Diclofenac-Akrikhin
Diclofenac-Akrikhin: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. In case of impaired renal function
- 12. For violations of liver function
- 13. Use in the elderly
- 14. Drug interactions
- 15. Analogs
- 16. Terms and conditions of storage
- 17. Terms of dispensing from pharmacies
- 18. Reviews
- 19. Price in pharmacies
Latin name: Diclophenac-Akrikhin
ATX code: M02AA15
Active ingredient: diclofenac (diclofenac)
Manufacturer: Akrikhin, JSC (Russia)
Description and photo update: 28.11.2018
Prices in pharmacies: from 71 rubles.
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Diclofenac-Akrikhin is a non-steroidal anti-inflammatory drug (NSAID) for external use.
Release form and composition
- gel for external use 1%: has a characteristic aroma, color from pure white to white with a yellowish or grayish tinge (40 or 50 g in aluminum tubes, in a cardboard box 1 tube with instructions for use);
- ointment for external use 1%: has a characteristic aroma, color from pure white to white with a yellowish or grayish tinge, possibly the presence of mother-of-pearl stains (30 g each in aluminum tubes, in a cardboard box 1 tube with instructions for use).
Each pack also contains instructions for the use of Diclofenac-Akrikhin.
Composition for 100 g of gel for external use:
- active ingredient: diclofenac sodium - 1 g;
- auxiliary ingredients: rectified ethyl alcohol (ethanol) - 25 g, gelling agent carbomer 940 (carbopol 980) - 0.9 g, propylene glycol - 5 g, diethanolamine - 1 g, vaseline oil (liquid paraffin) - 2.5 g, macrogol cetostearate (macrogol 20 cetostearyl ether) - 2 g, cocoyl caprilocaprate - 2.5 g, lavender oil - 0.05 g, neroli essential oil (from bitter orange flowers) - 0.05 g, purified water - up to 100 g.
Composition per 100 g of ointment for external use:
- active ingredient: diclofenac sodium - 1 g;
- auxiliary ingredients: macrogol (polyethylene oxide 400), macrogol (polyethylene oxide 1500), succinic acid, dimexide (dimethyl sulfoxide), propylene glycol.
Pharmacological properties
Pharmacodynamics
As an active component, Diclofenac-Akrikhin gel and ointment contains diclofenac, an NSAID, which has a pronounced analgesic and anti-inflammatory effect through non-selective inhibition of cyclooxygenase 1 and 2 (COX-1 and -2), which disrupts the metabolism of arachidonic acid, as well as the synthesis of prostaglandins, which are mediators of the inflammatory process.
Diclofenac-Akrikhin, when applied externally, eliminates pain syndrome and reduces swelling associated with inflammation, causes weakening or relieves joint pain when the patient is at rest and when moving. Reduces morning stiffness, joint swelling, improves the quality of life by increasing the range of motion.
In the postoperative and post-traumatic periods, it quickly relieves pain and suppresses inflammation in the area of application; in the treatment of post-traumatic hematoma, it promotes its resorption.
Due to the water-ethanol base, Diclofenac-Akrikhin gel has an additional local anesthetic effect.
Pharmacokinetics
- absorption: after topical application, diclofenac exhibits good transdermal permeability. The amount of substance absorbed through the skin is proportional to the area of application of the gel / ointment, the time of their contact with the skin, and also depends on both the total dose of the drug and the degree of skin hydration. With the dosage regimen recommended in the instructions, no more than 6% of diclofenac is absorbed into the systemic circulation. If applied for 10 hours under an occlusive dressing, the resorption of the substance increases 3 times;
- distribution: diclofenac is concentrated mainly in the foci of inflammation and in the synovial fluid. Up to 99% of the active ingredient binds to plasma proteins (mainly albumin);
- metabolism: occurs mainly in the liver through hydroxylation; as a result of the biotransformation of diclofenac, several of its metabolites are formed (including two pharmacologically active, but to a lesser extent than diclofenac);
- excretion: about 65% of diclofenac is excreted in the urine, about 35% in the bile (in the form of inactive compounds with glucuronic and sulfuric acids), less than 1% is excreted unchanged. The total (total) plasma clearance of diclofenac averages 263 ml / min, the final T 1/2 (half-life) is 1–2 hours.
Indications for use
- rheumatoid arthritis, ankylosing spondylitis, juvenile psoriatic arthritis (JAPA), other diseases of the musculoskeletal system of an inflammatory nature;
- bursitis, tendovaginitis, lesions of periarticular tissues, other rheumatic diseases of soft tissues;
- deforming osteoarthritis, osteochondrosis, other diseases of the musculoskeletal system associated with degenerative processes in the joints;
- post-traumatic inflammation of soft tissues and joints, as a result of sprains, bruises, overexertion;
- swelling of tissues and pain syndrome resulting from such diseases of muscles and joints as osteoarthritis, rheumatoid arthritis, radiculitis, sciatica, lumbago, muscle pain of rheumatic / non-rheumatic genesis.
Contraindications
Absolute:
- exacerbation of erosive and ulcerative lesions of the gastrointestinal tract (gastrointestinal tract);
- third trimester of pregnancy;
- period of breastfeeding (lactation);
- children under 6 years of age;
- damage to the integrity of the skin;
- history of attacks of bronchial obstruction, urticaria, rhinitis after taking acetylsalicylic acid or other NSAIDs;
- increased individual sensitivity to diclofenac or auxiliary components of Diclofenac-Akrikhin ointment or gel, as well as to acetylsalicylic acid or other NSAIDs.
