What is Diclofenac Gel 2.32 (Voltarol)?

Diclofenac Gel 2.32 (Voltarol) is a topical treatment designed for the effective management of pain and inflammation. It contains diclofenac sodium, an active ingredient from the nonsteroidal anti-inflammatory drug (NSAID) category. Unlike oral pain relief medications, this gel is applied directly to the skin, ensuring that the medication targets the affected area, such as joints, muscles, or soft tissues.

This gel is specifically formulated for external use and is absorbed through the skin to deliver localised relief from conditions like arthritis, muscle strains, and soft tissue injuries. Diclofenac works by targeting the inflammation at the source, providing relief from swelling, pain, and stiffness. One of the advantages of Voltarol Gel over oral NSAIDs is that it significantly reduces the risk of gastrointestinal side effects, as it bypasses the digestive system entirely.

What is Diclofenac Gel 2.32 (Voltarol) Used For?

Voltarol Gel is highly effective for treating a variety of painful conditions, specifically those caused by inflammation or injury. Here are some of the most common uses:

Arthritis Relief: Diclofenac Gel helps to reduce joint pain and inflammation, making it beneficial for osteoarthritis, particularly in areas like the knees, hands, and wrists. It allows for more localised treatment compared to oral medication.
Muscle Strain Relief: The gel is commonly used to relieve muscle soreness, tension, and inflammation resulting from muscle strain or injury. It's ideal for individuals suffering from overexertion or sports-related muscle pain.
Soft Tissue Injuries: For minor injuries like sprains or strains that involve soft tissues, Voltarol Gel can help reduce inflammation and ease pain, speeding up the healing process.
Back Pain Relief: Voltarol Gel is particularly effective for providing targeted relief for lower back pain, a common ailment caused by muscle strain, poor posture, or injury. Its topical application makes it ideal for localised back pain relief without the side effects of oral medication.

How Diclofenac Gel 2.32 (Voltarol) Works?

Voltarol Gel works by reducing the production of prostaglandins—chemicals in the body that promote inflammation, pain, and fever. By inhibiting the enzymes responsible for producing prostaglandins, diclofenac helps to decrease both inflammation and pain. The key mechanisms of action include:

Reducing Inflammation: By blocking cyclooxygenase enzymes (COX-1 and COX-2), Voltarol Gel prevents the production of prostaglandins, reducing swelling and irritation at the site of application.
Pain Relief: The reduction in inflammation directly leads to pain relief, allowing individuals to experience less discomfort in their joints, muscles, and soft tissues.
Localised Treatment: The gel is absorbed directly into the skin, where it is needed most. This targeted action makes it more effective than oral medications, as it delivers the medicine directly to the source of pain without affecting other parts of the body.

When to Consider Diclofenac Gel 2.32 (Voltarol) for Pain Relief?

Who Should Use It:

Voltarol Gel is particularly beneficial for individuals suffering from pain and inflammation due to a variety of conditions. Consider using this gel if you fall into any of these categories:

Joint Pain Sufferers: Individuals who suffer from osteoarthritis or other forms of joint pain can benefit significantly from Voltarol Gel. It reduces both pain and swelling in the joints, making it easier to move and improving overall mobility.
Muscle Injury Patients: Voltarol Gel is effective for treating soft tissue injuries such as muscle strains, sprains, and tendonitis. It can reduce pain and swelling around the injury, allowing for faster healing and a quicker return to normal activities.
Active Individuals: Athletes or anyone who enjoys physical activities often experience injuries like sprains or tendonitis. Voltarol Gel is a practical solution for relieving pain and swelling in these situations. Its ease of use and targeted relief make it ideal for those with an active lifestyle.

Who Should Not Use It?

While Voltarol Gel can be effective for many, it may not be suitable for everyone. Consider avoiding this treatment if you fall into any of the following categories:

Pregnant or Breastfeeding Women: Diclofenac should not be used during pregnancy, especially in the third trimester, as it may harm the unborn child. It should also be used with caution during breastfeeding, as the medication can pass into breast milk.
Children Under 14: Diclofenac Gel is not recommended for children under the age of 14 unless explicitly directed by a healthcare provider. Children may be more sensitive to NSAIDs, and using them without proper guidance can be harmful.
People with Certain Skin Conditions: Voltarol Gel should not be applied to broken, irritated, or sunburned skin. These areas are more prone to further irritation, and applying the gel could worsen the condition.

Precautions for Use

Before using Voltarol Gel, ensure that you have consulted with a healthcare provider, especially if:

- You have a history of NSAID (nonsteroidal anti-inflammatory drug) allergies.
- You are taking other medications that may interact with Voltarol Gel.
- You have pre-existing conditions such as liver disease, heart problems, or high blood pressure.

