- Chronic Care
- Arthritis
- NSAIDs
Diclofenac
Diclofenac prescription available online
If you are suffering from musculoskeletal pain, including arthritis, diclofenac (previously prescribed as Voltaren) can help. Get a new prescription or refill of diclofenac from a board-certified primary care doctor online.*
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Ease inflammation and pain
Available as a tablet, powder, capsule, gel, and eardrops
Treats arthritis pain, osteoarthritis, and more
*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card. Plushcare doctors cannot treat all cases of pain. If our doctors cannot diagnose or treat your condition directly, they will help guide you, with referrals and resources, to in-person and specialist care.
About Diclofenac
Diclofenac is an anti-inflammatory medicine belonging to the to the family called nonsteroidal anti-inflammatory drugs, which function by blocking cyclooxygenase or COX enzyme. COX produces prostaglandins that play a key role in inducing inflammation and therefore pain. There is a significant upsurge in the production of prostaglandins in inflamed tissues. Like any NSAID, this medication can only reduce inflammation, relieve pain, and control body temperature. Nonsteroidal anti-inflammatory drugs (NSAIDs) are sometimes used for issues like the painful menstrual cycle, severe headaches, joint pain, sprains, flu, and colds.
Diclofenac is known to treat arthritis pain, osteoarthritis, ankylosing spondylitis, and dysmenorrhea.
Most forms of diclofenac are available only by prescription. Oral brand names include Voltaren-XR, Zipsor, Cambia, Cataflam, and Zorvolex. Even though different forms have same effects at same dosage but it is recommended not to switch brands without your physician’s recommendations.
Diclofenac may be prescribed as a tablet, powder, capsule, gel, and eardrops. It is typically available as a diclofenac sodium enteric-coated tablet with recommendations of oral use. People may also apply Voltaren (diclofenac gel) for localized pain caused by different health issues affecting the muscles and joints. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage you are prescribed.
If you are prescribed Diclofenac, be sure to complete the entire course of the NSAIDs unless your doctor specifically tells you to stop.
If you don’t complete your prescription, the NSAID may not fully treat your symptoms, be it acute pain, rheumatoid arthritis, osteoarthritis, or other issues.
Diclofenac uses
There are a number of FDA-approved uses for Diclofenac, and it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for any of the following common reasons. It’s also possible that your healthcare provider may prescribe it for other reasons not listed here. Ask your online doctor if you have questions about why a medication is prescribed.
Osteoarthritis
Osteoarthritis is one of the most prevalent forms of arthritis, which can cause joint tenderness, stiffness, and pain due to a deterioration of joint cushioning, called cartilage, due to overuse, genetic components, time, or injury. People usually experience loss of flexibility and bone spurs which cause pain. As a Nonsteroidal anti-inflammatory drug, diclofenac can be used to reduce the symptoms of osteoarthritis.
Rheumatoid arthritis
Rheumatoid arthritis is an autoimmune inflammatory disorder in which our immune system attacks the body's healthy cells, leading to painful swelling, stiffness, fatigue, and tiredness. Nonsteroidal anti-inflammatory drugs such as diclofenac treat mild to moderate pain due to arthritis.
Ankylosing spondylitis
Ankylosing spondylitis is another chronic inflammatory disease that causes spinal fusion of a few vertebrae. As a result, the spine becomes less flexible, causing pain and difficulty breathing. Diclofenac gel may be used to seek pain relief from acute pain and discomfort.
Gout TreatmentGout is an acutely painful inflammation of the joints that occurs when the kidneys cannot excrete uric acid well enough. Uric acid crystals deposits in joints, most often in the feet, leading to pain, swelling, and skin redness. Diclofenac can help reduce the symptoms of these flares.
Other uses
Diclofenac is also FDA approved to treat migraines and also painful periods (dysmenorrhea). It can also be used as an off-label medicine for different issues like light sensitivity, specially after an eye procedure. It may also be prescribed as pain relief for prolonged headaches and painful sprains and strains.
Diclofenac side effects
The side effects of taking Diclofenac are typically mild to severe, depending on the patient's body chemistry and tolerance. Most Diclofenac side effects are related to gastrointestinal processes. Diclofenac has some common side effects. They may include:
Allergic reaction
Stomach pain
Bloating
Gas
Dizziness
Blurred vision
Other side effects, which are less common but might be more severe, could include:Severe allergic reactions - such as facial swelling
Cardiovascular Thrombotic Events
Stomach Bleeding - with signs such as bloody or tarry stools and vomit that looks like coffee grounds
Ulceration
Perforation
Serious Skin Reactions
Hematologic Toxicity
Toxic hepatitis
Kidney dysfunction
You should call your doctor if you notice any of these side effects or develop other new or concerning symptoms. You should seek emergency medical care by calling 911 if you have any severe symptoms. Use of diclofenac in young children under age 14 is not advised because such a strengthened dosage can cause severe side effects and damage the child’s developing organs.
