Many people recognize that nonsteroidal anti-inflammatory drugs NSAIDs such as diclofenac (Voltaren) can provide relief from inflammation and pain but have some important side effects if they are used for a long time (several weeks or months). Unfortunately for folks with arthritis, joint pain is usually not a temporary condition.
That creates a difficult double-bind. How can a person get the benefits of pain relief without accepting undue risk? This reader has found that using a topical form of diclofenac rather than taking a pill can help with that dilemma.
Voltaren Gel Keeps Her Walking:
Q. My husband and I have used Voltaren Gel for years. It was available almost everywhere in the world except the US.
Now it is available OTC in Canada and by prescription in the US. I don’t think I would be able to walk if I didn’t put it on my knees twice a day.
A. Voltaren Gel contains diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). This topical formula is about as effective as taking the drug orally.
The FDA requires a warning about ulcers, heart attacks and strokes, though a comprehensive review concluded that “adverse effects were usually minimal” (Cochrane Database of Systematic Reviews, June 11, 2015). That review found that the Emulgel formulation of topical diclofenac was the most effective, though you might have to purchase it in Canada or Europe. It does not appear to be available in the US.
The Dangers of Topical NSAIDs
Before everyone hops on the Voltaren Gel bandwagon, there is a word of caution. Some people are so sensitive to NSAIDs that they react to topical formulations. To provide balance, here is a link to some scary stories.
Share your own experience with topical NSAIDs below.
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