In the article below, we will consider the instructions for "Diclofenac" in the form of injections. Among the many drugs that have an anesthetic effect on the body, and at the same time have an antipyretic and anti-inflammatory effect, the Diclofenac drug in the form of injections is especially popular with doctors. True, this remedy is produced not only in the form of injections. It is also available as rectal suppositories, tablets and oral syrup.
There are also patches and ointments intended for topical application, which are widely used in the treatment of diseases of the musculoskeletal system. In addition, "Diclofenac" in injections is used as part of the complex therapy of diseases accompanied by fever. It is also used for discomfort in the muscles and joints. Below we will consider detailed instructions on the use of this medicine and find out what people think about its use.
Drug composition
As one of the options, "Diclofenac" is available in the form of a solution for intramuscularinjections. At the same time, the medicine is packaged in 3 milliliters in glass ampoules. 1 milliliter of solution contains 25 milligrams of diclofenac.
In addition, Diclofenac injection contains mannitol along with benzyl alcohol, sodium hydroxide and metabisulphite, propylene glycol and sterile water. Auxiliary components in the solution act as preservatives and stabilizers of the active substance.
Pharmacological effects of a drug
Most often, pharmaceutical companies currently produce diclofenac sodium, but sometimes diclofenac potassium can also be seen on pharmacy shelves. In this regard, it is worth emphasizing that the effectiveness of a drug does not depend at all on the form of s alt it is produced in.
Diclofenac injections are classified as anti-inflammatory nonsteroidal drugs. The presented medicine is distinguished by a pronounced anti-inflammatory, as well as analgesic and weak antipyretic effect. Thus, the main indications for the use of this medication are diseases of the musculoskeletal system, accompanied by pain in the joints and soft tissues that surround the joints.
Under the influence of "Diclofenac" pain sensations are weakened, which are aggravated by movement. In addition, the overall severity of morning stiffness, which is inherent in inflammatory, degenerative and dystrophic joint diseases, decreases. Taking this drug helps to restore ease of movement in the organs of the musculoskeletal system.propulsion system. A stable effect of therapy in this case, as a rule, is achieved 10 days after the systematic use of this drug.
It should be noted that when treating with Diclofenac injection solution, contraindications must be taken into account. However, it is recommended to start therapy with the introduction of the drug in the form of intramuscular injections, and then, depending on the type of pathology and the patient's well-being, other forms of this drug can be prescribed, be it tablets, ointment, rectal suppositories or a patch. If necessary, the doctor may prescribe to the patient the use of several dosage forms at once. In such situations, it is very important not to exceed the maximum daily dosage of the drug.
In the event that Diclofenac is prescribed as a symptomatic treatment for fever and hyperthermia, its dosage should be monitored by a doctor who can assess the patient's condition and decide whether there is a need to take antipyretic medication. Usually limited to two doses of Diclofenac in the form of tablets, suppositories or injections.
Indications for use
The appointment of Diclofenac injections is justified in the following cases:
- The presence of rheumatism, including conditions that are accompanied by a parallel lesion of the organs of the musculoskeletal system.
- The presence of degenerative and dystrophic diseases of the organs of the musculoskeletal system, for example, the presence of arthrosis, osteoarthrosis,osteochondrosis of the spine and so on.
- Development of ankylosing spondylitis (Bekhterev's disease).
- The appearance of injuries of the musculoskeletal system.
- Development of autoimmune connective tissue diseases.
- The presence of inflammatory processes in the joints and muscles, which are accompanied by pain.
- Against the background of postoperative pain to alleviate the patient's condition.
- The appearance of neuralgia, which is accompanied by pain.
Contraindications to the use of the drug
The use of Diclofenac injections is strictly contraindicated in the following cases:
- Children's age. Therefore, the drug is not prescribed for children under the age of six years.
- This remedy is not suitable for use by women in the last trimester of pregnancy, as well as during breastfeeding, since the components of the drug can penetrate into the bloodstream and milk.
- Patients suffering from peptic ulcers of the stomach and intestines. Contraindications for Diclofenac injections must be strictly observed.
- Presence of gastritis, duodenitis or esophagitis in patients.
- People who have had digestive bleeding throughout their lives.
- Patients who suffer from bronchial asthma, as well as allergic reactions to certain non-steroidal anti-inflammatory drugs.
- Patients who suffer from severe chronic liver pathologies at the stage of decompensation.
It is worth emphasizing that it is undesirable to take such a drug at the same time as other non-steroidal anti-inflammatory drugs.
Features of injections: how to make an injection?
If the patient begins to be treated with Diclofenac injection solution, then in the first days of therapy, such a medication is prescribed mainly intramuscularly. As part of the injection, it is important to choose the right place for the injection of the drug. The fact is that injections can be done exclusively in a large array of muscle tissue. Often injections are performed in the upper square of the buttocks. At the same time, a syringe with a volume of 5 units or more is suitable for injections. The needle must be long enough. When performing an injection, you need to insert a needle into the muscle, and then pull the piston of the instrument towards you. Such a measure will make it possible to make sure that the needle has not entered the blood vessel. Only then can you slowly inject the drug. How to inject Diclofenac, it is better to check with your doctor. This will avoid unforeseen situations and complications.
It is important to note that it is strictly forbidden to inject the drug into the veins, and you can not give injections subcutaneously. This may be the cause of necrosis of blood vessels or fatty tissue. It is advisable to change the injection site every day, injecting alternately into the left or right buttock or vice versa.
In most cases, only one intramuscular injection of the drug is enough, but if necessary, you can combineinjections with taking Diclofenac tablets. Also, treatment can be combined with the application of an ointment or gel to the area of the affected joints. If there is a need to prescribe this remedy to children, then rectal suppositories should be used along with topical application of the ointment. It is worth noting that the injection is quite a painful procedure for patients. Do not know how to correctly determine the dosage of Diclofenac injections? See a doctor.
