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Thread: what is a good substitute for diclofenac voltaren

  1. Default what is a good substitute for diclofenac voltaren

    my grandmother and grandfather use voltaren but recently my grandma has been experiencing facial swelling from the drug so she has stopped her intake. she uses it for her lower back pain associated with arthritis in her discs. I'm not sure why my grandfather is on it but I think it might be the cause for his bloody urination. my grandmother said it worked wonderfully for her pain and that there is no other medication so far that has given the same amount of comfort. Is there anything similar, and with less side effects?
    my grandmother has diabetes(and my grandfather has slight diabetes).. do nsaids make it worse?


  2. #2
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    It's possible that your grandmother is allergic to the drug so it's a good thing that she recognized the need to stop taking Voltaren right away. As for the symptom your grandfather's experienced, hematuria or blood in the urine is a known side effect of Voltaren.

    As for diabetes & NSAIDs (which Voltaren is), NSAIDs can cause a change in blood sugar. If the prescribing doctor is well-informed about their condition, then they may be asked to monitor their blood sugar regularly and their medications for diabetes adjusted accordingly.

    The best person to decide what other drugs that your grandmother can take as an alternative to Voltaren is their doctor. She can also have herself tested for Diclofenac sensitivity, just to make sure.
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  3. Default Volatren and cellulitis

    Has anybody heard of serious infection caused or worsened by using voltaren? I have had 3 serious leg infections in the past 3 months that happened almost exactly 4 hours after taking 1 voltarin for arthritis. (3 out of 3 is a pretty bad record for this). Is there a substitute?

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    Rxlist listed "infection" as one of the possible side effects of Voltaren. Although it is also possible that the infection is a separate entity, that's why it's best to seek medical consult to be sure.

  5. Default Voltaren infection

    Thank you. Yes, I have done all the "right" things, including Urgent Care in NY, ER in Seattle, Urgent care, ER & 2 day hospital stay in FL which finally got me on Zyvox (600 mg) & Cipro pills. (That is the only way they let me out of the hospital to travel home). Thankfully my new best friend (local infectious disease specialist) gave me extra Zyvox & Cipro just in case, which happened 4 days ago. It does work well, but what a painful process. This is the only link in 3 out of 3 instances after the original. My pcp finally said it is possible because most of these drugs are based on Prednisone and that could screw up the immune system.

  6. #6
    I was about to suggest Cataflam when I read the rest of your post. It might be an allergic reaction to the drug. Why not use an Ibuprofen instead? It's not as potent as Voltaren, but it's safer.

    Or... as the Super Mod suggests: go to the doctor.

  7. Blood in the urine is a known side effect of Voltaren. It's good that your grandmother stopped taking the said medication because she was allergic to the drug.

    As for diabetes & NSAIDs, which Voltaren is, diabetics should monitor their blood sugar regularly as NSAIDs can cause a change in blood sugar. The best person to decide what other drugs that your grandmother can take as an alternative to Voltaren is her doctor. She can also have herself tested for Diclofenac sensitivity, just to make sure.

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    Mobic (brand name) is an alternative to diclofenac. I know this because when I told my Spine Dr at my last visit that I could only take the diclofenac once a day or it upset my stomach, he said let's try this instead.

    He scripted me 15mg of Mobic a day.

    But I would get your grandmother into see a doctor. These are both VERY strong anti-inflammatories which have hordes of horrible side effects. I am not sure if Mobic would be a good choice for her as I do not know what other meds she is on. Anyway, it would be an option to mention to her doctor.
    “We are what we imagine ourselves to be. ” ― Kurt Vonnegut

  9. Quote Originally Posted by Fireplaces View Post
    Mobic (brand name) is an alternative to diclofenac. I know this because when I told my Spine Dr at my last visit that I could only take the diclofenac once a day or it upset my stomach, he said let's try this instead.
    One side effect of NSAID's is that they block production of a substance that protects the lining of your digestive tract from your own stomach acids. That's why they're contraindicated for people with ulcers. If taken long enough in high enough dosages they can actually cause ulcers and conditions like ulcerative colitis. They are really not a good choice for long term use.

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    @richard_f, I hear you. I don't like Mobic any more than the Diclofenec. Mobic gives me a sore throat and a runny nose.

    I am gonna wait a few weeks and ask to go back on the Diclofenec on the lowest dose possible and only take it when I need it. It worked better on my neck pain.

