Voltaren Arthritis Pain

Arthritis pain reliever

Product: 50090-6202

NDC: 50090-6202-0 50 g in a TUBE / 24 in a CASE

• for the temporary relief of arthritis pain ONLY inthe following areas:
  • hand, 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.

Additional Information

ORIGINAL PRESCRIPTION STRENGTH

Medicated Gel Clinically Proven to Relieve Arthritis Pain

TREATMENT AREAS

• Hand Wrist Elbow Foot Ankle Knee
• Not for use on any other body area (such as back, hip, or shoulder)

TREATMENT AREAS

Use Enclosed Dosing Card to Measure a Dose

Voltaren ARTHRITIS PAIN

diclofenac sodium topical gel, 1% (NSAID) – arthritis pain reliever

Dosing Card (NOT ACTUAL SIZE)

Read product User Guide before use

Not for immediate pain relief

Upper body dose2.25 inches long (2 grams)

Lower body dose4.5 inches long (4 grams)

How to Use

• For arthritis pain only
• Use 4 times a day
• May take up to 7 days to work for your arthritis pain
• For use on no more than 2 body areas
• Use up to 21 days unless directed by your doctor
• Tamper evident statement: Do not use if safety seal on tube nozzle is broken or missing.

For external use only

Allergy alert:Diclofenac may cause a severe allergic reaction, especially 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 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. 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.

• 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

Medication Guide for Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

What is the most important information I should know about medicines called Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAIDs can cause serious side effects, including:

• •
  Increased risk of a heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase:
  • o
    with increasing doses of NSAIDs
  • o
    with longer use of NSAIDs

Do not take NSAIDs right before or after a heart surgery called a “coronary artery bypass graft (CABG).”

Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack.

• •
  Increased risk of bleeding, ulcers, and tears (perforation) of the esophagus (tube leading from the mouth to the stomach), stomach and intestines:
  • o
    anytime during use
  • o
    without warning symptoms
  • o
    that may cause death

The risk of getting an ulcer or bleeding increases with:

•  
  • o
    past history of stomach ulcers, or stomach or intestinal bleeding with use of NSAIDs
  • o
    taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs
  • o
    increasing doses of NSAIDs
  • o
    older age
  • o
    longer use of NSAID
  • o
    poor health
  • o
    smoking
  • o
    advanced liver problems
  • o
    drinking alcohol
  • o
    bleeding problems

NSAIDs should only be used:

•  
  • o
    exactly as prescribed
  • o
    at the lowest dose possible for your treatment
  • o
    for the shortest time needed

What are NSAIDs?

NSAIDs are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain

Who should not take NSAIDs?

Do not take NSAIDs :

• •
  if you had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAIDs
• •
  right before or after heart bypass surgery

Before taking NSAIDs, tell your healthcare provider about all of your medical conditions, including if you:

• •
  have liver or kidney problems
• •
  have high blood pressure
• •
  have asthma
• •
  are pregnant or plan to become pregnant. Talk to your healthcare provider if you are considering taking NSAIDs during pregnancy. You should not take NSAIDs after 29 weeks of pregnancy.
• •
  Are breastfeeding or plan to breast feed

Tell your healthcare provider all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements. NSAIDs and some other medicines can interact with each other and cause serious side effects. Do not start taking any new medicine without talking to your healthcare provider first.

What are the possible side effects of NSAIDs?

NSAIDs can cause serious side effects, including:

See “What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?”

• •
  new or worse high blood pressure
• •
  heart failure
• •
  liver problems including liver failure
• •
  kidney problems including kidney failure
• •
  low red blood cells (anemia)
• •
  life-threatening skin reactions
• •
  life-threatening allergic reactions
• •
  Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness.