Drug dosing
For adult patients, regardless of the method of administration of the drug, it is recommended not to exceed the daily dosage, which is 150 milligrams. If you need to calculate how many maximum injections per day you can do, then you should rely on this figure.
The dosage of this drug for children is directly related to the age as well as the body weight of the patient. Depending on the condition of the child, "Diclofenac" is prescribed at a dose of 2 milligrams per kilogram of weight. The daily dose should be divided into several equal doses. The duration of therapy in each case should be determined strictly on an individual basis.
Injections of "Diclofenac" for osteochondrosis
Back pain in the presence of osteochondrosis usually occurs due to inflammatory reactions in the intervertebral joints and spinal nerve roots. Insufficient supply of nutrients to the tissue leads to the destruction of its cells, followed by the release of biologically active elements, which are inflammatory mediators, into the surrounding space. They runinflammatory reactions, which are usually manifested by swelling, pain and dysfunction of the spine.
The best way to eliminate pain in such situations is non-steroidal anti-inflammatory drugs. One of these representatives is Diclofenac. We will find out what side effects are possible in the case of using such a tool. Such information will not be redundant. So what are the side effects of Diclofenac injections?
Side effects on the background of its use
Together with high efficiency, the presented drug has an extensive list of all kinds of adverse reactions, which are primarily associated with the cessation of the synthesis of prostaglandins, which, in addition to participating in inflammatory processes, play an important role in the work of various systems and organs. For example, they protect the gastric mucosa from the aggressive effects of hydrochloric acid.
Thus, the use of a drug such as Diclofenac may cause the following adverse reactions:
- General deterioration in blood clotting.
- Decrease in red bone marrow function.
- The appearance of allergic reactions. In this case, dangerous skin reactions with rejection of the epidermis are not ruled out.
- The appearance of irritability, depression, insomnia and headache in patients.
- The occurrence of drowsiness, hallucinations and sensory disturbances.
- Problems with memory and vision.
- Development of aseptic inflammation of the meninges.
- The appearance of ringing in the ears along with hearing loss.
- Lower blood pressure.
- Development of asthma and pneumonia.
- Appearance of nausea, vomiting, abdominal pain, perforated ulcers, bleeding, stomatitis and pancreatitis.
- Liver damage, which can manifest as hepatitis and hepatonecrosis.
- Noticeable hair loss.
- Kidney damage can manifest itself in the form of nephritis, necrosis, and so on.
- Formation of an infiltrate along with an abscess in the injection area.
- Respiratory dysfunction.
Drug analogues
On the shelves of pharmacies, a similar drug can very often be found under such names as Voltaren, Diklak, Ortofen, Dicloberl, Olfen, and also Diclobene. These drugs contain the same active ingredient - diclofenac sodium. Diclofenac injection analogues can be purchased at any pharmacy.
Other non-steroidal anti-inflammatory drugs have a similar effect, which can be prescribed by a doctor in the presence of intolerance to the drug. Thus, there is currently no difficulty in replacing such a drug.
Use in Pregnancy
The use of intramuscular injections of "Diclofenac" is permissible in the first and second trimesters, but strictly according to the indications and prescription of the attending physician. This drug may affect the development of the embryo, thereby increasing the risk of some birth defects. "Diclofenac" during pregnancy, even in the case of medicalpermits are granted to women in a minimum number and for a short period of time.
In the last trimester, the use of this drug can lead to the development of severe hypoxia in the fetus, and sometimes to death. In addition, the drug can impair the contractile function of the uterus, which can lead to weakness in labor along with postpartum hemorrhage. This is confirmed by the instructions for "Diclofenac".
Interaction of drug with alcohol
Sharing the product with ethanol can increase the risk of bleeding in the digestive system and extremely negatively affect the liver. In this regard, the use of this medication with alcohol is considered unacceptable.
Medicine cost
"Diclofenac" can be attributed to affordable medicines, its average cost is:
- Serbian-made ampoules cost 10 rubles apiece.
- Belarusian-made ampoules cost 45 rubles for 10 pieces.
Now let's find out what people write in their reviews about the use of such a drug. Let's pay attention to the reviews about Diclofenac injections.
Injection reviews
Most of the patients to whom doctors prescribed Diclofenac in injections note in their reviews that this drug begins to act quickly enough. For example, it is noted that a decrease in pain can be seen already half an hour after the introduction of the solution into soft tissues. For comparison, people write that after takingof this means inside the effect is noticed only in two hours. Thus, injections are several times more effective.
People write that regardless of the method of administration, the effect of the drug can last for eight hours. In this regard, such a medication should be taken orally repeatedly, which is done several times a day.
Patients in their reviews write that the most common side effects of Diclofenac are usually dyspeptic symptoms from the digestive system. Also, people complain in the comments that while taking this medication, they noticed the appearance of dizziness, drowsiness, irritability and allergic reactions. As part of the intramuscular injection, there is a strong burning sensation in the injection area along with the development of a limited abscess, as well as necrosis of the subcutaneous tissue.
I must say that many people in the reviews complain about certain adverse reactions that occur during the use of this tool. In this regard, it should be emphasized that the development of side effects is related to the dosage and duration of treatment, and if the recommendations are followed, the drug should be well tolerated. Allergy to Diclofenac rarely develops, it is mainly manifested by a skin rash with swelling.
In general, due to its effectiveness and affordable price, Diclofenac is widely used today in modern medicine. This medication is sold without a doctor's prescription, in connection with this, any patient can try its action. SoThus, reviews of Diclofenac are mostly positive. People often write that injections based on it quickly eliminate severe pain by improving joint mobility.
