How to inject Diclofenac for lower back pain: detailed instructions

Diclofenac is an effective non-hormonal anti-inflammatory drug that is actively used in neurology, rheumatology and traumatology.

Has a large selection of dosage forms. We will discuss further what Diclofenac gel and ointment are used for.

How does Diclofenac injection work?

The active ingredient that causes the therapeutic effects is Diclofenac, a highly active non-steroidal compound.
The term “non-steroidal” in the name emphasizes the difference between drugs in this category and steroid hormones, which, in addition to the ability to significantly reduce inflammation, have undesirable properties - they are addictive, suppress the function of the thyroid gland, cellular immunity, lead to a weakening of the strength of the ligamentous-tendon apparatus, and muscle weakness. Diclofenac is considered a relatively safe drug. Its mechanism of action is the non-selective blocking of the enzyme cyclooxygenase, which is responsible for the production of prostaglandins - a leading link in the pathogenesis of inflammation, pain, and fever.

Diclofenac acts through central mechanisms and at the peripheral level. What are injections used for:

relieve symptoms of inflammation;
suppress pain that occurs after injury, during physical activity or persists at rest;
reduce morning swelling in the area of inflammation, stiffness in movements;
relieve postoperative pain or inflammation, neurological manifestations;
increase the functionality of affected joints, help increase range of motion;
relieve a severe migraine attack;
reduce the severity of blood loss and cramping pain during primary dysmenorrhea.

What is stronger than Diclofenac in injections: opium analgesics (Promedol, Nalbuphine, Fentanyl, Butorphanol), the above-mentioned drugs based on glucocorticosteroids - triamcinolone, betamethasone, methylprednisolone, etc. (Diprospan, Kenalog, Medrol, Prednisolone, Dexamethasone). From the group of NSAIDs, Ketorol, Dexalgin, Ketanov, Movalis, Ketorolac have comparable or more pronounced effects.

To decide on the advisability of including Diclofenac in the treatment regimen for an illness, you should weigh all its benefits and harm to the body. Why is Diclofenac injection dangerous? A number of studies have shown a fairly high safety profile for short courses.

The disadvantage of Diclofenac is the risk of serious side effects from the heart and vascular system, including the development of cardiovascular diseases (stroke, CHF, myocardial infarction)

Other factors worth taking into account:

painful procedure;
the need for special skills - knowledge and adherence to the technique of injection administration of drugs;
psychological discomfort;
possible complications after injections - the formation of an infiltrate (otherwise known as lumps, lumps on the skin), hematoma, abscess;
the risk of puncturing a blood vessel with a needle, its blockage, the likelihood of damage to the nerve trunk, infection, inflammation of soft tissues.

The advantage is that the parenteral route of administration provides:

rapid delivery of the active component to the site of action (bloodstream, site of inflammation, affected tissue, synovial fluid);
dosage accuracy;
high degree of absorption;
rationality of use - with a lower dosage it is possible to obtain a sufficient pharmacological effect;
independence from work and the state of the gastrointestinal tract;
exclusion of the barrier function of the liver (the “first pass” effect), the influence of digestive enzymes;
no side effects on the digestive system such as ulceration of the mucous membrane, bleeding.

It has been established that when used in therapeutic doses, the medicine does not provoke the destruction of cartilage tissue.

When can Diclofenac be injected: injections are indispensable for dangerous conditions, unbearable pain, when emergency assistance is required and the time factor is decisive, or when the patient for some reason is not able to swallow a pill.

Duration of action: after an injection of Diclofenac, relief can occur within 5-30 minutes. According to the instructions, the maximum plasma concentration is achieved after 20 minutes, in the synovial fluid the maximum is observed after 2-4 hours and is maintained for 12 hours. The drug relieves pain symptoms for several hours. The active substance can pass into breast milk. Biotransformation processes occur in the liver, 2 metabolites exhibit weak activity.

How long does it take for Diclofenac contained in an injection to be excreted from the body: the biological half-life is 1-3 hours. About 60% of the incoming dose is excreted in the urine, the rest is excreted in bile.

