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Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel

The Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel is a semisolid formulation designed for targeted delivery of active ingredients through the skin. This gel is dispensed via a pump mechanism, which ensures easy and precise application to the affected area. The combination of diclofenac sodium, a nonsteroidal anti-inflammatory drug (NSAID), and dimethyl sulfoxide (DMSO), a compound known to enhance absorption and provide pain relief, makes this gel particularly effective for treating localized pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, and acute musculoskeletal injuries. The gel consistency allows for a controlled release and deep penetration of the active ingredients, providing symptomatic relief directly at the site of discomfort.

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Topical Gel
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Formula Information

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The Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel is a specialized medication designed for the management of certain pain conditions. Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), works by reducing substances in the body that cause pain and inflammation. It is commonly used for the treatment of pain associated with osteoarthritis, rheumatoid arthritis, and other musculoskeletal disorders. The inclusion of Dimethyl Sulfoxide (DMSO) enhances the penetration of Diclofenac through the skin, allowing for more efficient delivery of the active drug to the site of pain and inflammation. DMSO also has anti-inflammatory and analgesic properties, which may contribute to the overall efficacy of the formulation.

This topical gel is formulated to be dispensed through a pump mechanism, which offers several advantages. The pump allows for easy and hygienic application, minimizing the risk of contamination. It also provides a means for more precise dosing, ensuring that patients apply the correct amount of medication to the affected area. The semisolid gel base is designed to be easily spreadable and quickly absorbed into the skin, providing targeted relief without the systemic side effects often associated with oral NSAIDs.

For patients, it is important to apply the gel as directed by a healthcare professional, typically to the affected area 2-4 times a day, depending on the severity of the condition and the response to treatment. Patients should be advised to wash their hands before and after applying the gel, unless the hands are the treated area. It is also crucial to avoid contact with eyes, mucous membranes, and to not apply to open wounds or infections.

Prescribers should consider this formulation for patients who require localized pain relief with a reduced risk of systemic side effects. It is particularly useful for those who may not tolerate oral NSAIDs well or who have contraindications for systemic therapy. Monitoring for local skin reactions and systemic NSAID-related adverse effects is recommended, even though the risk is lower with topical administration.

If you have any questions or require further information about the Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and healthcare providers to ensure the safe and effective use of this medication.

Drug Interactions

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The combination of Diclofenac Sodium and Dimethyl Sulfoxide (DMSO) in a topical gel formulation is used for its anti-inflammatory and analgesic properties, primarily in the treatment of localized musculoskeletal conditions such as sprains, strains, and arthritis-related joint pain. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting cyclooxygenase (COX) enzymes, thereby reducing the synthesis of prostaglandins, which are mediators of inflammation and pain. DMSO is known for its ability to enhance the absorption of other drugs across the skin, potentially increasing the local effect of diclofenac when applied topically.

When using this Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel, it is important to consider potential drug interactions. Diclofenac, even when used topically, may interact with other NSAIDs, including over-the-counter aspirin, ibuprofen, and naproxen. Concurrent use of multiple NSAIDs can increase the risk of gastrointestinal bleeding and ulceration, as well as renal impairment. Patients should avoid using other topical products containing NSAIDs concurrently with this formulation.

Patients taking anticoagulants or antiplatelet drugs such as warfarin, heparin, or clopidogrel should use diclofenac with caution, as there is a potential for increased bleeding risk. Although the systemic absorption of diclofenac from topical application is lower than from oral administration, there is still a possibility of enhancing the effects of anticoagulants. Similarly, patients taking selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may have an increased risk of bleeding when using this gel.

Concomitant use of corticosteroids with diclofenac may increase the risk of gastrointestinal side effects. Additionally, the use of alcohol or tobacco with NSAIDs may exacerbate the risk of gastrointestinal ulceration or bleeding. Patients with a history of serious gastrointestinal events or with active gastrointestinal disease should discuss the use of this product with their healthcare provider.

Patients with renal impairment should use diclofenac-containing products with caution, as NSAIDs can worsen renal function. Those with pre-existing renal disease or those taking medications that affect renal function, such as ACE inhibitors, angiotensin receptor blockers, or diuretics, should be closely monitored.

It is also important to note that DMSO can enhance the absorption of other substances through the skin. Therefore, patients should be advised to avoid applying other topical medications or products to the same area where the Diclofenac Sodium/DMSO gel is applied, as this could lead to increased systemic absorption and potential toxicity of those substances.

As with any medication, it is crucial to use this product under the guidance of a healthcare professional. Patients should inform their healthcare providers of all medications they are currently taking, including prescription drugs, over-the-counter medications, supplements, and herbal products, to assess for potential interactions. If you have any questions or concerns regarding the use of Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel is a specially compounded medication designed to deliver anti-inflammatory and analgesic effects directly to the site of pain and inflammation. This formulation combines the potent nonsteroidal anti-inflammatory drug (NSAID) diclofenac sodium with dimethyl sulfoxide (DMSO), a substance known for its ability to enhance the absorption of other medications and for its own pain-relieving and anti-inflammatory properties.

Diclofenac sodium works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process, including the mediation of pain and swelling. By reducing the production of these prostaglandins, diclofenac sodium effectively alleviates inflammation and pain at the site of application. This makes it particularly useful in treating localized musculoskeletal conditions, such as sprains, strains, and arthritis-related joint pain.

