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DICLOFENAC AL Pain gel forte 20 mg/g, 100 g

Name: DICLOFENAC AL Pain gel forte 20 mg/g, 100 g
Brand: ALIUD Pharma GmbH
SKU: 18719878
Price: 7.83 USD
Availability: InStock

DICLOFENAC AL Schmerzgel forte 20 mg/g 100 g Gel

Manufacturers: ALIUD Pharma GmbH

PZN: 18719878

Dosage: Gel

Content: 100 g

Reward Points: 65

Availability: In stock

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$7.83

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Instructions for use for DICLOFENAC AL Pain gel forte 20 mg/g, 100 g

Application instructions

The total dose should not be exceeded without consulting a doctor or pharmacist.

Type of application?
Apply the medicine to the affected skin area(s). Then massage the medicine in. Wash your hands thoroughly after use. Avoid accidental contact with mucous membranes, eyes and open skin areas.

Duration of application?
You should not use the medicine for longer than 7 days without medical advice.

Overdose?
If the medicine is used as described, there are no known symptoms of overdose. If in doubt, contact your doctor.

In general, pay attention to careful dosage, especially for infants, small children and older people. If in doubt, ask your doctor or pharmacist about any effects or precautions.

The dosage prescribed by the doctor may differ from the information in the package insert. Since the doctor adjusts it individually, you should therefore use the medicine according to his instructions.

Dosage

General dosage recommendation:

Young people aged 14 and over and adults

a sufficient amount (approx. 1-4 g)

2 times a day

in the mornings and the evenings

Maximum dose: A dose of 8 g gel per day should not be exceeded.

Application areas

- Pain, swelling and inflammation of the musculoskeletal system, such as:

- Sports and accidental injuries, such as:

- Sprains and strains

- Bruises

- Blunt injuries

Mode of action

How does the ingredient of the medicine work?

The active ingredient has analgesic, antipyretic and anti-inflammatory at the same time. The drug also has antirheumatic properties. It blocks the formation of certain messenger substances in the body, so-called prostaglandins. These are significantly involved in the development of pain, fever and inflammation.

Composition

based on 1 g gel

23.2 mg diclofenac diethylamine

20 mg diclofenac sodium

18.61 mg diclofenac

50 mg propylene glycol

+ Oleyl alcohol

+ Isopropanol

0.2 mg butylated hydroxytoluene

+ Diethylamine

+ Paraffin, thin liquid

+ Ceteareth-20

+ Carbomer 980

+ Cocoyl caprylocaprate

+ Perfume cream

+ Eugenol

+ Citral

+ Water, purified

Contraindications

What speaks against an application?

- Hypersensitivity to the ingredients
- Open injuries, inflammation or infections of the skin
- Eczema

Which age group should be taken into account?
- Children under 14 years: The medicine must not be used.

What about pregnancy and lactation?
- Pregnancy: Consult your doctor. Various considerations play a role in whether and how the medicine can be used during pregnancy.
- Breast-feeding: Consult your doctor or pharmacist. He will examine your particular situation and advise you accordingly as to whether and how you can continue breastfeeding.

If you have been prescribed this medicine despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit may be greater than the risk associated with use if there is a contraindication.

Side effects

What adverse effects may occur?

- Skin hypersensitivity reactions such as:
- Itching
- Skin redness
- Skin rash
- Inflammatory reactions of the skin
- Contact dermatitis (allergic skin reactions that only occur with repeated use)
- Eczema
- Flaking of the skin
- Drying out of the skin
- Water retention (edema)

If you notice any discomfort or change during treatment, contact your doctor or pharmacist.

The information provided here primarily takes into account side effects that occur in at least one in 1,000 treated patients.

Hints

What should you pay attention to?
- Caution: Patients with nasal polyps, chronic respiratory infections, asthma or who are prone to allergic reactions such as hay fever: The medicine can trigger an asthma attack or a strong allergic skin reaction. Therefor consult your doctor before usage.
- Be careful if you are allergic to painkillers!
- Antioxidants (e.g. butylhydroxyanisole, butylhydroxytoluene) can cause skin irritation (e.g. contact dermatitis), irritation of the eyes and mucous membranes.
- Solvents (e.g. propylene glycol, E 477) can cause skin irritation.

Detailed instructions for DICLOFENAC AL Pain gel forte 20 mg/g, 100 g

Diclofenac AL pain gel forte 20 mg/g gel
For adults and young people aged 14 and over

Active ingredient:
Diclofenac, equivalent to diclofenac sodium (as diclofenac-N-ethylethanamine).