Adverse reactions

Understanding how often to inject Diclofenac injections is also required in order to minimize the likelihood of possible adverse reactions. The risk of allergies increases with increasing dosage of the drug. The more often you inject it, the higher the likelihood of unwanted manifestations. It is noteworthy that they can appear from almost any human organ system. Therefore, always remember how many Diclofenac injections to give, do not exceed the established limits.

If this does happen, then, first of all, the gastrointestinal tract suffers. This occurs due to disruption of the enzymes cyclosigenase-1 and cyclosigenase-2, which are responsible for inflammation and protect the stomach from acid attack, respectively. When using intramuscular injections, the protection of the gastric mucosa decreases, especially against the background of chronic pathology of the duodenum or stomach. The amount of wall bicarbonate is also reduced.

If you do not know how often to inject Diclofenac, an erosive defect may begin. It manifests itself in the form of shallow destruction of the mucous membrane, which can reach the muscle layer. At the next stage, the development of an ulcer is likely, and in some cases, complications in the form of malignancy, bleeding, and stenosis.

Other side effects from the stomach when taking Diclofenac are lack of appetite, nausea, vomiting, bloating, and pain.

Negative side effects also manifest themselves in the functioning of the central nervous system. Of course, they are considered non-specific. However, they may appear if you do not follow the recommendations on how to inject Diclofenac, or if you exceed the permissible dosage.

In these cases, there is a possibility of developing vestibulopathy, migraine, dyssomnia, asthenia, meningitis, neuroses or other neurosis-like conditions.

In addition, like any other drug, Diclofenac can provoke allergic reactions. This may be bronchospasm, manifested in the form of suffocation, or a classic skin rash.

When injecting this drug, the following skin manifestations are possible:

sun intolerance;
skin redness;
allergic eczema;
dermatitis;
Stevens-Johnson syndrome, which develops in newborns.

It is also worth remembering that the blood picture may change. For example, anemic syndrome manifests itself, which is characterized by a significant decrease in hemoglobin levels. There is also a possibility of encountering suppression of hematopoietic germs, which is fraught with the development of leukocytopenia, thrombocytopenia, and neutropenia.

As another type of complication, infiltration may develop in the thigh or buttocks, and in some cases, an abscess in these same areas. As a rule, such problems arise when the injection technique is not followed.

Contraindications and side effects

According to the instructions for Diclofenac ointment, treatment with the drug is contraindicated for:

high sensitivity to the constituent substances, aspirin or other non-steroidal anti-inflammatory drugs;
complete or incomplete combination of bronchial asthma with recurrent polyposis of the nose and paranasal sinuses, angioedema or urticaria;
late pregnancy and lactation;
treatment of children under 6 years of age;
open wound surfaces on the skin at the site of application.

Contraindications also apply to the use of the gel, which is prohibited in the treatment of children under 12 years of age.

The drug is prescribed with caution in the early stages of pregnancy, for erosions and ulcers of the stomach and intestines, for chronic dysfunction of the heart and bronchial asthma, severe dysfunction of the liver and kidneys, with a tendency to bleeding, in the treatment of elderly patients.

When applied topically, undesirable reactions may occur:

rash, burning and redness at the application site;
urticaria and angioedema with hypersensitivity to the components of the drug;
with prolonged use, in rare cases, the development of bronchial asthma is possible.

When is the drug prescribed?

If a person is bothered by severe lower back pain that lasts for 3-4 hours, then it is necessary to visit a doctor. You should not ignore this symptom or treat it yourself.

The doctor will examine the patient to determine the cause of pain in the lower back. If there is nothing serious, then the doctor will advise you to take antispasmodics to eliminate discomfort. If the problem is in the spine, then Diclofenac injections will be prescribed for lumbar pain.

Indications for the use of the drug are the following pathologies:

rheumatism
destruction of bones and joints, for example, osteochondrosis of the lower back
ankylosing spondylitis
damage to motor organs due to trauma
autoimmune bone disorders
inflammation of muscle tissue and joints, which causes severe pain in the lower back
pain during the rehabilitation period after surgery
neuralgic pain in the lower back.

pharmachologic effect

Diclofenac is a representative of the group of non-steroidal anti-inflammatory drugs.