    My spine doc told me to take zantac to help protect my stomach. Zantac reduces stomach acid, but don't we need that to digest food? Whereas my PCP gave me some liquid which coats my stomach. I think that is a more logical choice.
    Last edited by SpaceMatters; 05-25-2011 at 07:59 AM. Reason: added mention
    “We are what we imagine ourselves to be. ” ― Kurt Vonnegut

  11. #11
    @Fireplaces

    If Mobic (Meloxicam) does the trick but the SE’s outweigh the benefit, you might want to ask your doc about moving you to Celebrex (Celecoxib). Your script insurance carrier might request some extra paperwork ‘cause the stuff doesn’t come cheap. But in my case it was worth the trouble. Mobic tore my stomach apart and didn’t last all day on my knee pain. The Celebrex has worked great for months with no noticeable SE’s.

    Hope this helps.
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    @M.S, you know that is a good idea. I took Celebrex years ago and don't remember why I stopped.

    Maybe the pks I was scripted was enough back then to manage my pain. Thanks for reminding me Celebrex is out there. I will mention it to my PCP next time I see her, probably in June. It is certainly worth a try.

    I do prefer to start w/the lowest possible medicine and functional dose, as my condition will only progress over time, albeit slowly. Celebrex is one step below these other anti-infammatories (Dicloflenac and Mobic) it seems to me.

    You know what I think is weird too; it's that my insurance company paid for the Diclofenec pills but would not pay for the cream. The cream worked on my neck too. I have always preferred a localized approach to medicine vs. a systematic one, whenever possible.
    Last edited by SpaceMatters; 05-25-2011 at 08:00 AM. Reason: typo
    “We are what we imagine ourselves to be. ” ― Kurt Vonnegut

  13. #13
    @Fireplaces

    You may recall that Celebrex was the headliner in a study that claimed it and similar NSAIDs were found to increase the incidence of stroke and heart-attack. Doctors stopped prescribing it for a while (likely responding to media overreaction) and now all such NSAIDs (including Mobic) carry warnings of such risks.

    Way I see it, we never really know the risk / reward ratio of any drugs. Ever listen to the list of possible side-effects rattled off at the end of every drug commercial on TV? I saw one where you risked fatal liver damage and lymphoma to make your eyelashes thicker – I kid you not.
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    That was Celebrex? That was probably why I stopped taking it back then I think. What about Bextra (sp?). That was another med released at about the same time.

    Wish there was some scale of the prescription anti-inflammatories and their proven risks. Then we could pick the one that works for us w/the least horrible side effects.

    They probably all stink which is why folks like opioids better.

    Time to call it a night. Tomorrow is a new day.

    Fire
    “We are what we imagine ourselves to be. ” ― Kurt Vonnegut

  15. #15
    Quote Originally Posted by Fireplaces View Post
    I am gonna wait a few weeks and ask to go back on the Diclofenec
    I took Arthrotec and it helped as well as naproxen. I found Naproxen much harder on the stomach. A little Xantac isn't going to make much of a difference as long as you eat early have already digested your food. Take it before bed.
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    @Fireplaces

    I took Celebrex (along with narcotic painkillers) for a short time during my recovery from a tonsillectomy I underwent about three or four years ago. My surgeon was well-regarded in the medical community, and my recovery experience was outstanding in terms of superior pain management, zero post-surgical complications, and record-breaking healing speed. I remember my surgeon briefly mentioning that Celebrex had gotten a bad wrap, but that subsequent research into the med had led him to feel confident that its purported dangers had been blown out of proportion and that he felt the benefits to his patients far outweighed the risks. I certainly didn't experience any side effects and I'm not sure if my healing process would have been such a breeze had we taken Celebrex out of the equation.

    So take what you will from that anecdote -- maybe you could reinvestigate its usefulness for your purposes, and see what the more recent medical literature has to say on the subject before you write it off again?

    Way I see it, we never really know the risk / reward ratio of any drugs. Ever listen to the list of possible side-effects rattled off at the end of every drug commercial on TV? I saw one where you risked fatal liver damage and lymphoma to make your eyelashes thicker – I kid you not.
    @M.S., I couldn't have put it better myself.
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    I have found all these posts to be extremely helpful. I definitely will discuss all the options w/my PCP when I see her next, probably in a couple of weeks.

    I would rather take a lower strength of anti-inflammatory like Celebrex, than some of the more hard core anti-inflammatories, suggested by my spine doctor.
    “We are what we imagine ourselves to be. ” ― Kurt Vonnegut

  18. Blood in the urine is a known side effect of Voltaren. It's good that your grandmother stopped taking the said medication because she was allergic to the drug.

    As for diabetes & NSAIDs, which Voltaren is, diabetics should monitor their blood sugar regularly as NSAIDs can cause a change in blood sugar. The best person to decide what other drugs that your grandmother can take as an alternative to Voltaren is her doctor. She can also have herself tested for Diclofenac sensitivity, just to make sure.


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