It’s also important to follow the usage instructions provided by your healthcare provider, as prolonged or excessive use of Voltarol Gel may increase the risk of side effects.

Can You Buy Diclofenac Gel 2.32 (Voltarol) Over the Counter?

Yes, Voltarol Gel (2.32% Diclofenac Sodium) is available over-the-counter without a prescription in many countries, including the UK. However, it is always a good idea to consult with a healthcare provider if you're unsure whether Voltarol Gel is the right solution for your pain. If symptoms persist or worsen after using the gel, it's essential to seek professional medical advice. A doctor may recommend a different treatment or prescription medication based on your condition.

Precautions While Using Diclofenac Gel 2.32 (Voltarol)

When using Voltarol Gel, take these precautions to ensure safe and effective use:

Avoid Sun Exposure: The active ingredients in Voltarol Gel can make your skin more sensitive to sunlight. It's advisable to apply sunscreen or limit direct sun exposure after using the gel to prevent sunburn or skin damage.
Do Not Apply on Open Wounds: Voltarol Gel should never be applied to open cuts, wounds, or severely irritated skin, as this can cause further irritation or worsen the condition.
Consult a Doctor if Needed: If you notice any irritation, redness, or unusual reactions such as a rash or swelling, discontinue use and consult with a healthcare provider immediately. It’s important to ensure that Voltarol Gel is not causing any unwanted side effects.

Alternative Medications

If Voltarol Gel doesn’t suit your needs, there are several other topical medications available that work on similar principles and can be equally effective:

Ibuprofen Gel: This NSAID-based topical treatment, like Voltarol Gel, helps reduce inflammation and alleviate pain. Ibuprofen gel is commonly used for conditions such as arthritis, muscle strains, and sprains. It is available over the counter in the UK.
Naproxen Gel: Another NSAID-based option, Naproxen gel is effective in reducing inflammation and pain, especially in cases of muscle or joint pain. It works similarly to ibuprofen and is available for localised pain relief in the UK.
Diclofenac Gel: Diclofenac, the active ingredient in Voltarol, is also available in gel form. It’s one of the most popular topical NSAIDs used to treat pain and inflammation caused by osteoarthritis, rheumatoid arthritis, and other musculoskeletal conditions.

All these alternatives are mostly available in online pharmacies and are licensed for use in the UK for treating pain.

Here’s how to use Voltarol Gel for the best results:

1. Clean the Area: Wash and dry the area of the skin where you plan to apply the gel. This ensures that the gel can be absorbed effectively without interference from dirt or sweat.
2. Apply a Small Amount: Use a small, pea-sized amount (2-4 grams) of the gel. Gently squeeze the tube and apply it directly to the affected area.
3. Rub In Gently: Massage the gel into the skin using gentle circular motions. Ensure that the gel is fully absorbed into the skin. Avoid covering the treated area with bandages or tight clothing unless your doctor advises otherwise.
4. Repeat as Directed: Depending on the severity of the pain, you may need to apply the gel 2-4 times per day. However, do not use it for more than 14 consecutive days without consulting a healthcare provider.

Active Ingredient:

Diclofenac Sodium (2.32%)

Inactive Ingredients: 

Carbomer: Adds thickness and consistency to the gel.
Isopropyl Alcohol: Helps the gel absorb quickly into the skin.
Diethyl Phthalate: Acts as a stabiliser for the gel.
Purified Water: Used to dissolve and mix the ingredients.

Always read the patient information leaflet (PIL) in your pack for the complete list of ingredients, and to check for any you might be allergic to.

Voltarol Gel is generally well tolerated, but like all medications, it can cause side effects in some people. The most common side effects include:

Skin Irritation: Redness, itching, or dryness at the site of application.
Rash: A rash may appear in rare cases.
Burning or Stinging Sensation: Some users may experience a temporary burning or stinging sensation after applying the gel, but this usually fades quickly.
Headaches: Mild headaches can occur after prolonged use, though this is uncommon.
Gastrointestinal Symptoms: Some individuals may experience mild nausea or an upset stomach.
Swelling: Mild swelling at the treated site can sometimes occur.
Increased Sun Sensitivity: Your skin may become more sensitive to sunlight, making sunburns more likely.
Allergic Reactions: Although rare, severe allergic reactions like difficulty breathing or facial swelling can occur. If this happens, seek emergency medical attention immediately.

If any of these side effects occur, it’s important to stop using Voltaren Gel and consult your healthcare provider.