Reduces the production of arachidonic acid and disrupts the synthesis of prostaglandins, therefore it has a triple effect:

relieves inflammation;
relieves pain;
reduces high temperature.

When used externally, it reduces pain in joints both at rest and during movement, relieves swelling and stiffness in the morning, and allows you to increase physical activity.

Diclofenac – Polismed

In what cases should Diclofenac be used?
Dosage of the drug Diclofenac
Side effects when using the drug Diclofenac
In what cases should Diclofenac not be used?
Special instructions for the use of Diclofenac
Interaction of the drug Diclofenac with other drugs
Background information: instructions, application and formula
Expert opinion of the Polismed medical board

Diseases of the spine and joints: rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gout, osteochondrosis
Injuries, sprains, bruises
Back pain, neuralgia, muscle pain,
Migraine and other types of headaches
Pain during menstruation
Abdominal pain due to adnexitis, proctitis, colic
Biliary and renal colic

For adults 25-50 mg 2-3 times a day
For children over 6 years old at a rate of 2 mg/kg 2-3 times a day

For adults 25-50 mg - 1 time per day
For children over 6 years old at a rate of 2 mg/kg 2-3 times a day

To study Treatment of lumbar radiculitis with medications, injections

For adults only, 1 ampoule of 75 mg – 1 time per day.

Peptic ulcer of the stomach and duodenum, hypersensitivity to diclofenac and the components of the drug used, or other NSAIDs. The use of Diclofenac in the treatment of children under 6 years of age is not recommended.
Use of Diclofenac during pregnancy and breastfeeding
Taking Diclofenac during pregnancy or breastfeeding is prohibited.

How to use Diclofenac gel

Instructions for use of Diclofenac gel contain detailed information on doses and methods of use of the medicine.

The gel is used only externally in adults and children over 12 years of age according to indications. Apply to the site of inflammation with light rubbing movements 2 or 3 times a day. For one application, 2 g of the drug is enough, which corresponds to a strip of 4 cm.

The maximum permissible dose per day is no more than 6 g. Duration of therapy is no more than two weeks, longer periods are possible in agreement with the attending physician. Be sure to wash your hands after using Diclofenac.

How to inject Diclofenac correctly, dose (ambiguous term)

Diclofenac can be injected into a muscle (most often the gluteal) or into a vein. The 1 dose for an adult is 75 mg (3 ml), the product is administered to children only from 12 years of age at the same dose. The largest amount of medication per day is 150 mg, so you can inject only 2 ampoules, but with an interval of several hours between injections (at least 6). To enhance the effect ( ambiguous word: A reaction to some action, or a result that is a consequence of some action

) Diclofenac for pain due to osteochondrosis is combined with vitamins or agents that reduce muscle tension.

For neck pain

Diclofenac for neck pain is traditionally administered intramuscularly once a day, 3 ml (75 mg). This helps to increase the range of motion in the cervical spine. If the 1st injection is missing, then after 8-12 hours you can add the product in one of the following options:

one more injection;
50 mg pill orally;
suppository 50 mg orally;
rubbing with 5% Diclofenac gel.

Injections of the medication are carried out for 2-3 days. If the pain does not subside, then to continue healing, the patient’s injections are canceled and pills or suppositories are prescribed in a daily dose of no more than 150 mg. They can also be combined with the application of gel and ointment.

Pain in the lower back and back is relieved with 1 injection of Diclofenac, but if the pain syndrome is severe, the dose can be doubled. In this version, the 2nd injection ( a method of introducing certain solutions (for example, medications) into the body using a syringe and a hollow needle or injection under high pressure (needleless injection)

) is carried out after 6-8 hours and certainly into another gluteal muscle.

For osteochondrosis

The use of Diclofenac injections is indicated only for moderate and severe pain due to osteochondrosis. Use one or maximum two ampoules per 24 hours and not more than 3 days. As soon as the acute attack is over and movement is possible, the injections are canceled.