Get emergency medical help immediately if you experience chest pain, shortness of breath, or weakness in one part or side of the body.
How to take Diclofenac
Your pharmacist will provide you with instructions on how to take your diclofenac prescription.
Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.
Diclofenac can come in different forms and doses, so follow the specific instructions on your prescription. It is typically prescribed 2 to 4 times per day. Some particular instructions may include:
Take the oral dose with a glass of water.
It is recommended not to lie down for at least 10 minutes after taking a diclofenac capsule or tablet.
What to avoid while taking Diclofenac
Diclofenac has 11 most prominent drug interactions. The medicine may interact with different drugs like anticoagulants and analgesic doses like aspirin, ACE inhibitors, and beta blockers.
Don’t change what you take without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs.
It is essential to talk to your healthcare professional when taking diclofenac with other prescription drugs, as they may cause an increased risk of specific side effects associated with diclofenac:
Cyclosporine
Selective serotonin reuptake inhibitors (SSRIs): Citalopram (Celexa), Fluoxetine (Prozac)
High blood pressure medication: ACE Inhibitors, Beta-blockers
Lithium
Blood thinners - Warfarin
Ask your doctor or pharmacist if it is acceptable to consume alcohol while taking diclofenac.
Some research shows that regular alcohol consumption may increase the body's inflammatory response. Alcohol may also reduce the medication’s ability to do its job, making it more challenging by increasing the risk of ulcers and stomach issues. As mentioned earlier, diclofenac can cause gastrointestinal side effects. Under such circumstances, consuming alcohol increases the chances of aggravating side effects.
Medication alternatives to Diclofenac
If your healthcare provider prefers to put you on another treatment, they may suggest another NSAID like ibuprofen or an analgesic in another drug class. Here are some common doctor-recommended alternatives based on your health issue:
Diclofenac prescription FAQs
How much does Voltaren cost?
Voltaren Gel (Diclofenac sodium) is a nonsteroidal anti-inflammatory drug (NSAID). 1% Diclofenac gel is now available over the counter. Oral and topical options are generally quite afordable even without medical insurance, but cost may vary based on specific type and strength.
How can I refill my Diclofenac prescription?
Diclofenac can be easily bought from the pharmacy without a prescription. However, consult your doctor before taking diclofenac for any health issues.
How long does Diclofenac take to reduce inflammation?
Diclofenac gel takes about an hour to offer pain relief, but doses that need to be administered orally take up to 5 hours to show its effect.
How long can you safely use Diclofenac?
Diclofenac should be used with your doctor’s advice, but taking diclofenac tablets for more than 25 days is not recommended unless prescribed by a doctor. Voltaren gel can be applied safely for 21 days.
When should diclofenac not be used?
Make sure your doctor is aware if you have a history of any of the following conditions:
What happens if I miss a dose of Diclofenac?
If you have missed a dose of diclofenac, please go ahead and go for it as soon as possible. However, if it's already time for the next dose, please continue with it but complete the course for better results.
What happens if I take too much Diclofenac?
Diclofenac overdose can cause severe stomach ache, shallow breathing, skin rash, blisters, and severe stomach ache. Also, call your local poison control center to get help.
3 simple steps to request your Diclofenac prescription today
Step 1
Book a Diclofenac prescription request appointment.
You can book a same day appointment from anywhere.
Step 2
Talk to your medical provider regarding your Diclofenac prescription.
You can visit with a doctor on your smartphone or computer.
Step 3
Pick up your Diclofenac prescription, if provided.
We can send prescriptions to any local pharmacy.
Diclofenac prescription pricing details
How pricing works
To get a new or refill on your Diclofenac prescription, join our monthly membership and get discounted visits.
Paying with insurance
Membership
$16.99/month
First month free
Visits
Copay
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price with insurance
Often the same as an office visit. Most patients with in-network insurance pay $30 or less!
- We accept these insurance plans and many more:
Paying without insurance
Membership
$16.99/month
First month free
Visits
$129
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price without insurance
Initial visits are $129.
If we're unable to treat you, we'll provide a full refund.
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information
U.S. Food and Drug Administration. "Rheumatoid Arthritis: Developing Drug Products for Treatment." FDA, Accessed October 4, 2023, www.fda.gov/regulatory-information/search-fda-guidance-documents/rheumatoid-arthritis-developing-drug-products-treatment.
Centers for Disease Control and Prevention (CDC). "Osteoarthritis." CDC, Accessed October 4, 2023, www.cdc.gov/arthritis/basics/osteoarthritis.htm.
Cleveland Clinic. "Ankylosing Spondylitis (AS)." Cleveland Clinic, Accessed October 4, 2023, my.clevelandclinic.org/health/diseases/16595-ankylosing-spondylitis-as.
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.