Get emergency help right away if you have any of the following symptoms:

• •
  shortness of breath or trouble breathing
• •
  slurred speech
• •
  chest pain
• •
  swelling of the face or throat
• •
  weakness in one part or side of your body

Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms:

• •
  nausea
• •
  vomit blood
• •
  more tired or weaker than usual
• •
  there is blood in your bowel movement or it is black and sticky like tar
• •
  diarrhea
• •
  itching
• •
  unusual weight gain
• •
  your skin or eyes look yellow
• •
  skin rash or blisters with fever
• •
  indigestion or stomach pain
• •
  swelling of the arms, legs, hands and feet
• •
  flu-like symptoms

If you take too much of your NSAID, call your healthcare provider or get medical help right away.

These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other information about NSAIDs

• •
  Aspirin is an NSAID but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.
• •
  Some NSAIDs are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days.

General Information about the safe and effective use of NSAIDs

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use NSAIDs for a condition for which it was not prescribed. Do not give NSAIDs to other people, even if they have the same symptoms that you have. It may harm them.

If you would like more information about NSAIDs, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about NSAIDs that is written for health professionals.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Marketed by:

•  
  Endo Pharmaceuticals Inc., Malvern, PA 19355

Manufactured by:

Novartis Pharma Produktions GmbH,

Wehr, Germany for

Sandoz Inc., Princeton, NJ 08540

Revised: April 2016

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

*nonsteroidal anti-inflammatory drug

• store at 20-25°C (68-77°F). Keep from freezing.
• read all product information before using. Keep the dosing card, this carton and accompanying User Guide for important information.

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

1-855-297-3031 www.voltarengel.com

• avoid contact with eyes, nose, or mouth
• if eye contact occurs, rinse thoroughly with water

• you have problems or serious 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.

• 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 area as any other product
• do not apply with external heat such as heating pad
• do not apply a bandage over the treated area
• store ENCLOSED DOSING CARD with your Voltaren Arthritis Pain. The dosing card is
  
  re-usable.

• 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:
  • feel faint
  • have bloody or black stools
  • vomit blood
  • have stomach pain that does not get better
• you have symptoms of heart problems or stroke:
  • chest pain
  • trouble breathing
  • leg swelling
  • weakness in one part or side of body
  • slurred speech

ask a health professional before use. It is especially important not to use diclofenac at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.

• under a doctor’s care for any serious condition
• taking any other drug

• for the temporary relief of arthritis pain ONLY inthe following areas:
  • hand, 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.

Additional Information

ORIGINAL PRESCRIPTION STRENGTH

Medicated Gel Clinically Proven to Relieve Arthritis Pain

TREATMENT AREAS

• Hand Wrist Elbow Foot Ankle Knee
• Not for use on any other body area (such as back, hip, or shoulder)

TREATMENT AREAS

Use Enclosed Dosing Card to Measure a Dose

Voltaren ARTHRITIS PAIN

diclofenac sodium topical gel, 1% (NSAID) – arthritis pain reliever

Dosing Card (NOT ACTUAL SIZE)

Read product User Guide before use

Not for immediate pain relief

Upper body dose2.25 inches long (2 grams)

Lower body dose4.5 inches long (4 grams)

How to Use

• For arthritis pain only
• Use 4 times a day
• May take up to 7 days to work for your arthritis pain
• For use on no more than 2 body areas
• Use up to 21 days unless directed by your doctor
• Tamper evident statement: Do not use if safety seal on tube nozzle is broken or missing.

Arthritis pain reliever

For external use only

Allergy alert:Diclofenac may cause a severe allergic reaction, especially 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 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. 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.

• 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

Product: 50090-6202

NDC: 50090-6202-0 50 g in a TUBE / 24 in a CASE

Medication Guide for Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

What is the most important information I should know about medicines called Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAIDs can cause serious side effects, including:

• •
  Increased risk of a heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase:
  • o
    with increasing doses of NSAIDs
  • o
    with longer use of NSAIDs

Do not take NSAIDs right before or after a heart surgery called a “coronary artery bypass graft (CABG).”

Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack.

