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Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel

The Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel is a semisolid formulation designed for targeted drug delivery through the skin. This gel is dispensed from a pump mechanism, ensuring a clean, precise, and convenient application. The combination of diclofenac sodium, a nonsteroidal anti-inflammatory drug (NSAID), with dimethyl sulfoxide (DMSO), a compound known to enhance skin penetration, makes this gel particularly effective for treating localized pain and inflammation associated with osteoarthritis and similar musculoskeletal conditions. The transdermal delivery system allows for direct application to the affected area, providing relief from pain and swelling with a reduced risk of systemic side effects.

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Topical Gel
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Formula Information

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The Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel is a specialized semisolid formulation designed for targeted drug delivery through the skin. This unique preparation combines the anti-inflammatory and analgesic properties of Diclofenac Sodium with the enhanced skin penetration characteristics of Dimethyl Sulfoxide (DMSO). The gel is dispensed through a pump mechanism, which ensures ease of use and precise dosing for the patient. The pump allows for consistent application, reducing the risk of dosing errors and contamination.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), works by inhibiting cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. By reducing prostaglandin production, Diclofenac Sodium effectively diminishes inflammation and pain in the affected area. This makes it particularly useful for treating localized musculoskeletal conditions, such as sprains, strains, and arthritis-related pain. The addition of DMSO enhances the absorption of Diclofenac through the skin, allowing for more direct delivery to the site of pain and inflammation.

The transdermal gel formulation is advantageous for patients who may experience gastrointestinal side effects from oral NSAIDs or for those who prefer a non-invasive treatment option. The gel's consistency ensures that it remains on the skin where it is applied, providing a localized effect while minimizing systemic exposure and potential side effects.

It is important for prescribers to consider the patient's medical history, including any known allergies to NSAIDs or DMSO, and to assess the suitability of this transdermal formulation for their condition. Patients should be instructed on the proper application technique, the amount to be applied, and the frequency of use as prescribed. They should also be advised to avoid contact with eyes, mucous membranes, and to not apply the gel to open wounds or irritated skin.

For further information, guidance on prescribing, or to address any specific questions regarding the Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal 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 formulation.

Drug Interactions

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The combination of Diclofenac Sodium and Dimethyl Sulfoxide (DMSO) in a transdermal gel formulation is designed to provide anti-inflammatory and analgesic effects when applied topically. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins, substances that mediate inflammation and pain. DMSO is used as a penetration enhancer to facilitate the absorption of diclofenac through the skin, and it also has anti-inflammatory and analgesic properties.

When using this transdermal gel, it is important to consider potential drug interactions. Diclofenac, being an NSAID, can interact with various medications. Concurrent use with other NSAIDs, including over-the-counter aspirin or ibuprofen, may increase the risk of gastrointestinal bleeding or ulcers. Patients taking anticoagulants or antiplatelet drugs such as warfarin or clopidogrel should be monitored closely, as diclofenac may enhance the effects of these medications, leading to an increased risk of bleeding. Additionally, diclofenac can reduce the effectiveness of antihypertensive drugs, including ACE inhibitors, angiotensin receptor blockers, beta-blockers, and diuretics. It may also increase serum potassium levels when used with potassium-sparing diuretics.

Patients on selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may have an increased risk of gastrointestinal bleeding when using diclofenac. The use of diclofenac with methotrexate or cyclosporine can lead to increased toxicity of these drugs. Caution is advised when using this gel with lithium, as diclofenac can increase lithium's concentration in the blood, potentially leading to lithium toxicity. It is also important to avoid the use of this gel with other topical medications to prevent interactions at the site of application.

Regarding DMSO, it is known to enhance the absorption of other substances through the skin, which could potentially increase the systemic exposure to topical drugs applied to the same area. Therefore, it is advisable to avoid simultaneous use of other topical agents in the same area where the DMSO-containing gel is applied. DMSO can also interact with certain medications when absorbed systemically, although such interactions are less common with topical use compared to oral or intravenous routes.

Patients should be advised to inform their healthcare providers of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. It is also important to follow the prescribed dosage and application instructions to minimize the risk of adverse effects. If you have any questions or concerns about using this formulation, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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The Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel is a specialized medication designed for topical application to provide relief from certain pain conditions. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel is applied directly to the skin over the area of pain, where it delivers its active ingredients for targeted treatment.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that 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. By reducing the production of these compounds, diclofenac sodium effectively decreases inflammation and pain in the affected area. This makes it particularly useful for treating conditions such as osteoarthritis, rheumatoid arthritis, and other musculoskeletal disorders characterized by inflammation and pain.

Dimethyl Sulfoxide (DMSO) is included in this formulation for its ability to enhance the absorption of diclofenac through the skin. DMSO is a solvent that has the unique property of being able to penetrate the skin barrier, and it can carry other substances with it into the bloodstream. This means that when DMSO is combined with diclofenac sodium, it can increase the amount of diclofenac that reaches the target tissues. Additionally, DMSO has its own analgesic and anti-inflammatory properties, which may contribute to the overall effectiveness of the gel.

