My 89 year old mother has been in severe pain from arthrithis and was recently hospitalized with Congestive Heart Failure. She is mostly bed ridden at home. She has been on many narcotic and anti-inflam drugs for several years. A doctor has recently prescibed Voltaren Gel. She is also a diabetic. Should she use this Gel?
Here is the warning that comes with the use of Voltaren with patients that have heart conditions:
Clinical trials of several COX-2 selective and nonselective NSAIDs of up to three years duration have shown an increased risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal. All NSAIDs, both COX-2 selective and nonselective, may have a similar risk. Patients with known CV disease or risk factors for CV disease may be at greater risk. To minimize the potential risk for an adverse CV event in patients treated with NSAIDs, the lowest effective dose should be used for the shortest duration possible. Physicians and patients should remain alert for the development of such events, even in the absence of previous CV symptoms. Patients should be informed about the signs and/or symptoms of serious CV toxicity and the steps to take if they occur.
Keep in mind that cardiovascular disease and congestive heart failure are not the same. But I would still use the lowest effective dose for the shortest duration possible. The prescription should come with a card that measures the precise amount of this medication to use.
The issue of diabetes is also of concern if her kidneys are not functioning at full capacity. The literature recommends monitoring her kidney function while using any NSAID type medication such as Voltaren.
For further reading about this medication try:
Hope this helps some,
No, it is a topical form of Diclofenac an NSAID. It shouldn't be given to the elderly nor should it be given to one with Congestive Heart Failure because it can cause a heart attack, and with her being a diabetic she could develop an uncontrolled bleed once inside her system. A diabetic elderly heart patient should never been prescribed this medication.
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