Diclofenac (Voltaren)

Diclofenac doesn’t have any advantages, but has a substantial disadvantage. The world could do well without the drug - Dr. David Henry

Diclofenac (Voltaren)

HWN Suggests

World's Most Popular Painkiller Raises Heart Attack Risk

Diclofenac, which dates to the 1970s, is one of the oldest NSAIDs. These drugs act by suppressing prostaglandins, small molecules that have many effects throughout the body. "Good prostaglandins dilate blood vessels and increase blood flow," a desirable effect, Henry says. "Bad prostaglandins increase the tendency of blood to clot," which is undesirable. He says "drugs like diclofenac and Vioxx inhibit the good prostaglandins without inhibiting the bad ones."

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 The Dangers of Diclofenac and Other NSAID Pain Relievers

A Danish study reviews the dangers of diclofenac and finds that it can harm the heart and digestive tract. Are topical NSAIDs like Voltaren Gel any safer?

Articles of Interest

A Common Painkiller Has Serious Heart Risks, Study Finds

A commonly used painkiller might be too risky for people to keep taking, suggests a new study published this week in the BMJ. It found that people who use diclofenac, a non-steroidal anti-inflammatory drug (NSAID), are more likely to come down with cardiovascular disease than people who take other NSAIDs or acetaminophen.

Diclofenac topical solution compared with oral diclofenac: a pooled safety analysis

Topical nonsteroidal anti-inflammatory drug (NSAID) formulations, which produce less systemic exposure compared with oral formulations, are an option for the management of osteoarthritis (OA). However, the overall safety and efficacy of these agents compared with oral or systemic therapy remains controversial.

Is Pain Relief Worth Dying For? Voltaren Increases Stroke Risk By 63%

A review of existing research showed the drug is one of the riskiest of its type, raising the danger of heart attacks and strokes – including fatal incidents – by up to 63 per cent. This risk is almost identical to that of the painkiller Vioxx (rofecoxib), which was withdrawn from worldwide sales in 2004 because of cardiovascular risk and related deaths.

Physicians should be cautious when prescribing diclofenac

“The world could do well without the drug,” adds Henry, who is the chief executive officer for the Institute for Clinical Evaluative Sciences. He estimates that many people with risk factors for cardiovascular disease are being prescribed diclofenac, since he says prescriptions for this drug are used more by the over-65 population, among whom risk factors like heart disease, diabetes and high cholesterol are common.

Researchers call for Voltaren, other diclofenac drugs to be pulled from world markets

The painkiller diclofenac, sold as Voltaren, should be pulled from the market, argue researchers from the UK and Canada, after finding it remains popular despite known cardiovascular risks. Scientists have known for over a decade that some non-steroidal anti-inflammatory drugs such as diclofenac were associated with heart attacks and strokes in vulnerable patients. In a study published today in the journal PLOS Medicine, researchers found that diclofenac, on average, was the most commonly used NSAID in 15 countries studied, despite being associated with more cardiovascular complications than other NSAIDs, including naproxen.

Voltaren and Emulgel makers fined $4.5m for misleading consumers over pain relief gels

Novartis and GlaxoSmithKline marketed and priced the products differently when in fact they were identical, federal court finds

Voltaren Arthritis Gel Approved for OTC Despite Safety Risks

Diclofenac is not well-known in the United States, but it is the most widely used NSAID in the world. Some experts consider diclofenac so risky it should be banned as an OTC drug.

Voltaren Arthritis Gel Approved for OTC Despite Safety Risks

Diclofenac was rated as one of the seven riskiest NSAIDs in a 2016 study published by the British Medical Journal. Researchers estimated the risk of heart failure doubled for people taking diclofenac at very high doses. “The selective COX 2 inhibitors and diclofenac have repeatedly been associated with higher cardiovascular risk, and therefore it seems prudent to avoid them and consider lower risk naproxen at the lowest effective dose,” researchers warned.

Voltaren Causes Heart Attacks & Strokes

Australia’s medicine watchdog is reviewing the safety of the common anti-inflammatory drug Voltaren amid fears it could pose the same risk of heart attack as the disgraced drug Vioxx.

Voltaren Gel: Does It Work?

Voltaren is the most famous topical pain-killer, but it’s hardly the only one. Topical salicylates (cousins to aspirin) have been around for ages, and may even work better than Voltaren for some people and purposes.

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