If there are diseases of the kidneys, liver, stomach or intestinal tract (even without an exacerbation), 1 injection of the product and external remedies are prescribed. The healing patch of Diclofenac is quite effective. It can be applied from the very first day of injections.

In gynecology

Diclofenac injections in gynecology are prescribed for intense pain due to menstruation (algodismenorrhea), inflammation of the ovaries (oophoritis), and uterine appendages (adnexitis). A powerful attack of pain can be relieved by administering an injection and a suppository (into the flat intestine) of 50 or 100 mg. This scheme is used for no more than 1 day. In the future, when women have diseases, they most often switch to candles.

If the product is prescribed after surgery (for example, removal of fibroids), then intravenous injections are acceptable. In this version, 75 mg (one ampoule) is dissolved in 100-500 ml of saline and administered very slowly (0.5-2 hours), if necessary, a second dropper is placed after 6 hours.

What to inject with in combination

Diclofenac can be injected in combination with products that reduce muscle tone - Mydocalm, Tolperisone. They are indicated for muscle tension and stiffness of movement due to acute pain, pinched nerve due to osteochondrosis. Administer 1 ampoule of 1 product at intervals of 6-8 hours after Diclofenac.

For diseases of the joints of a rheumatic nature, rheumatoid arthritis, hormones are prescribed to enhance the anti-inflammatory effect. For injection, take 3 ml of Diclofenac and 1 ml of Dexamethasone. This consistency is administered only under the supervision of a doctor; in orthopedics it is also used for healing blockades (intra-articular or paravertebral injections).

When the articular surface is destroyed in patients with arthrosis, chondroprotectors are used - Alflutop, Rumalon. They are administered in courses of 1-2 ml per day for 15-30 days.

If Diclofenac is prescribed to relieve an attack of renal or hepatic colic, then purposefully add injections of antispasmodics - No-shpa, Papaverine 2-4 ml.

Severe postoperative, post-traumatic pain may require the administration of central-acting painkillers (Tramal, Nalbuphine) 1 ml intramuscularly. They are used only in stationary conditions, since their properties are similar to narcotic ones.

Can the product be used by pregnant women and children?

Pregnancy, especially the third trimester, is a contraindication to the use of Diclofenac. If treatment with the drug is necessary in the first half of pregnancy, the doctor is obliged to evaluate all the negative consequences for the fetus and the expected benefits for the woman.

The ability of the drug to pass into breast milk has not been studied, so treatment is not advisable during breastfeeding. If there are serious reasons to use a gel or ointment during lactation, do not apply the substance to large areas of the skin and do not treat it for a long time.

In pediatric practice, it is used in the treatment of children only from 12 years of age.

Why does back pain occur?

Everyone can easily answer this question by analyzing their own lifestyle. If you don’t move much, then you definitely have a weak back and problems with it cannot be avoided. And even if the work is accompanied by heavy physical activity, you are at risk. There are different reasons for the appearance of pain. But this does not mean that you are seriously ill. Statistics claim that more than 80 cases are episodic and occur for the following reasons:

Excessive physical activity leading to muscle strain;
Stagnation of muscles and joints due to prolonged stay in the same position (while sleeping, sitting at the computer),
forced uncomfortable posture;
Cold back (long stay in a cold place, in a draft, exposure to air conditioning);
Relapses of previously suffered diseases. But it's not that simple. Back pain is a symptom of serious pathologies that are chronic and caused by a variety of reasons:
Pathologies of internal organs, in which pain radiates to the back (pyelonephritis, gynecological diseases, pancreatitis, neoplasms of various etiologies);
Osteochondrosis is the result of degeneration of spinal disc tissue;
Scoliosis – disc displacement leading to root injury;
Myalgia – tissue inflammation;
Intervertebral hernia - protrusion of the disc;
Spondylolisthesis – displacement of vertebral structures;
Bechterew's disease (spondylitis) – inflammation of ligaments and joints;
Vertebral infections (tuberculosis, osteomyelitis, syphilis);
Fractures;
Traumatic injuries.

If you are concerned about long-term back pain, you should definitely consult a specialist.