• •
  Increased risk of bleeding, ulcers, and tears (perforation) of the esophagus (tube leading from the mouth to the stomach), stomach and intestines:
  • o
    anytime during use
  • o
    without warning symptoms
  • o
    that may cause death

The risk of getting an ulcer or bleeding increases with:

•  
  • o
    past history of stomach ulcers, or stomach or intestinal bleeding with use of NSAIDs
  • o
    taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs
  • o
    increasing doses of NSAIDs
  • o
    older age
  • o
    longer use of NSAID
  • o
    poor health
  • o
    smoking
  • o
    advanced liver problems
  • o
    drinking alcohol
  • o
    bleeding problems

NSAIDs should only be used:

•  
  • o
    exactly as prescribed
  • o
    at the lowest dose possible for your treatment
  • o
    for the shortest time needed

What are NSAIDs?

NSAIDs are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain

Who should not take NSAIDs?

Do not take NSAIDs :

• •
  if you had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAIDs
• •
  right before or after heart bypass surgery

Before taking NSAIDs, tell your healthcare provider about all of your medical conditions, including if you:

• •
  have liver or kidney problems
• •
  have high blood pressure
• •
  have asthma
• •
  are pregnant or plan to become pregnant. Talk to your healthcare provider if you are considering taking NSAIDs during pregnancy. You should not take NSAIDs after 29 weeks of pregnancy.
• •
  Are breastfeeding or plan to breast feed

Tell your healthcare provider all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements. NSAIDs and some other medicines can interact with each other and cause serious side effects. Do not start taking any new medicine without talking to your healthcare provider first.

What are the possible side effects of NSAIDs?

NSAIDs can cause serious side effects, including:

See “What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?”

• •
  new or worse high blood pressure
• •
  heart failure
• •
  liver problems including liver failure
• •
  kidney problems including kidney failure
• •
  low red blood cells (anemia)
• •
  life-threatening skin reactions
• •
  life-threatening allergic reactions
• •
  Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness.

Get emergency help right away if you have any of the following symptoms:

• •
  shortness of breath or trouble breathing
• •
  slurred speech
• •
  chest pain
• •
  swelling of the face or throat
• •
  weakness in one part or side of your body

Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms:

• •
  nausea
• •
  vomit blood
• •
  more tired or weaker than usual
• •
  there is blood in your bowel movement or it is black and sticky like tar
• •
  diarrhea
• •
  itching
• •
  unusual weight gain
• •
  your skin or eyes look yellow
• •
  skin rash or blisters with fever
• •
  indigestion or stomach pain
• •
  swelling of the arms, legs, hands and feet
• •
  flu-like symptoms

If you take too much of your NSAID, call your healthcare provider or get medical help right away.

These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other information about NSAIDs

• •
  Aspirin is an NSAID but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.
• •
  Some NSAIDs are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days.

General Information about the safe and effective use of NSAIDs

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use NSAIDs for a condition for which it was not prescribed. Do not give NSAIDs to other people, even if they have the same symptoms that you have. It may harm them.

If you would like more information about NSAIDs, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about NSAIDs that is written for health professionals.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Marketed by:

•  
  Endo Pharmaceuticals Inc., Malvern, PA 19355

Manufactured by:

Novartis Pharma Produktions GmbH,

Wehr, Germany for

Sandoz Inc., Princeton, NJ 08540

Revised: April 2016

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

*nonsteroidal anti-inflammatory drug

• store at 20-25°C (68-77°F). Keep from freezing.
• read all product information before using. Keep the dosing card, this carton and accompanying User Guide for important information.

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

1-855-297-3031 www.voltarengel.com

• avoid contact with eyes, nose, or mouth
• if eye contact occurs, rinse thoroughly with water

• you have problems or serious 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.

• 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 area as any other product
• do not apply with external heat such as heating pad
• do not apply a bandage over the treated area
• store ENCLOSED DOSING CARD with your Voltaren Arthritis Pain. The dosing card is
  
  re-usable.

• 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:
  • feel faint
  • have bloody or black stools
  • vomit blood
  • have stomach pain that does not get better
• you have symptoms of heart problems or stroke:
  • chest pain
  • trouble breathing
  • leg swelling
  • weakness in one part or side of body
  • slurred speech

ask a health professional before use. It is especially important not to use diclofenac at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.

• under a doctor’s care for any serious condition
• taking any other drug