. I am a RN with 20 yr. Acute care work. I have a clotting problem; VonWilabraums ; and I have been doing grin & bare it, as to treatment for OsteoArthritis in BOTH my hands for the past year. I did go to PT and have stretching exercises, & have the I have fitted compression gloves. Finally they tried Voltaren Gel, and using half the dose, & only 2 times a day it has helped. But it is now on indefinate backorder, I tried all over Ct. and my mail order company in Pa. has no backorder date. Is pennsaid gel simular, or of more of a potential to bleed? I also have HPN, elevated lipids, Chrones (currently in remission) Degenerative disc disease with a failed triple fushion & damaged sciatic nerve. OA of both knees, elbows & hips. Any suggestion on a topical gel?
Pennsaid and voltaren are both topical diclofenac products. Voltaren has been out longer. Pennsaid is new and has more diclofenac in its concentration and also contains a penetration enhancer called DMSO. Pennsaid has two head to head studies that show it works as well as oral diclofenac but with less side effects. The systemic exposure is about half of what the gel has. The pennsaid showed no increased bleed times in studies. So long answer short yes they are similar, I suggest asking your provider if it would be a good option for you. I understand the gel is gone till mid summer so you might have to try it and see if it works for you.
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