Indications for use

Diclofenac has a wide variety of medicinal properties, so it can be used for a large number of joint diseases, as well as neurological problems. In addition, this medicine relieves pain well and quickly, and can reduce swelling, swelling of the places where ligaments attach to the bones, the ligaments themselves and joints.

To study Exercises for back and lower back pain

There are a number of acute situations in which the use of Diclofenac is considered not only justified, but also necessary:

Attack of gouty arthritis. Colchicine is used abroad for this disease, but it is not produced in Russia. Therefore, in our country, Diclofenac remains the most effective drug for relieving pain due to gout.
Exacerbations of spinal osteochondrosis.
Physical damage to muscles, ligaments and tendons.
Rheumatoid arthritis.
Rheumatoid lesions of the feet and hand joints.
Spondylopathy, that is, damage to the joints of the spine. The same disease includes seronegative spondylitis in ankylosing spondylitis, psoriatic lesions, reactive arthritis of the gastrointestinal tract, which may be accompanied by infections of the genitourinary system.
Deforming osteoarthritis. In this case, Diclofenac not only relieves pain, but also prevents the destruction of bone and cartilage, eliminating synovitis.
Polymyalgia.

It is worth noting that in addition to acute situations, chronic processes can also be treated with this drug. However, it is not safe to take this drug for a long time. You should limit yourself to a course not exceeding seven to ten days, or use proton pump inhibitors as cover - Omeprazole, Ultop.

Chondroprotectors: when the injection restores damaged tissue

Diclofenac and other NSAIDs combat the symptoms but do nothing to address the underlying cause of the pain. The blockade also hides discomfort, but does not cure the disease. To achieve improvement in the patient’s condition, you need to inject him with chondroprotectors. These are drugs that activate regeneration processes in cartilage tissue and help eliminate inflammation. Most often, patients are prescribed injections of the following drugs:

Adgelon – recommended for hernias

An injection of the drug can cause a severe allergic reaction, and therefore it is important to consult a doctor before using it. Alflutop - it can be injected for osteochondrosis, hernias and other degenerative processes. It is well tolerated by patients and does not cause side effects other than mild nausea and dizziness.

If you have back pain, you should consult a doctor who can determine its root cause. Based on the diagnosis, the doctor will determine which injections will be most effective. In some cases, regular diclofenac will do, but in others, stronger steroid painkillers will be needed.

How are injections given?

The syringe is taken with a volume of 5 ml, the needle is longer than average.

To perform a muscle injection correctly, it is necessary, after inserting the needle, to first slightly pull the piston out of the tissue. This will ensure that the needle does not pierce a blood vessel.

After the injection, the pain goes away almost immediately, and the process of tumor convergence begins within 24 hours after the first injection.

In some cases, unless, of course, it is a severe chronic disease, one injection is enough to relieve the patient of pain. You can then continue to take the drug in other forms or combine two forms, for example, injections and ointment, or injections and tablets.

If a course of injections is necessary, the buttock is changed daily. Injections are painful, the patient must be prepared for this.

If it is necessary to administer the drug to a child (over six years old), choose the form of ointment or rectal suppositories.

Age and group affiliation	Dose per day
Adults	150 mg once or in two stages
Children from six years old	2 mg per kilogram of weight
Adults at risk	no more than 100 mg per day, administered twice

These doses are prescribed regardless of the dosage form. The dosage should be observed especially carefully in patients at risk. The duration of therapy is prescribed strictly individually, according to indications, and is determined by the doctor.

By the way. With a pronounced component of lumbar muscular etiology, the drug is administered with parallel administration or administration of muscle relaxants.

In general, the medicine is almost flawless - it has an optimal balance of analgesic effect and anti-inflammatory effect, is satisfactorily tolerated, and does not cause severe adverse reactions. But there are factors that negate all therapy and can lead to the opposite result. If a patient is at risk, they will be more susceptible to side effects that will reduce the effectiveness of the drug and may cause harm.

Treatment with this drug to relieve lumbar pain is used in more than one hundred countries. In 75 of them, the drug is included in the list of essential drugs. 15 countries consider it a primary anti-inflammatory drug. And in terms of sales, it ranks eighth in the world among the best-selling drugs.

