Call 911 or seek immediate medical help if you experience chest pain, trouble breathing, weakness on one side of your body, or trouble speaking or walking. Don't use topical diclofenac if you've had or will be having heart bypass surgery. If you have heart problems, talk to your healthcare provider before starting this medication. That’s why it’s important to use the lowest possible dose for the shortest possible time. People with heart problems, those using high doses of topical diclofenac, and those using topical diclofenac for a long time have a higher risk of this happening. This can happen as early as within the first weeks of starting this medication. Topical diclofenac can raise your risk of having blood clots, heart attacks, or strokes. Risk factors: History of heart problems, including heart attack | Using high doses of topical diclofenac | Using topical diclofenac for a long time | History of heart bypass surgery.You can use these products on the same area of skin where you apply the diclofenac solution, but only after the medication dries. These products might affect how your skin absorbs this medication. Otherwise, you might transfer some of this medication onto them.Īvoid using other topical products, such as lotions, sunscreens, or bug repellants, on the same area of skin where you apply diclofenac gel. Wait until this medication dries or is completely rubbed into the skin before touching pets or other people. Doing so might affect how much medication gets absorbed. Also, don't use bandages or heat packs on your skin after you apply this medication. The bottle is ready to use after you prime it.ĭon't apply this medication to any open cuts or wounds on your skin. Priming the bottle makes sure that you get full doses of medication when you're ready to apply it to your skin. If you're using a new bottle of 2% solution (Pennsaid) for the first time, make sure to prime the bottle by holding it upright and pressing down on the pump 4 times. If you're using the 1.5% solution for the knee, apply and rub in 10 drops of solution at a time to prevent spilling. If you're using the 1% gel (Voltaren Arthritis Pain), make sure to measure out the amount of medication you need with the plastic dosing card found inside the box. If you want to shower after using this medication, wait about 30 minutes (solution) or 1 hour (gel) to give your body time to absorb the medication. Shower or clean your skin before applying topical diclofenac.

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