Each 100 g contains:
Diclofenac (as diethylammonium) 1g
Apply 4g to affected foot, knee, or ankle qid
Max: 16g/day to any single joint
Apply 2g to affected hand, elbow, or wrist qid
Max: 8g/day to any single joint
Total dose should not exceed 32g/day over all affected joints.
PREGNANCY AND LACTATION
Category C, not for use in nursing.
History of asthma, urticaria, or allergic-type reactions to aspirin (ASA) or other NSAIDs.
Not evaluated for use on spine, hip, or shoulder.
Avoid open wounds, eyes and mucous membranes.
Caution in patients with prior history of ulcer or GI bleeding.
Anaphylactic reactions may occur.
May cause serious skin adverse events.
Avoid in late pregnancy; may cause premature closure of ductus arteriosus.
Not a substitute for corticosteroids or to treat corticosteroid insufficiency.
Caution with asthma.
Application-site reactions, dermatitis, GI effects.
May increase lithium levels; monitor for toxicity.
Avoid concomitant use with other topical products (eg, topical medications, sunscreens, lot, moisturizers, and cosmetics) on the same skin site; may alter tolerability and absorption.
Coadministration with oral NSAIDs or ASA may result in increased adverse effects; concomitant administration with ASA not recommended.
May increase risk of GI bleeding with oral corticosteroids, anticoagulants, tobacco, or alcohol use.
Store below 30°C.
Keep from freezing.