For the short-term local, symptomatic treatment of mild to moderate pain in acute strains, sprains or bruises resulting from blunt trauma.

A notice:
Contains propylene glycol, butylated hydroxytoluene and perfume cream (contains eugenol and citral).

For information about risks and side effects, read the package leaflet and ask your doctor or pharmacy.
ALIUD PHARMA GmbH, PO Box 1380, 89146 Laichingen
As of: May 2023

DICLOFENAC AL SCHMERZGEL FORTE 20 MG / G GEL
ERHÄLTLICH IN 3 PACKUNGSGRÖSSEN

Pain gel for acute bruises, strains & sprains
• For short-term local treatment of mild to moderate pain
• With the proven active ingredient diclofenac
• Has a pain-relieving, anti-inflammatory and cooling effect
• Long-lasting pain relief for up to 12 hours
• For adults and children aged 14 and over

Pain-relieving, anti-inflammatory & cooling
Pain within the musculoskeletal system can be caused by illnesses, incorrect strain and acute injuries. Bruises, strains and sprains in particular often occur as a result of accidents in sports and everyday life. For the short-term local treatment of mild to moderate pain in acute bruises, strains and sprains resulting from blunt trauma Diclofenac AL pain gel forte is ideal. The gel contains the active ingredient diclofenac, which is characterized by anti-inflammatory and pain-reducing properties. It penetrates deep into the tissue to specifically combat inflammation. Acute joint pain that occurs as a result of, for example, bruises be alleviated. A few days after the start of treatment, pain during movement can be reduced and the functionality of a joint after impairment can be reduced be improved by acute blunt trauma. Diclofenac AL pain gel forte has a pleasantly cooling effect and can be easily rubbed into the skin. Suitable for use on adults and adolescents 14 years.

Long-lasting pain relief for up to 12 hours
Diclofenac AL pain gel forte contains the active ingredient diclofenac, which belongs to the group of non-steroidal anti-inflammatory drugs/analgesics (NSAIDs). By inhibiting the Prostaglandin synthesis by cyclooxygenases 2 (COX-2), diclofenac reduces inflammatory pain and swelling. A study proves its effectiveness of the active ingredient when used topically (externally) to treat acute muscle and joint pain following bruises, strains and sprains.1 The AL pain gel forte contains diclofenac in twice the active ingredient concentration compared to the AL pain gel. Due to the depot effect, there is a delayed and prolonged release of the active ingredient into tissue and plasma. Pain can therefore be relieved by using it twice a day pain-relieving effect lasts up to 12 hours.

Blunt injuries during sports
In certain sports, accidents with injuries such as strains, Bruises and sprains. This can happen in fast-moving disciplines Changing direction, braking and accelerating (e.g. squash, tennis). Strains caused by overstretching of the muscles or a sprain occur when the affected joint extends beyond its natural radius is twisted. Bruises, on the other hand, are caused by blunt trauma (e.g Sports with direct physical contact) that can lead to bleeding into the surrounding tissue can come.

First aid for blunt injuries
In the case of acute bruises, strains and sprains, it is important to take proper care immediately react. The PECH-rule helps reduce pain and swelling:
P: Break
E: Ice cream
C. Compression
H: Elevate
The anti-inflammatory and pain-relieving medication can be used as supportive treatment Diclofenac AL pain gel forte can be used.

Keep moving: 5 steps after acute injuries

1. Start at the right time
Patience is required after acute injuries. Give your body time to heal. We will discuss when you can start with light advanced training best with your doctor.

2. Easy advanced training
Take a big step back. It's best to increase your physical activity in small steps.

3. Rethink goals
Adjust the training goals you set before the injury to the current situation. Don't overwhelm yourself after an injury break. So the fun of movement remains.

4. Learn from the injury
Perhaps the injury exposes certain weaknesses in the exercise program. A break due to injury can be a good opportunity to practice certain routines rethink and add new movement units.

5. Incorporate the basic program into the exercise plan
• Do 5 to 10 minutes of stretching exercises every day, preferably in the morning
• Compensate for muscular weaknesses with circuit training 1 to 2 times a week
• Treat tense muscle groups to a massage in the evening or after training

Frequently Asked Questions & Answers
What are the advantages of diclofenac for external use on the skin compared to taking diclofenac in tablet form?
When used topically (externally), the level of active ingredient in the blood is much lower than when used orally. The occurrence of systemic side effects (e.g. renal, hepatic or gastrointestinal side effects, systemic hypersensitivity reactions), such as may occur after systemic administration of diclofenac It cannot be ruled out that the gel can occur if the gel is applied to a large area of the skin and over a longer period of time. There However, since the systemic absorption of diclofenac when applied topically is very low, such side effects are unlikely.3

In which pack sizes is Diclofenac AL pain gel forte available?Diclofenac AL Pain gel forte 20 mg/g gel
Diclofenac AL pain gel forte is available in your pharmacy in three pack sizes: 100 g, 150 g and 180 g.

