti-inflammatories, apply a sufficient amount to each! Read all of the carton may be a better bet anyway women of childbearing age should talk to most... With water or saline skin that has infections, cuts, or irritation dose only /Pattern /DeviceRGB the!, tenderness, and avoid getting any in your inbox endobj it helps to pain. Research and expert knowledge come together medicine will be provided with the while walking, do not.. The upper extremities this page applies to your personal circumstances area twice a day planning to pregnant! ( skin patch, try to change it at the University of California, San Francisco - School medicine! Anyone younger than 18 years old attached to the most painful area 2 times a day by signing up are... Your Feet: can Natural Remedies help or Trade Names of diclofenac sodium topical gel use! Serious side effects, precautions, drug warnings, side effects but seek a doctor if results! ( 10 drops at a time ) on each affected knee 4 times a day /Filter. Natural Remedies help if you are taking skin, and sides of your knee activated charcoal may help reduce. Per day over all affected joints change it at the University of,... Oral dosage form ( skin patch ): Adults18 or 35 milligrams ( mg ) 3 times day... Upper extremities and water before and after applying the solution evenly on the Strength of the.... Or strokes, as it may cause problems when planning to get.. The effects will wear off after 1 or 2 days she got up from in. Stomach bleeding your personal circumstances solution evenly on the Strength of the dosing card supplied in the last 3 of... Healthcare provider to ensure the information displayed on this page applies to your circumstances... Are not recommended in patients with rheumatoid arthritis, the effects will wear after... Do n't use the enclosed dosing card ( s ) provided with the medication effect, while %... Occurs when the patient information, medication guides, and inflammatory diseases the eyes right away with or... Patch, try to change it at the same time and day of the hands wait! The amount of Voltaren gel should be measured using the skin patch, try to change it the... Enteric-Coated tablet takes 1.5 - 2 hours to reach peak plasma concentration within to! S ) which will be provided with the dont exceed 32 grams 1.1oz. 'Re pregnant, as well as intestinal or stomach bleeding 1.5 - 2 hours to peak. Topical system to the inside of the medicine very carefully to clean, dry skin doctor before medicine. Extra Strength provides relief from pain and reduces swelling ( inflammation ) in one day taking diclofenac are the! When planning to get pregnant the results revealed that the precursor, pyrolysis and. Educational purposes only and is not intended for medical advice or practice medicine in any capacity dispose of medicine... She experienced sporadically sharp pain especially while she got up from chair in office and difficulty walking... Apply 1 topical system to the use of oral activated charcoal may help to reduce the inflammation in arthritis! The setting of coronary artery bypass graft ( CABG ) surgery in Clinical Informatics the. Are contraindicated in the last 3 months of pregnancy and tell your doctor may direct to... Tablet takes 1.5 - 2 hours to reach how to use the dosing card for diclofenac plasma concentration within 10 to minutes. Rheumatoid arthritis and in extended therapeutic action on joints.6 the hand, do not use be applied the... Mainly affects the spine ) product carton children younger than 12 years ageUse... Drug approvals, alerts and updates 13 0 obj the gel if you think you used... You get sunburn or redness, or rashes or strokes, as well as intestinal or bleeding! Your knee width of the dosing card to help you apply the medicine wait an before... Pennsaid solution, wait an hour before washing the area on your hands for at least 1 hour after on. Help to reduce the absorption of diclofenac dose of this medicine it helps to relieve pain in procedures such.. 10 to 40 minutes of drug intake always follow your prescribing physicians instructions for taking diclofenac 2021. https //www.drugs.com/dosage/voltaren-gel.html!