Diclofenac sodium (NSAID*) 1% (equivalent to 0.93% diclofenac)

*nonsteroidal anti-inflammatory drug

Arthritis pain reliever

 for the temporary relief of arthritis pain ONLY in the following areas

 head, wrist, elbow (upper body areas)

 foot, ankle, knee (lower body areas)

 this product may take up to 7 days to work for arthritis pain; it is not for immediate relief. If no pain relief in 7 days, stop use.

For external use only

Allergy alert:

Diclofenac may cause a severe allergic reacction, expecially in people allergic to aspirin. Symptoms may include:

 hives   

 asthma (wheezing)   

 skin reddening   

 blisters   

 facial swelling   

 shock   

 rash

If an allergic reaction occurs, stop use and seek medical help right away.

Liver warning: This product contains diclofenac. Liver damage may occur if you apply:

 more or for a longer time than directed     

 when using other drugs containing diclofenac

Stomach bleeding warning: This product contains an NSAID, which may cause severe stomach bleeding. The chance is small but higher if you: 

 are age 60 or older     

 have had stomach ulcers or bleeding problems

 take a blood thinning (anticoagulant) or steroid drug

 take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)

 have 3 or more alcoholic drinks every dday while using this product

 apply more or for longer than directed

Heart attack and stroke warning: NSAIDs, except aspirin, increase the risk of heart attack, heart failure, and stroke. These can be fatal. The risk is higher if you use more than directed or for longer than directed.

• Use up to 21 days unless directed by your doctor.
• Not for strains, sprains, bruises or sports injuries. This product has not been shown to work for these types of injuries.

Read the enclosed User Guide for complete instructions:

• use only as directed
• do not use more than directed or for longer than directed
• apply only to clean, dry skin that does not have any cuts, open wounds, infections or rashes
• do not apply in same areas as any other product
• do not apply with external heat such as a heating pad
• do not apply a bandage over the treated area
• store ENCLOSED DOSING CARD with your Diclofenac Sodium Topical Gel, 1%. The dosing card is re-usable.

 read all product information before using. Keep the dosing card, this carton and accompanying User Guide for important information.

 store at 20˚ to 25˚C (68˚ to 77˚F). Keep from freezing.

carbomer homopolymer Type C, cocoyl caprylocaprate, fragrance, isopropyl alcohol, mineral oil, polyoxyl 20 cetostearyl ether, propylene glycol, purified water, strong ammonia solution

Call 1-800-826-8861 (www.salonpas.us)

Distributed by:     

Hisamitsu America, Inc.

Florham Park, NJ07932

2J20HA

Salonpas
Arthritis Pain Relief Gel
Diclofenac Sodium Topical Gel, 1% (NSAID)
Arthritis Pain Reliever

User Guide
How to use diclofenac sodium topical gel, with answers to frequently asked questions

Quick Start
How to get started right away with diclofenac sodium topical gel

Unserstanding diclofenac sodium topical gel
Diclofenac sodium topical gel, 1% (NSAID) - arthritis pain reliever is an arthritis pain relief medication that you apply to your skin.

Before You Use Diclofenac Sodium Topical Gel
Read the Drug Facts Label, which appears on the carton.

Remove the dosing card from the inside of the carton. You should always use the dosing card to measure out the correct dose of diclofenac sodium topical gel.

The first time you use a tube of diclofenac sodium topical gel:

1. Take the cap off the tube.  Open the foil seal that covers the tube opening by using the spiked top of the cap.

2. Firmly press the cap to remove the safety seal. Do not open the safety seal with the scissors or other sharp objects.

3. After use, put the cap back on the end of the tube.

Using diclofenac sodium topical gel

How often to use diclofenac sodium topical gel
Use 4 times a day for best results.

For example:

Where to apply diclofenac sodium topical gel
Diclofenac sodium topical gel can be used on up to 2 body areas from the following list: a hand, a wrist, an elbow, a foot, an ankle, a knee. Do not use on more than 2 body areas at once.

Some examples include:

Measuring the correct amount using the dosing card

For each upper body area (a hand, a wrist, or an elbow): Squeeze gel from the tube equal to the length shown on the upper body section of the dosing card (2.25 inches).