How should Diclofenac AL pain gel forte be stored?
Please always keep medicines out of the reach of children. Do not store Diclofenac AL pain gel forte above 25°C. Do not store Diclofenac AL pain gel in the refrigerator or freeze. After the expiry date printed on the outer packaging and tube has expired, Diclofenac AL pain gel forte may no longer be used. Never dispose of medicines via wastewater (e.g. not via the toilet or sink). Ask your pharmacy how to dispose of the medicine is when you stop using it. In this way you contribute to protecting the environment.

When should Diclofenac AL pain gel forte not be used?
Do not use Diclofenac AL pain gel forte • if you are allergic to diclofenac or any of the other ingredients of this medicine,
• if you have a history of breathing problems (asthma, bronchospasm), hives, runny nose or swelling of the face or tongue after taking/ have reacted to the use of acetylsalicylic acid or another non-steroidal anti-inflammatory drug (e.g. ibuprofen),
• on open injuries, inflammations or infections of the skin as well as on eczema or mucous membranes,
• in the last 3 months of pregnancy,
• in children and young people under 14 years of age.

If you are breastfeeding, only use Diclofenac AL pain gel forte after consulting your doctor. Do not use the pain gel in the chest area during this period or otherwise on large areas of skin or for a longer period of time.

What ingredients are contained in Diclofenac AL pain gel forte?
1 g gel contains 23.2 mg diclofenac-N-ethylethanamine, equivalent to 20 mg diclofenac sodium. The other ingredients are: propylene glycol (E 1520), oleyl alcohol (Ph.Eur.), 2-propanol (Ph.Eur.), butylhydroxytoluene (Ph.Eur.) (E 321), N-ethylethanamine, thin liquid Paraffin, macrogol cetyl stearyl ether (Ph.Eur.), Carbomer 980, cocoyl caprylocaprate (Ph.Eur.), perfume cream (contains eugenol and citral), purified water.

1 Derry S et al. Topical NSAIDs for acute musculoskeletal pain in adults. Cochrane Database of Syst Rev 2015; 6(6): CD007402.
2 Instructions for use Diclofenac AL pain gel forte, as of May 2023.
3 Armogida M. et al. Systemic bioavailability of Diclofenac diethylamine 2.32% gel versus oral Diclofenac sodium tablets (50 mg) in healthy volunteers: A randomized, open-label, crossover study. 2015, 74 (2): 1189; Holt R.J. et al. Bioequivalence of diclofenac sodium 2% and 1.5% topical solutions relative to oral diclofenac sodium in healthy volunteers. Postgrad Med. 2015 Aug, 127 (6): 581-90; Kienzler, J.-L. et al. Systemic Bioavailability of topical diclofenac sodium gel 1% versus oral diclofenac sodium in healthy volunteers. J Clin Pharmacol. 2010 Jan; 50 (1): 50-61; Bookman A.A.M. et al. Effect of a topical diclofenac solution for relieving symptoms of primary osteoarthritis of the knee: a randomized controlled trial. CMAJ August 17, 2004, 171 (4): 333-338.

Field of use

Pain within the musculoskeletal system can be caused by illnesses or incorrect loading or acute injuries. Accidents in sports or everyday life are often accompanied by bruises, strains or sprains. Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) is suitable for the short-term local treatment of mild to moderate pain in acute bruises, strains and sprains as a result of blunt trauma. The gel contains the active ingredient diclofenac. This is characterized by anti-inflammatory and pain-reducing properties and penetrates deep into the tissue to specifically combat inflammation. This can relieve acute joint pain, which occurs with bruises, for example.

A few days after the start of treatment, pain during movement can be reduced and the functionality of a joint can be improved after impairment due to acute blunt trauma. Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) has a pleasant cooling effect and can be easily rubbed into the skin. The product is suitable for use by adults and young people aged 14 and over.

Mode of action

Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) contains the active ingredient diclofenac. This belongs to the group of non-steroidal anti-inflammatory drugs/analgesics (NSAIDs). Due to the inhibition of prostaglandin synthesis by cyclooxygenases 2 (COX-2), the active ingredient reduces inflammatory pain and swelling. Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) contains twice the active ingredient concentration compared to AL Pain Gel. Thanks to the depot effect, the release of the active ingredient into tissue and plasma is delayed and prolonged. This allows pain to be relieved when used twice a day and the pain-relieving effect lasts up to 12 hours.