The combination of these two active ingredients in a gel base allows for the medication to be spread evenly over the skin, providing a consistent dose with each application. The gel formulation also creates a cooling sensation upon application, which can provide additional symptomatic relief. The pump mechanism ensures that patients and caregivers can administer the medication without the need for measuring devices, reducing the risk of dosing errors and contamination.

This transdermal gel is indicated for the treatment of localized pain and inflammation. It is particularly useful for patients who may have difficulty taking oral NSAIDs due to gastrointestinal side effects or for those who require targeted pain relief. As with any medication, it is important to use this product under the guidance of a healthcare professional. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to support both patients and prescribers in the safe and effective use of this medication.

Other Uses

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The preparation of Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel is primarily utilized for its anti-inflammatory and analgesic properties, offering relief in various localized pain conditions such as osteoarthritis, strains, sprains, and sports injuries. Diclofenac, a nonsteroidal anti-inflammatory drug (NSAID), effectively reduces inflammation and pain in the affected area, while Dimethyl Sulfoxide (DMSO) serves as both a penetration enhancer, assisting in deeper delivery of diclofenac through the skin, and as an anti-inflammatory agent in its own right.

Aside from the primary uses in pain and inflammation management, this dual-component formulation may occasionally be used off-label to address other soft tissue conditions that benefit from anti-inflammatory treatment, such as tendinitis or bursitis. Furthermore, patients with certain types of neuropathy have reported symptomatic relief when using topical diclofenac preparations, although this use would be at the discretion of a healthcare provider and would not be considered a first-line treatment option. It should also be noted that the presence of DMSO in the formulation can provide its unique analgesic and anti-inflammatory effects, which may be relevant in the management of complex regional pain syndrome (CRPS) and similar conditions.

While this transdermal gel offers a non-invasive alternative to oral NSAIDs, with potentially fewer systemic side effects, it is essential for prescribers and patients to consider individual patient sensitivities, particularly those who may have allergies to sulfoxides or previous adverse reactions to NSAIDs. Moreover, as DMSO can carry substances through the skin, care should be taken to apply the gel to clean, unbroken skin and to avoid contact with any other substances that could potentially be absorbed. It is always crucial to use this medication under the guidance and prescription of a healthcare provider who will evaluate its suitability on a case-by-case basis.

Should there be additional inquiries or a need for further information regarding the uses, possible side effects, or contraindications of Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to ensuring that patients and healthcare providers are well-informed and supported throughout their treatment journey.

Frequently Asked Questions

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What is Diclofenac Sodium 3%/Dimethyl Sulfoxide 10% Transdermal Gel?

This is a compounded medication that combines Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), at a concentration of 3%, with Dimethyl Sulfoxide (DMSO), an effective penetration enhancer and pain reliever, at a concentration of 10%. It's designed for topical application and is used to reduce inflammation and pain directly at the site of application.

How should I use this transdermal gel?

Apply the gel as directed by your healthcare provider. Typically, it involves pressing the pump to dispense the medication and spreading a thin layer over the affected area. Ensure you follow the provided instructions regarding dosage and frequency of application, and do not exceed the recommended amount.

Is it necessary to rub the gel in after application?

Yes, after dispensing the gel, gently rub it into the skin over the targeted area until it is absorbed. This helps in facilitating the delivery of the active ingredients into the tissues.

Can I cover the area after application of the gel?

It's usually best to let the skin breathe and the gel to dry naturally. If you need to cover the area, wait until the gel has completely dried. It's important to avoid tight or occlusive dressings unless advised by your healthcare provider.

How often should I apply the Diclofenac Sodium/Dimethyl Sulfoxide gel?

The frequency of application will depend on the specific instructions provided by your healthcare provider based on your condition. It is important to adhere to their guidance and not to self-adjust the dosage or frequency of application.

What are the potential side effects of this compounded gel?

Like all medications, there can be side effects. These may include localized skin irritation, redness, rash, or itching. Diclofenac Sodium may also cause systemic side effects if absorbed systemically in significant amounts. If you experience any severe or persisting symptoms, contact your healthcare provider immediately.

Can I use the transdermal gel with other medications?

Always inform your healthcare provider about any other medications you are taking, including over-the-counter drugs and supplements. They will advise you if the transdermal gel is safe to use in conjunction with your other treatments.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.

How should I store this medication?

Store the medication at room temperature, away from heat and direct light, and keep the container tightly closed. Do not freeze the gel and keep it out of reach of children and pets.

Is this formulation suitable for everyone?

As with any medication, this formulation may not be suitable for everyone. People with certain medical conditions or allergies may not be candidates for this treatment. It is important to discuss your medical history and current state of health with your healthcare provider before using this medication.

Can I use the transdermal gel if I am pregnant or breastfeeding?

The safety of this medication has not been established in pregnancy or breastfeeding. You should only use it if clearly necessary and prescribed by your healthcare provider. Always discuss the potential risks and benefits with your healthcare professional before using this medication.

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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.