The drug is used with caution in hepatic porphyria in the exacerbation phase, erosive and ulcerative diseases of the gastrointestinal tract, severe violations of hepatic / renal function, bronchial asthma, CHF (chronic heart failure), in the first / second trimesters of pregnancy and in old age.
Diclofenac-Akrikhin, instructions for use: method and dosage
Diclofenac-Akrikhin gel and ointment is applied externally by applying a thin layer over the focus of inflammation, followed by rubbing the product into the skin with light movements.
Recommended dosing regimen of Diclofenac-Akrikhin:
- children from 6 to 12 years old: up to 2 g of gel / ointment for 1 procedure, but not more than 2 times a day;
- children over 12 years old and adult patients: 2-4 g of gel / ointment (the size of a large cherry or small walnut) 3-4 times a day.
The amount of the drug is determined by the size of the painful area.
After the procedure (application of the drug), you need to thoroughly wash your hands if they have not been processed for the purpose of treatment.
The duration of therapy depends on the indications and the observed effect. After two weeks of using the gel / ointment, you should consult a specialist.
Side effects
- reactions at the site of application: photosensitivity, eczema, contact dermatitis (redness, itching, swelling of the treated skin area, vesicles, papules, peeling);
- systemic reactions: generalized skin rash, hypersensitivity reactions (urticaria, bronchospasm, angioedema).
Overdose
Since Diclofenac-Akrikhin has a low systemic absorption, its external use makes an overdose of Diclofenac almost impossible.
special instructions
The drug is applied only to intact skin; contact of the gel / ointment on open wounds should be avoided.
It is not recommended to use Diclofenac-Akrikhin under an occlusive dressing.
Avoid contact with eyes and mucous membranes.
When used together with other drugs that contain diclofenac, the total maximum daily dose of the substance should be taken into account.
In the case of applying a gel / ointment to large affected areas for a long time, the risk of developing systemic adverse reactions inherent in NSAIDs increases.
Patients with bronchial asthma, gastric ulcer / duodenal ulcer, polyps of the nasal mucosa, rhinitis, impaired liver / kidney function or the hematopoietic system, as well as with the simultaneous use of other NSAIDs, should consult a doctor before using the drug.
Influence on the ability to drive vehicles and complex mechanisms
The use of Diclofenac-Akrikhin gel / ointment does not affect the psychomotor characteristics of patients.
Application during pregnancy and lactation
In the third trimester of pregnancy, the use of Diclofenac-Akrikhin is contraindicated. In the first and second trimesters, the use of the drug is possible only as directed by a doctor.
There is no experience of drug therapy during breastfeeding, therefore, the drug is not used during lactation.
Pediatric use
In pediatric practice, Diclofenac-Akrikhin is contraindicated in children under 6 years of age. Children 6-12 years old need to apply the gel / ointment no more than 2 times a day, provided that a single dose does not exceed 2 g.
With impaired renal function
The drug should be used with caution in patients with severe renal impairment.
For violations of liver function
Diclofenac-Akrikhin should be used with caution in patients with severely impaired liver function.
Use in the elderly
In old age, Diclofenac-Akrikhin is used with caution.
Drug interactions
Diclofenac-Akrikhin gel / ointment can enhance the effect of drugs that cause photosensitization.
No clinically significant interaction with other drugs was observed.
Analogs
Diclofenac-Akrihin analogs are: Diclofenac, Voltaren, Voltaren Emulgel, Diclac gel, Diclac Lipogel, Olfen Gel, Ketonal cream, Rapten gel, Voltaren plaster 24 hours, Dicloran gel, Diclofenac-Violin-Zdorovye Zdorovye Dolgit, Ketoprofen, DicloFlex, Clodifen, Olfen transdermal patch, Feloran, Diklomek, etc.
Terms and conditions of storage
Keep out of the reach of children.
Storage temperature: ointment - up to 15 ° С, gel - from 15 to 25 ° С.
Shelf life: ointment - 4 years, gel - 3 years.
Terms of dispensing from pharmacies
Available without a prescription.
Reviews about Diclofenac-Akrikhin
In most reviews of Diclofenac-Akrikhin, the drug is described as an affordable effective drug that perfectly helps with joint pain, contributes to the fastest resorption of hematomas during injury, and relieves swelling in the area of injury. The pleasant smell of gel and ointment is noted.
Some patients complain about a long sticky feeling after applying the ointment, a slightly liquid texture and marks that may remain on clothing after application.
It is not recommended to use Diclofenac-Akrikhin for sharp and severe pain, due to the lack of effectiveness.
The price of Diclofenac-Akrikhin in pharmacies
Approximate price of Diclofenac-Akrikhin, 1 tube per package:
- gel 1%, 40 g - 86-124 rubles;
- ointment 1%, 30 g - 85-93 rubles.
Diclofenac-Akrikhin: prices in online pharmacies
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Drug name Price Pharmacy |
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Diclofenac-Akrikhin 1% ointment for external use 30 g 1 pc. RUB 71 Buy |
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Diclofenac-Akrikhin 1% gel for external use 40 g 1 pc. RUB 103 Buy |
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Diclofenac-Akrikhin gel 1% 40g 112 RUB Buy |
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Diclofenac-Akrikhin ointment 1% 30g 124 RUB Buy |
Anna Kozlova Medical journalist About the author
Education: Rostov State Medical University, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