Active ingredients / ingredients / ingredients

Diclofenac Al pain gel Forte 20 mg/g (pack size: 100 g) contains:

1 g gel contains 23.2 mg diclofenac-N-ethylethanamine, equivalent to 20 mg diclofenac sodium. The other ingredients are: propylene glycol (E 1520), oleyl alcohol (Ph.Eur.), 2-propanol (Ph.Eur.), butylhydroxytoluene (Ph.Eur.) (E 321), N-ethylethanamine, thin paraffin, macrogol cetyl stearyl ether ( Ph.Eur.), Carbomer 980, Cocoylcaprylocaprate (Ph.Eur.), Perfume Cream (contains Eugenol and Citral), Purified Water.

Contraindications

If you are known to be hypersensitive to any of the above ingredients, the product should not be used.

dosage

Recommended use of Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g):

Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) is for use on the skin of adults and adolescents aged 14 and over.
To achieve all-day pain relief, apply Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) thinly to the affected part of the body twice a day - morning and evening - and rub the pain gel lightly the skin. Depending on the area of the body affected, an amount the size of a cherry to a walnut (equivalent to 1 to 4 g of gel equivalent to 20 to 80 mg of diclofenac sodium) is required. The maximum total daily dose is 8 g gel (equivalent to 160 mg diclofenac sodium).
Use Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) only on intact skin. Skin wounds, open injuries, eyes and mucous membranes must not come into contact with the pain gel. After application, wipe your hands with a paper towel that is disposed of in the trash and only wash them afterwards - unless these are the area to be treated.
If the symptoms have not improved after 3 to 5 days or have worsened, please consult a doctor.

Intake

The medicine is intended for use on the skin.
Apply the gel thinly to the affected areas of the body and rub it lightly into the skin. It should not be rubbed in with pressure. Hands should then be wiped on a paper towel and then washed, unless these are the area to be treated. The paper towel must be disposed of in the residual waste.
Before applying a bandage, the preparation should dry on the skin for a few minutes. Also wait for the gel to dry on your skin before showering or bathing.

Patient information

Warnings and Precautions
- Please talk to your doctor or pharmacist before using the medicine.
  - If the gel is applied to a large area of the skin and used over a longer period of time, the occurrence of systemic (affecting the entire body) side effects due to the use of the preparation cannot be ruled out. The gel should therefore be used with caution in patients with impaired renal, cardiac or liver function, as well as in patients with active peptic ulcers in the stomach or duodenum.
  - The medicine may only be applied to intact, not diseased or injured skin. Eyes and mucous membranes must not come into contact with the medicine and it must not be taken.
  - After applying the gel to the skin, you can use a permeable (non-occlusive) dressing. However, the gel should dry on the skin for a few minutes before applying a bandage. You must not use an airtight occlusive dressing.
  - Seek medical attention if symptoms worsen or do not improve after 3-5 days.
  - If you suffer from asthma, hay fever, swelling of the nasal mucous membranes (so-called Nasal polyps) or chronic bronchial narrowing (obstructive) respiratory diseases, chronic respiratory infections (especially associated with hay fever-like symptoms) or hypersensitivity to other painkillers and rheumatism medications of all kinds, you are affected by asthma attacks (so-called analgesic intolerance/analgesic asthma), local skin - or swelling of the mucous membranes (so-called Quincke's edema) or urticaria are more at risk than other patients. In these patients, the medicine may only be used under certain precautionary measures (emergency preparedness) and under direct medical supervision. The same applies to patients who are also allergic to other substances, such as: B. with skin reactions, itching or hives.
  - Discontinue treatment if a skin rash occurs during treatment with the medicine.
  - If you are exposed to direct sunlight or artificial tanning, there is a risk of skin reactions. You should avoid sunlight or artificial tanning during and until two weeks after treatment.
  - Care should be taken to ensure that children do not come into contact with areas of skin that have been rubbed.
- Children and young people
  - The medicine must not be used in children and adolescents under 14 years of age.

Ability to drive and use machines
- The medicine has no or negligible influence on the ability to drive and use machines.

Pregnancy

Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) must not be used in the last third of pregnancy.

If you are breastfeeding, only use Diclofenac Al Pain Gel Forte 20 mg/g (pack size: 100 g) after consulting your doctor. During this period, do not use the pain gel on the chest area or otherwise on large areas of skin or for a long period of time.