For each lower body area (a foot, an ankle, or a knee): Squeeze gel from the tube equal to the length shown on the lower body section of the dosing card (4.5 inches).

Applying diclofenac sodium topical gel
Gently rub diclofenac sodium topical gel into the skin using your hand. Apply 4 times a day for best results. Do not use on more than 2 body areas at once.

Apply only to clean, dry skin that doesn’t have any cuts, open wounds, infections or rashes. Do not apply in the same area as any other medicines or products that are applied to the skin.

After You Use diclofenac sodium topical gel

Wash your hands after applying diclofenac sodium topical gel. If the treated area is the hands wait up to 1 hour to wash the hands.

Wash the dosing card with water. Store dosing card with your diclofenac sodium topical gel and keep out of reach of children.

Wait ten minutes before covering the treated areas with clothes or gloves.

Avoid:

• showering or bathing for at least 1 hour after use
• exposing the treated area to sunlight or artificial light (such as tanning booths)
• use in the same area as other products applied to the skin
• applying a bandage over the treated area
• eye, nose, or mouth contact
• if eye contact occurs, rinse thoroughly with water

Facts you need to know
Important information about diclofenac sodium topical gel

Do not use diclofenac sodium topical gel…

• if you have ever had an allergic reaction to any other pain reliever or to a fever reducer
• for strains, sprains, bruises or sports injuries. This product has not been shown to work for these types of injuries.
• right before or after heart surgery
• on more than 2 body areas at the same time
• in the eyes, nose or mouth

Ask a doctor before use is…

• you have problems or side effects from taking pain relievers or fever reducers
• stomach bleeding warning applies to you
• you have a history of stomach problems such as heartburn
• you have high blood pressure, heart disease, liver cirrhosis, kidney disease, asthma, or had a stroke
• you are taking a diuretic
• you are under age 18 years. It is not known if this drug works or is safe in children under age 18 years.

Ask a doctor or pharmacist before use if…

• you are under a doctor’s care for any serious condition
• you are taking any other drug
• you are pregnant or breast-feeding

 Warnings to consider before use…

 Allergy alert
Diclofenac may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include:

• hives
• asthma (wheezing)
• skin reddening
• rash
• blisters
• facial swelling
• shock

If an allergic reaction occurs, stop use and seek medical help right away.

Liver warning
This product contains diclofenac. Liver damage may occur if you apply

• more or for a longer time than directed
• when using other drugs containing diclofenac

Stomach bleeding warning
This product contains an NSAID, which may cause stomach bleeding. The chance is small but higher if you

• are age 60 or older
• have had stomach ulcers or bleeding problems
• take a blood thinner (anticoagulant) or steroid drug
• take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)
• have 3 or more alcoholic drinks every day while using this product
• apply more or for longer than directed

Heart attack and stroke warning
NSAIDs, except aspirin, increase the risk of heart attack, heart failure, and stroke. This can be fatal. The risk is higher if you use more than directed or for longer than directed.

Follow these important guidelines when using diclofenac sodium topical gel…

• use only as directed
• apply only to clean, dry skin that does not have any cuts, open wounds, infections or rashes
• do not apply in the same area as any other product used on the skin
• do not apply with any external heat such as heating pad
• do not apply a bandage over the treated area
• do not get gel in eyes, nose or mouth
• store ENCLOSED DOSING CARD with your diclofenac sodium topical gel. The dosing card is re-usable.

Keep out of reach of children.

Stop using diclofenac sodium topical gel and ask a doctor if…

• pain gets worse or lasts more than 21 days
• redness or swelling is present in the painful area
• fever occurs
• skin irritation occurs
• any new symptoms appear. These could be signs of a serious condition.
• you experience any of the following signs of stomach bleeding:
  

• you have symptoms of heart problems or stroke:

Questions and Answers
Answers to questions you may ask about diclofenac sodium topical gel

Can I use diclofenac sodium topical gel for the immediate relief of pain like that associated with sprains, strains, bruises or sports injuries?
No.

Do not use for strains, sprains, bruises or sports injuries. This product has not been shown to work for these types of injuries. It’s intended only for the temporary relief of arthritis pain.