Dimethyl sulfoxide, on the other hand, is a compound with several pharmacological actions. It has anti-inflammatory and analgesic properties, and it is also known to act as a skin penetration enhancer. This means that when DMSO is combined with diclofenac sodium, it can increase the rate at which diclofenac penetrates the skin and underlying tissues, thereby improving the delivery of the active NSAID to the affected area. This synergistic combination allows for more effective and targeted therapy for the relief of pain and inflammation.

The gel is formulated to be a semisolid dosage form, which is dispensed through a pump mechanism. This design ensures that the medication can be applied easily and precisely, allowing patients to administer a consistent dose each time. The gel base provides a convenient medium for the active ingredients to be applied topically, offering the benefits of localized treatment without the systemic side effects often associated with oral NSAIDs. The pump mechanism also minimizes contamination and degradation of the product, ensuring stability and efficacy of the formulation throughout its use.

This topical gel is indicated for the treatment of various localized pain and inflammatory conditions, such as osteoarthritis, rheumatoid arthritis, tendinitis, bursitis, and other musculoskeletal disorders. By applying the gel directly to the affected area, patients can experience relief from pain and reduction in swelling, leading to improved joint mobility and quality of life.

For patients and prescribers considering the use of this compounded formulation, it is important to understand the specific actions of the active ingredients and the benefits of the topical delivery system. If you have any questions or require further information about the Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

Other Uses

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The combination of Diclofenac Sodium at 10% and Dimethyl Sulfoxide (DMSO) at 5% in a topical gel formulation extends its therapeutic benefits beyond typical disease states it is designed to treat, such as localized pain, inflammation, and arthritic conditions. This particular semisolid formulation, which is easily administered through a pump mechanism, ensures precise dosing and targeted application, making it advantageous for several other uses.

One potential off-label use for this formulation is the symptomatic relief of myofascial pain syndromes. Myofascial pain, characterized by muscle pain and spasms, may be alleviated by the anti-inflammatory properties of diclofenac and the enhanced penetration of DMSO, which aids in deeper delivery of the active ingredient into the tissues. This can also extend to the treatment of sports-related injuries, where inflammation and pain are predominant symptoms.

Additionally, certain neuropathic pain conditions, which often do not respond well to standard pain treatments, may benefit from the numbing effects of the DMSO and the anti-inflammatory action of diclofenac. Patients suffering from conditions like complex regional pain syndrome (CRPS) or postherpetic neuralgia might find symptomatic relief with this formulation.

Moreover, this preparation could potentially be used for the management of soft tissue injuries, such as sprains and strains, where anti-inflammatory and analgesic properties are desired. The DMSO component may also confer a mild reduction of swelling through its anti-edemic effects, alongside the well-known anti-inflammatory effects of diclofenac.

It is important to note that while these alternative uses are based on the pharmacological properties of the active ingredients, the efficacy and safety for these indications may not have been fully evaluated or approved by regulatory agencies. Therefore, patients and prescribers considering this formulation for uses beyond the typical disease states should do so with careful consideration and potentially under the guidance of a healthcare professional. If you have any specific applications or questions about this unique formulation, please feel free to reach out to us here at Bayview Pharmacy. Our team is dedicated to providing the information you need to make informed decisions about the potential uses for this topical gel.

Frequently Asked Questions

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What is Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel?

This is a compounded medication that combines the anti-inflammatory and pain relief properties of Diclofenac Sodium with the enhanced penetration abilities of Dimethyl Sulfoxide (DMSO). It's formulated as a gel designed for topical application to the site of pain.

How do you use the pump dispenser for the gel?

Simply unlock the pump (if necessary) and press down on the mechanism to dispense a small amount of gel onto your finger or directly onto the affected area. Follow the dosing instructions provided by your healthcare provider.

Can this gel be used for all types of pain?

This gel is typically prescribed for localized acute pain, such as that from strains, sprains, or arthritis. It's best to consult with your healthcare provider about your specific condition to determine if this medication is appropriate for you.

How often should I apply the gel?

The frequency of application should be directed by your healthcare provider, as it may vary depending on the condition being treated and the individual patient's needs.

Are there any restrictions on the use of Diclofenac Sodium 10%/Dimethyl Sulfoxide 5% Topical Gel?

Yes, you should avoid applying the gel to open wounds, infections, or irritations. It's also important not to cover the treated area with occlusive dressings unless instructed by your healthcare provider. Avoid contact with eyes and mucous membranes. If you're pregnant or breastfeeding, consult your doctor before use.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double doses.

What are the possible side effects of using this gel?

Common side effects may include skin irritation, redness, or rash at the site of application. Systemic side effects are less common with topical administration but can occur, especially with prolonged use. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

How should I store this gel?

Store the gel at room temperature away from direct sunlight and heat. Do not freeze the medication. Keep the pump dispenser tightly closed when not in use to prevent the gel from drying out.

Can I use other topical products with this gel?

It is best to avoid using other topical products on the same area without first consulting with your healthcare provider, as there may be interactions or increased risk of skin irritation.

What happens if I use more than the recommended amount of gel?

Using more gel than recommended can increase your risk of side effects. If you've applied too much or ingested the gel accidentally, seek medical attention immediately.

Can I use this gel for a condition that has not been prescribed by my doctor?

No, you should use this medication only for the condition it was prescribed for. Using it for other conditions can be unsafe and is not recommended without the advice of your healthcare provider.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.