How to inject Diclofenac correctly, dose

Diclofenac can be injected into a muscle (most often the gluteal) or into a vein. The 1 dose for an adult is 75 mg (3 ml), the product is administered to children only from 12 years of age at the same dose. The largest amount of medication per day is 150 mg, so you can inject only 2 ampoules, but with an interval of several hours between injections (at least 6). To enhance the effect of Diclofenac for pain due to osteochondrosis, it is combined with vitamins or agents that reduce muscle tension.

For neck pain

one more injection;
50 mg pill orally;
suppository 50 mg orally;
rubbing with 5% Diclofenac gel.

For pain in the lower back, back

) is carried out after 6-8 hours and certainly into another gluteal muscle.

For elderly patients, it is best to use a small dose - 75 mg, that is, one ampoule is administered per day. To facilitate movements, apply a gel or ointment topically 2-3 times a day. After 2-3 days of injections, it is recommended to switch to external forms of the product or combine them with pills ( this is a dosed solid dosage form for oral administration in the form of dense balls weighing from 0.1 to 0.5 g. Pills weighing over 0.5 g are called boluses , and less than 0.1 g - granules

), candles.

For osteochondrosis

In gynecology

To study Back pain in the lumbar region

What to inject with in combination

When the articular surface is destroyed in patients with arthrosis, chondroprotectors are used - Alflutop, Rumalon. They are administered in courses of 1-2 ml per day for 15-30 days.

If Diclofenac is prescribed to relieve an attack of renal or hepatic colic, then purposefully add injections of antispasmodics - No-shpa, Papaverine 2-4 ml.

Diclofenac injections: how to do and where

Diclofenac injections are given intramuscularly (in the buttock) and into a vein (dropper). The main rule for self-administration is maintaining sterility. It is also necessary to immerse the needle deeply and select the correct injection site.

How to inject intramuscularly into the buttock

When injecting Diclofenac into the buttock, you must first find the upper outer quadrant. To do this, the first time it is best to draw two stripes on the skin with iodine - the first divides the buttock in half vertically, and the second horizontally. The injection site should be the part closest to the lower back and side surface. The injection area should not be hard or painful.

Sequence of use of Diclofenac ampoule solution:

Open the ampoule.
Draw up all the contents into a 5 ml syringe.
Release excess air.
Wipe the injection site with an alcohol swab.
With a confident and quick movement, pierce the skin so that the syringe is at an angle of 90 degrees and the needle enters 3/4 of the soft tissue.
Release the solution from the syringe very slowly.
Remove the needle and cover the injection area with an alcohol swab.

Is it possible to keep up?

Diclofenac can be injected into the leg, but this method can be more painful, since the skin of the thigh contains more nerve fibers and blood vessels. To inject the drug you need:

Sit on a chair with your leg bent at a 90-degree angle and firmly on the floor.
Choose a place on the outer lateral surface of the thigh approximately in the middle.
Wipe the injection area with alcohol.
Quickly pierce the skin and insert the needle 2 cm.
Slowly release the solution into the muscle.
Remove the needle and apply pressure to the injection site with an alcohol swab.

At the next injection, be sure to change sides - the injection is given in the other thigh.

Shoulder injection

Diclofenac is not recommended for injection into the shoulder because:

compaction and suppuration often occur in this area;
the accumulation of the drug slowly resolves;
the injection is very painful.

In exceptional cases, the injection is carried out by a specialist, since it is impossible to perform it correctly on your own. The injection site is chosen at the border of the upper and middle third along the outer surface.

How to inject yourself, dosage

If you have to inject Diclofenac yourself, it is important to adhere to the basic rules of injection:

dosage for 1 time – 3 ml (75 mg), in case of severe pain, a second injection is allowed after 6-8 hours;
deep intramuscularly;
in compliance with sterility - wash your hands with soap, put on sterile gloves, do not touch anything with the needle after drawing the solution;
If pain and/or hardening occurs, an iodine mesh is applied.

