Diclofenac chemical structure
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Diclofenac

Diclofenac (marketed as Voltaren®, Voltarol®, Diclon® and Cataflam®) is a non-steroidal anti-inflammatory drug (NSAID) taken to reduce inflammation, such as in arthritis or acute injury. It can also be used to reduce menstrual pain. more...

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Voltaren and Voltarol contain the sodium salt of diclofenac. In the United Kingdom Voltarol can be supplied with either the sodium salt or potassium salt, while Cataflam in some other countries is the potassium salt only. Diclofenac is available in stomach acid resistant formulations (25 and 50 mg), fast disintegrating oral formulations (50 mg), slow- and controlled-release forms (75, 100 or 150 mg), suppositories (50 and 100 mg), and injectable forms (50 and 75 mg). Diclofenac is also available over the counter (OTC) in some countries: Voltaren® dolo (12.5 mg diclofenac as potassium salt) in Switzerland and Germany, and preparations with 25 mg diclofenac are OTC in New Zealand. OTC use is approved for minor aches and pains and fever associated with common infections.

Diclofenac is available as a generic drug in a number of formulations.

Mechanism of action

The exact mechanism of action is not entirely known, but it is thought that the primary mechanism responsible for its anti-inflammatory/antipyretic/analgesic action is inhibition of prostaglandin synthesis by inhibition of cyclooxygenase (COX).

Diclofenac, it seems, may also be a unique member of the NSAIDs. There is some evidence that diclofenac inhibits the lipooxygenase pathways, thus reducing formation of the leukotrienes (also pro-inflammatory autacoids). There is also speculation that diclofenac may inhibit phospholipase A2 as part of its mechanism of action. These additional actions may explain the high potency of diclofenac - it is the most potent NSAID on a molar basis.

Inhibition of COX also decreases prostaglandins in the epithelium of the stomach, making it more sensitive to corrosion by gastric acid. This is also the main side effect of diclofenac. Diclofenac has a low to moderate preference to block the COX2-isoenzyme (approximately 10-fold) and is said to have therefore a somewhat lower incidence of gastrointestinal complaints than noted with indomethacin and aspirin.

The action of one single dose is much longer (6 to 8 hours) than the very short half-life of the drug indicates. This could partly be due to a particular high concentration achieved in synovial fluids.

Common uses

Diclofenac is used for musculoskeletal complaints, especially arthritis (rheumatoid arthritis, osteoarthritis, spondylarthritis, ankylosing spondylitis), gout attacks, and pain management in case of kidney stones and gallstones. An additional indication is the treatment of acute migraines. Diclofenac is used commonly to treat mild to moderate post-operative or post-traumatic pain, particular when inflammation is also present, and is effective against menstrual pain.

Read more at Wikipedia.org


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Diclofenac Sodium 1.5% Topical Gel
From International Journal of Pharmaceutical Compounding, 9/1/04

METHOD OF PREPARATION

1. Calculate the required quantity of each ingredient for the total amount to be prepared.

2. Accurately weigh and/or measure each ingredient.

3. Mix the diclofenac sodium and the carbomer 940 with the propylene glycol.

4. Add the alcohol and mix well.

5. Add purified water to a volume of about 95 mL and mix well.

6. Add sufficient trolamine until the desired viscosity is obtained or a pH of about 6.

7. Add sufficient purified water to volume and mix well.

8. Package and label.

PACKAGING

Package in tight, light-resistant containers.1

LABELING

Keep out of reach of children. Use only as directed.

STABILITY

A beyond-use date of up to 30 days would be appropriate for this preparation.1

USE

Diclofenac sodium topical gel has been used in the treatment of sunburn.

QUALITY CONTROL

Quality-control assessment can include theoretical weight compared to actual weight, pH, specific gravity, active drug assay, color, clarity, texture-surface, texture-spatula spread, appearance, feel, rheological properties and physical observations.

DISCUSSION

The painful period during the first couple of days after experiencing a sunburn can be relieved using topical nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac. The concentration of this gel can be easily modified. The alcohol allows it to be applied and evaporate rapidly. If desired, a few drops of simethicone can be added to minimize the tacky feeling experienced by some when carbomers are used.

