Voltaren tablets instructions for use
- Voltaren tablets instructions for use
ATX code M01AB05
Pharmacotherapeutic group : NSAIDs.
Dosage form : tablets for internal use.
Product : round biconvex tablets of yellow color with a facet, on one side an impression of CG, on the other - BZ. They are covered with an enteric coating. Contour mesh packaging, cardboard tutu.
Anti-inflammatory, analgesic, antipyretic.
Active substances :
- Sodium diclofenac.
Auxiliary components :
- Microcrystalline cellulose;
- Magnesium stearate;
- Silicon dioxide colloid;
- Polyvinylpyrrolidone K30;
- Titanium dioxide;
- Iron oxide yellow;
- Iron oxide red;
- corn starch;
- Emulsion silicone;
- Macrogol 8000;
- Copolymer of esters and acids (methacrylic, polyacrylic);
- Sodium carboxymethyl starch;
- Glyceryl polyethylene glycol.
Actively acting component of the drug is a substance of non-steroidal nature, which has a pronounced antipyretic, anti-inflammatory and analgesic effect. The main mechanism is the inhibition of the biological synthesis of prostaglandins, which play a leading role in the genesis of pain, inflammation and fever. This preparation does not exert a suppressive effect on the biosynthesis of proteoglycans of cartilaginous tissue.
In the treatment of pathologies of rheumatic nature, the severity of pain, morning stiffness and swelling of articular joints are significantly reduced, and their functioning is noted to improve.
With inflammatory phenomena of post-operation or post-traumatic origin, the drug also has an anesthetic effect. However, he is able to eliminate pain and reduce the severity of blood loss in primary dysmenorrhea. Cures migraine attacks.
Tablets, covered with an enteric coating, after ingestion are completely absorbed in the intestine. In the event that the drug is taken during or immediately after a meal, its slow passage through the stomach is noted, but the amount of the active ingredient is not changed.
After a single dose of 50 mg of Voltaren, the maximum concentration of diclofenac in the plasma (1.5 μg / ml) is observed after 2 hours. The degree of absorption of the drug depends on the size of the dose. With strict adherence to the intervals between tablets, cumulation is not observed.
The connection with plasma proteins is 99.7% (99.4% - with albumin). In synovial fluid, diclofenac reaches its maximum concentration 2-4 hours later than in plasma. The half-life of the drug in synovia is 3-6 hours.
Metabolism of diclofenac is carried out in the liver, with the formation of phenolic metabolites, which turn into glucuronide conjugates.
The total plasma clearance of the active ingredient is 263 plus-minus 56 ml / min. The final half-life is 1-2 hours. T 1/2 metabolites - 1-3 hours. About 60% of the drug is excreted by the kidneys along with urine, the rest - along with feces.
Indications for use
- Inflammatory and degenerative-dystrophic pathologies of the musculoskeletal system (osteoarthritis, rheumatoid and juvenile arthritis, spondyloarthropathies, gouty arthritis, tendovaginitis, chronic arthritis, bursitis, etc.);
- Post-traumatic or post-operative pain syndrome (in orthopedics, dentistry);
- Pain in the spine (radiculitis, ossalgia, sciatica, etc.);
- Infectious and inflammatory pathologies of ENT organs, accompanied by severe pain syndrome (otitis media, tonsillitis , pharyngitis );
- Adnexitis and other inflammatory diseases of the small pelvis
Voltaren, tablets - this is a symptomatic drug that eliminates clinical manifestations of the disease, but does not affect its progression.
- Stomach ulcer and 12-intestine (exacerbation, perforation phase, ulcerous bleeding);
- Ulcerative colitis, Crohn's disease (exacerbation phase);
- Severe degree of renal failure;
- Heart failure (decompensation stage);
- Severe form of hepatic insufficiency;
- Attacks of bronchial asthma, rhinitis, urticaria , provoked by the intake of acetylsalicylic acid;
- Conditions accompanied by a risk of bleeding;
- Aortocoronary shunting (pre- and postoperative period);
- Individual intolerance to the components of the drug;
- III trimester of pregnancy and lactation;
- Children under 14 years.
Dosing and Administration
The dosage of the drug is determined individually. If possible, the drug is administered in a minimally effective dose, with the shortest course of treatment.
Tablets should be taken after meals, swallowing whole and with water.
The initial recommended dose for adults is 100-150 mg per day. For mild forms of pathology, 75-100 mg per day is sufficient.
With primary dysmenorrhea, the daily dose is 50-150 mg. The initial - 50-100 mg / day, if necessary, increases to 150 mg. The drug should be used when the first symptoms occur. Depending on the patient's condition, the treatment is allowed for several days.
On the part of the digestive system : nausea, vomiting, diarrhea, abdominal pain, decreased appetite, anorexia, dyspepsia.
From the sense organs : visual disturbances (rarely), hearing impairment, vertigo.
From the nervous system : dizziness, headaches, flavors. Rarely tremor of extremities, memory disorders, seizures , acute disturbance of cerebral circulation.
On the part of the respiratory system : pneumonitis, asthma.
From the cardiovascular system : arterial hypertension, hot flashes, vasculitis, heart failure, myocardial infarction.
From the urinary system : proteinuria, hematuria, acute renal failure, papillary necrosis, nephrotic syndrome.
From the skin: hyperemia, generalized rash, itching, dermatosis, alopecia.
Other disorders : peripheral and generalized edema, edema of the face.
Diclofenac is able to increase the concentration in the blood plasma of digoxin and lithium.
With simultaneous use with potent inhibitors of CYP2C9 in the blood serum, diclofenac concentration increases, and the systemic effect of the drug is also increased due to inhibition of its metabolism.
NSAIDs reduce the hypotensive effect of diuretics and antihypertensive drugs.
With the simultaneous use of systemic action with other NSAIDs, the frequency of adverse reactions from the digestive tract increases.
When interacting with selective serotonin reuptake inhibitors, the risk of developing gastric bleeding increases significantly.
Simultaneous use with methotrexate increases the concentration and toxic effects of the latter.
Increases the nephrotoxicity of cyclosporins.
Enhances the systemic effect of phenitonin.
- Arterial hypotension;
- Digestive disorders;
- Renal failure;
Refers to prescription drugs.
Store in a dry place, protected from light, out of reach of children, at a temperature not exceeding 30 ° C.
Shelf life 5 years from the date of production. After the expiry date indicated on the package, the drug should not be used.
Voltaren tablets price
Voltaren tablets 50 mg, 20 pieces - 260 - 300 rubles.
Voltaren tablets analogues
- Diclofenac sandoz;
- Diclonat P;