How quickly will diclofenac sodium topical gel work for arthritis pain?
Diclofenac sodium topical gel may take up to 7 days to work for your arthritis pain; it is not for immediate relief. With 4 times-a-day use, you may start to feel relief within a few days. You should feel significant pain relief within 7 days of continuous use. If no pain relief in 7 days, stop use.

What is diclofenac sodium topical gel used for?
Diclofenac sodium topical gel can be used for the temporary relief of arthritis pain in the hands, wrists, elbows, feet, ankles, and knees. Osteoarthritis (OA) is the most common form of arthritis. It mainly affects a type of tissue called cartilage, which cushions the joints and prevents the bones from rubbing against each other.

With OA, cartilage begins to break down and wear away, resulting in joint pain and stiffness. OA occurs more frequently as you get older. Pain develops slowly and can gradually worsen over time.

How does diclofenac sodium topical gel work?
Diclofenac sodium, the medicine in diclofenac sodium topical gel, is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs are used to treat pain from medical conditions such as arthritis. Diclofenac sodium topical gel works similarly to oral NSAIDs like ibuprofen or naproxen by temporarily blocking the production of pain signaling chemicals called prostaglandins. However, when taking a pill, the medication is distributed to the site of pain through the bloodstream. Compared to oral diclofenac, only 6% of the medicine in diclofenac sodium topical gel is absorbed in the bloodstream. It works by penetrating through your skin at the application site to deliver arthritis pain relief.

How does over-the-counter diclofenac sodium topical gel differ from prescription diclofenac sodium topical gel?
Over-the-counter diclofenac sodium topical gel is the same strength and formula as original full prescription strength diclofenac sodium topical gel but is available without a prescription.

Can I apply diclofenac sodium topical gel to upper and lower body areas at the same time?
Yes.

You can use diclofenac sodium topical gel on up to 2 body areas at the same time. The areas can include foot, ankle, knee, hand, wrist, and elbow.

Some correct examples include:

Do not use diclofenac sodium topical gel on more than 2 body areas at once.

Can I apply diclofenac sodium topical gel without measuring it out on the dosing card first?
No.

Use the dosing card to make sure you are getting the correct amount of medicine.

Can I use diclofenac sodium topical gel on my spine, hips, or shoulders?
No.

The use of diclofenac sodium topical gel on the spine, hips, and shoulders has not been studied.

Can I take any other pain medications with diclofenac sodium topical gel?
Ask your doctor or pharmacist before using diclofenac sodium topical gel if you are already taking any other pain reliever or are planning on taking any other pain reliver, especially prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others).

Can I take any other pain medications during the first 7 days I use diclofenac sodium topical gel?
Taking other pain medications is generally not recommended. Speak with your doctor or pharmacist before taking other pain medications when using diclofenac sodium topical gel.

How long can I use diclofenac sodium topical gel?
Use diclofenac sodium topical gel 4 times a day every day for up to 21 days for treatment of arthritis pain or as directed by your doctor.

Diclofenac sodium topical gel should be part of an overall program for managing your arthritis pain. The program should also include activities such as appropriate movement or exercise, specific lifestyle changes, and weight maintenance. Regular visits and discussions with your doctor can help incorporate diclofenac sodium topical gel into a complete program to help manage your arthritis pain.

What do I do if I get diclofenac sodium topical gel in my eyes?
If eye contact occurs, rinse thoroughly with water and consult a doctor if irritation lasts more than an hour.

How do I clean the dosing card?
Wash the dosing card with water, and store dosing card and tube out of reach of children.

What if I miss a dose of diclofenac sodium topical gel?
If you forget to apply diclofenac sodium topical gel, don’t double your dose. Just apply the next dose as scheduled.

How should I store diclofenac sodium topical gel?

• Store at 20° to 25°C (68° to 77°F).
• Do not freeze diclofenac sodium topical gel.
• Store the dosing card with your diclofenac sodium topical gel.
• Keep out of the reach of children.

Additional Questions?

Call the diclofenac sodium topical gel consumer hotline at 1-800-826-8861. www.salonpas.us

Distributed by:
Hisamitsu America, Inc.
Florham Park, NJ07932

1520HA