Instructions for use "Voltaren"( emulgel)."Voltaren"( emulgel): route of administration and dose
Anesthetizing ointments and gels are very popular among those who suffer from diseases of the musculoskeletal system. The main advantage of such drugs is their ease of use, as well as the absence of significant side effects. 
Today we will provide you with information about the pharmacological characteristics of such a tool as Voltaren Emulgel( gel).Instructions for use, as well as the indications of this medication will be presented below.
Composition, packaging and description
The instruction manual for Voltaren( emulsifier) is enclosed in a cardboard box together with a laminated or aluminum tube containing a creamy and uniform 1% white or slightly yellow gel intended for outdoor use.
Active ingredient of this drug is diclofenac diethylamine. Also, the composition of the therapeutic agent includes auxiliary components, which are presented in the form of carbomer, water, macrogol, cetostearate, propylene glycol, capillary caprate, aromatic cream, diethylamine, liquid paraffin and isopropanol.
Pharmacology( gel characteristic)
What is the "Voltaren" gel( emulsifier)?Instructions for use( reviews, the price of the drug will be described below) states that this drug is a non-steroidal anti-inflammatory drug for external use. It has a pronounced analgesic effect, indiscriminately depresses COX-1,2, and also disrupts the metabolism of arachidonic acid.
This medication is used to reduce swelling and eliminate pain syndrome, which are directly related to the inflammatory process. 
Pharmacokinetics
Voltaren( emulgel) application instruction informs that this medication is badly absorbed into the systemic blood flow( about 6%).This is due to the fact that it is intended for local use.
The total amount of active substance of this agent in the blood is proportional to the area of application of the gel. If the drug is used with an occlusive dressing, its absorption is increased 3 times.
After the medication has entered the bloodstream, diclofenac diethylamine binds rather quickly to plasma proteins( by 99%), mainly with albumin.
With local use of the gel, the concentration of this substance in the synovial fluid exceeds the concentration in the blood plasma.
The resulting metabolites of diclofenac are less active than it is.
The elimination half-life of this medication is 1-3 hours. The preparation is excreted from the body together with feces and urine. 
Indications
In what diseases can the patient receive the local preparation "Voltaren"( emulgel)?Description, reviews, instructions for use report that this medication is actively used to eliminate discomfort in the pathology of the musculoskeletal system.
Thus, the agent in question is prescribed with:
- back pain that accompanies inflammatory and degenerative diseases of the spine( eg, osteoarthritis, sciatica, sciatica, lumbago);
- pain in muscle tissues that are caused by overexertion, stretching, injury or bruising;
- joint pain, including knee joints and joints of the fingers( including osteoarthritis and arthritis of rheumatoid arthritis);
- inflammation and swelling of soft tissues, as well as joints that accompany rheumatic diseases or were obtained with trauma( lesions of periarticular tissues, bursitis, tendovaginitis).
Contraindications
The instructions for use of Voltaren( emulgel) informs that this medication should not be used with:
- skin rashes, prone to asthma attacks of bronchial or acute rhinitis, when taking other NSAIDs or acetylsalicylic acid;
- in the third trimester of pregnancy;
- violation of skin integrity on the intended site of application;
- in childhood up to twelve years;
- during breastfeeding;
- hypersensitivity to diclofenac or other drug substances.
With caution, this drug is recommended for use with erosion or ulcers of the digestive tract, hepatic porphyria, severe disorders in the kidney and liver, asthma of bronchial, heart failure( chronic), as well as in the elderly and in the first two trimesters of pregnancy.
Voltaren gel( emulsifier): dosage and dosage of
Adults and adolescents from 12 years of age should be given medication on the skin four times a day, lightly rubbing it with palms.
The amount of drug used for treatment depends on the size of the painful area. Single dosage of the gel should not be more than 2-4 g( comparable to the size of cherries and walnut, respectively).After applying the gel, wash hands thoroughly.
The duration of therapy with this remedy depends on its effectiveness and indications. To enhance the effect, the gel is allowed to be combined with other forms of the "Voltaren" preparation.
14 days after the start of treatment, it is necessary to evaluate the appropriateness of the subsequent use of the medication.
Side effects of
The instructions for use of Voltaren( emulsifier) indicate that adverse reactions that occur after the use of the gel are characterized by moderately expressed and self-transmitted skin manifestations. 
To local adverse reactions include: eczema, erythema, dermatitis, including contact dermatitis, pruritus, rash, swelling of the treated area, papules, bullous dermatitis, vesicles, pustular eruptions and flaking.
As for the systemic reaction, it manifests itself in the form of generalized skin rash, allergy( angioedema, hives, bronchospastic reactions, hypersensitivity, attacks of suffocation) and photosensitivity reactions.
Reviews and price
Now you know what the gel "Voltaren"( emulgel) is. Instructions for use, price, reviews are described in this article.
The cost of the drug in question is 200-550 rubles( depending on the volume of the tuba).
Most patients respond to this remedy only on the positive side. They report that after applying the gel to the affected area, discomfort and painful sensations go away within half an hour and do not disturb for a long time. 
The only drawback of this drug is its overestimated cost. However, experts argue that the price of the gel "Voltaren"( emulgel) is fully consistent with its quality and effectiveness.