Self-administering Diclofenac is dangerous, as even injections administered by trained nurses can lead to thickening, long-term pain and numbness in the leg.

How to inject - slowly or quickly

Diclofenac is always administered as slowly as possible. This helps it gradually spread through the soft tissues and more quickly absorb the injected substance. For intramuscular injections, to slowly deliver the drug, gently press the piston.

How to open an ampoule

To open an ampoule of Diclofenac with a dot, you need to take it in your left hand (with the dot facing you), and in your right hand - a sterile napkin or cotton pad moistened with alcohol. Cover the tip of the ampoule with an alcohol wipe on top and break it off with a movement away from you. If there is a ring painted on the ampoule, then open it in the same way, but it does not matter which side it is facing.

Opening an ampoule of Diclofenac with a notch

It is extremely rare to find ampoules without a dot and a ring; to open them you need a special file. It is usually included in the package, but if you don’t have it, a stationery knife or metal nail file will do. One of these devices needs to apply a notch using progressive, sawing movements. Then the ampoule is taken with this line towards you and the tip is broken off, as in cases of marking.

What happens if you administer it intravenously?

Diclofenac is also suitable for intravenous administration, but it must be dissolved in 100 ml of saline solution. The drip is placed for at least half an hour. The concentrated drug can cause inflammation of the venous wall.

Watch this video for instructions on how to use Diclofenac injection solution:

Analogues of the drug for back pain

In case of severe pain syndrome, especially if the back hurts, analogues of the medicine “Diclofenac” can be used. The list of such drugs includes:

“Ortofen” is a medicine whose mechanism of action of the active element is due to inhibition of the biological production of mediators of pain and the inflammatory process. By exerting an inhibitory effect on cyclooxygenase, the drug helps reduce the production of prostaglandins in areas of inflammation and in the center of thermoregulation in the hypothalamus, reduces the intensity of the pathological process and has an antipyretic effect. By lowering the level of prostaglandins in tissues, inhibiting the generation and conduction of pain impulses, the drug produces an analgesic effect. In equivalent concentrations, this pharmacological agent does not suppress proteoglycan synthesis in cartilage tissues. Just like other anti-inflammatory non-steroidal medications, it can suppress platelet aggregation.
Naproxen is a drug whose main component is a derivative of naphthylpropionic acid. The medicine exhibits antipyretic and analgesic properties, and also fights inflammation in the body. Due to the property of inhibiting enzymes such as cyclooxygenase 1 and 2, the synthesis of prostaglandins from arachidonic acid is suppressed. This medication reduces platelet aggregation. As a result of its use, pain syndrome is reduced (pain in the joints at rest and during movement, morning stiffness). Anti-inflammatory effects are observed by the end of the first therapeutic week.
"Indomethacin" is an anti-inflammatory non-steroidal drug that has an anti-inflammatory, antipyretic, analgesic effect on the body. The main substance of this medicine, when absorbed into the general bloodstream, suppresses the synthesis of prostaglandin, which is an activator of pain and inflammation. Under the influence of this drug, platelet adhesion is suppressed, the degree of pain and swelling of the joints is weakened.

Composition and features

Diclofenac is available in several dosage forms. Apply ointment or gel externally.

The substance is diclofenac sodium, its concentration in the ointment is 10 or 20 mg per 1 g, in the gel - 10 or 50 mg per 1 g. Accordingly, the gel can be 1 or 5 percent, and the ointment 1 or 2 percent.

The auxiliary components in the gel are alcohol, propylene glycol, lavender oil, purified water and hyaetellose. The ointment additionally contains propylene glycol, dimethyl sulfoxide and macrogol.

The gel is a homogeneous transparent substance with a slight yellow tint or no color, there is a specific odor, the base is water.

The basic component of the ointment is fat; it has a thicker consistency. Therefore, it is better to use a gel for joints and deep layers of the epidermis. It spreads more easily and dries faster, does not leave stains on clothes and creates a protective film on the skin.

If the skin at the site of application is irritated and prone to peeling, then it is better to use ointment, as it additionally softens and moisturizes the skin at the site of application.