Diclofenac sodium (C^sub 14^H^sub 10^Cl^sub 2^NNaO^sub 2^, MW 318.13) is a phenylacetic acid derivative that is a nonsteroidal anti-inflammatory agent with antipyretic activity. It is used in the treatment of inflammatory diseases (ie, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, juvenile arthritis) and dysmenorrhea and for its antipyretic effect. It is used topically in the treatment of actinic keratoses as a 3% gel and has been used in the treatment of sunburn. It occurs as a white to off-white, hygroscopic, crystalline powder. It is soluble in ethanol and sparingly soluble in water.1,3

Propylene glycol (C^sub 3^H^sub 8^O^sub 2^, MW 76.09) occurs as a clear, colorless, viscous, practically odorless liquid with a sweet taste, somewhat resembling glycerin. It is miscible with acetone, 95% ethanol, glycerin and water.4

Carbomer 940 is a synthetic, high-molecular-weight polymer. Carbomers are composed of acrylic acid cross-linked with either allyl sucrose or allyl ethers of pentaerythritol and occur as white-colored, fluffy, acidic, hygroscopic powders with a slight characteristic odor. The molecular weight of carbomer 940 is approximately 4 × 10^sup 6^. It is soluble in water and, after neutralization, in 95% ethanol and glycerin. When carbomers are dispersed in water, an acidic colloidal solution of low viscosity will form that will thicken when an alkaline material, such as triethanolamine, is added.5

Alcohol (C^sub 2^H^sub 5^OH, MW 46.07, ethyl alcohol, ethanol, grain alcohol) is a clear, colorless mobile and volatile liquid with a slight, characteristic odor and a burning taste. It is miscible with glycerin and water.6

Trolamine (C^sub 6^H^sub 15^NO^sub 3^, MW 149.19, TEA, triethanolamine) is an alkalizing and emulsifying agent. It occurs as a variable mixture of alkanolamines and is a clear, colorless to pale yellow-colored, viscous liquid with a slight ammoniacal odor. Its specific gravity is about 1.120-1.128 g/mL and it has a pH of 10.5 in a 0.1N aqueous solution. It is very hygroscopic, melts at 20°C to 21°C and boils at 335°C. It is miscible with water, 95% ethanol, methanol and acetone.7

REFERENCES

1. US Pharmacopeial Convention, Inc. United States Pharmacopeia 27-National Formulary 22. Rockville, MD: US Pharmacopeial Convention, Inc.; 2004: 595-596, 2345-2349, 2759.

2. Allen LV Jr. Standard operating procedure for performing physical quality assessment of ointments/creams/gels. IJPC 1998; 2: 308-309.

3. McEvoy GK. AHFS Drug Information-2004. Bethesda, MD: American Society of Health-System Pharmacists; 2004: 1059-1965, 3434-3435.

4. Weller PJ. Propylene glycol. In: Rowe RC, Sheskey PJ, Weller PJ, eds. Handbook of Pharmaceutical Excipients. 4th ed. Washington, DC: American Pharmaceutical Association; 2003: 521-523.

5. Koleng JJ, McGinity JW, Wilber WR. Carbomer. In: Rowe RC, Sheskey PJ, Weller PJ, eds. Handbook of Pharmaceutical Excipients. 4th ed. Washington, DC: American Pharmaceutical Association; 2003: 89-92.

6. Owen SC. Alcohol. In: Rowe RC, Sheskey PJ, Weller PJ, eds. Handbook of Pharmaceutical Excipients. 4th ed. Washington, DC: American Pharmaceutical Association; 2003: 13-15.

7. Goskonda SR, Lee JC. Triethanolamine. In: Rowe RC, Sheskey PJ, Weller PJ, eds. Handbook of Pharmaceutical Excipients. 4th ed. Washington, DC: American Pharmaceutical Association; 2003: 663-664.

Copyright International Journal of Pharmaceutical Compounding Sep/Oct 2004
Provided by ProQuest Information and Learning Company. All rights Reserved

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