Q. I read about a topical form of diclofenac called Voltaren Gel. It is supposed to be applied to the skin over painful joints like the knee. Is this an over the counter or a prescription product?
A. Americans are familiar with oral nonsteroidal anti-inflammatory drugs like celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), ibuprofen (Advil, Motrin), indomethacin (Indocin), meloxicam (Mobic) and naproxen (Aleve, Anaprox, Naprosyn). Such medicines can relieve arthritis pain but the price can be increased blood pressure, ringing in the ears, blood clots, stomach upset and bleeding ulcers.
Applying the medication right on the painful joint may reduce the dose needed to get relief and reduce the likelihood of serious side effects. Voltaren Gel is new to the U.S. market and requires a prescription.
We offer more details on topical diclofenac (found in Voltaren Gel and Pennsaid) as well as natural treatments in our Guide to Alternatives for Arthritis.
