Diclofenac rectal suppositories: instructions and reviews

Almost any inflammatory process in the body is accompanied by pain. To eliminate unpleasant symptoms, non-steroidal anti-inflammatory drugs are used, among which Diclofenac occupies a special place. The variety of release forms makes the drug the most popular among the group of NSAIDs, but it is Diclofenac suppositories that have special advantages that allow them to be used in many ways.

The drug Diclofenac belongs to the group of non-steroidal anti-inflammatory drugs. The action is aimed at relieving inflammation (swelling) and relieving pain of various etiologies

Features and Benefits

The main active ingredient diclofenac sodium is contained in each suppository in quantities of 50 and 100 mg. This substance has the ability to suppress enzymes that cause swelling, pain and inflammation. In addition, Diclofenac suppositories have a strong antipyretic and anti-inflammatory effect.

Over many years of practice, the drug has proven itself to be the best in a series of non-steroidal anti-inflammatory drugs. Its effectiveness is confirmed not only by reviews from doctors, but also by patients who have used the product for various pathologies.

In rheumatology, suppositories are actively used in the treatment of degenerative and inflammatory processes. The drug effectively eliminates morning stiffness of joints, pain, reduces swelling and swelling, and improves the functionality of joints.

Diclofenac suppositories are prescribed first in gynecology. This is the fastest way to relieve both pain and inflammation at the same time.

Diclofenac helps in relieving post-traumatic and postoperative pain, swelling, and inflammation.

Important! Diclofenac suppositories have advantages over other forms of release of the drug, for example, injections or tablets.

Diclofenac injections can cause side effects such as suppuration at the injection site and the development of muscle neurosis. And the use of tablets can cause exacerbation of gastritis or peptic ulcers.

Suppositories are recommended when taking other forms of the drug is impossible or the patient is in too weakened a state. And the rectal route of administration makes it possible to reduce the negative effect of the active substance on the gastric mucosa, which is why suppositories can be used by patients with stomach problems and diseases of the duodenum.

Instructions for use allow the use of suppositories as part of combination therapy. That is, the patient is prescribed the main treatment in the form of injections or tablets, and suppositories are prescribed at night to enhance the effect. This method of therapy quickly relieves unpleasant symptoms and significantly speeds up recovery.

Rectal suppositories Diclofenac

Over many years of use, the drug is considered the main one in the group of non-steroidal anti-inflammatory drugs. The effectiveness of the product is confirmed not only by medical workers, but also by patients who have used it for various pathologies.

Rectal suppositories have significant advantages over other forms of Diclofenac. First of all, it should be noted that they do not cause serious complications like injections or pills.

Quite often, when administered intramuscularly, suppuration occurs at the injection site and muscle necrosis develops. The drug should not be used as an injection for more than 2 days. Using tablets, patients note the development or exacerbation of peptic ulcers and gastritis.

Suppositories are convenient to use in cases where the patient is contraindicated in other forms of the drug or is in a weakened state. Some patients note a weak analgesic effect or its complete absence. It is important to consult a specialist to select the correct dosage and additionally prescribe other forms of the drug.

The disadvantage is also the appearance of side effects of Diclofenac suppositories in the form of abdominal pain, dizziness, insomnia, increased blood pressure, increased gas formation, bloating, diarrhea, heartburn. If you notice such symptoms, you must inform your doctor.

A positive effect from Diclofenac suppositories can be expected when the drug is used as prescribed by a doctor and according to the instructions.

Where are Diclofenac suppositories used?

Suppositories should be used only as prescribed by a doctor, who will calculate the daily dosage of the drug and determine the treatment regimen depending on the age of the patient, the type and nature of the disease.

Main indications for use:

• Osteoarthritis;
• Neuralgia;
• Artiritis (rheumatoid, infectious, gouty, traumatic);
• Radiculitis;
• Myalgia;
• Bursitis;
• Ankylosing spondylitis;
• Thrombophlebitis;
• Inflammation of joints, muscles, ligaments;
• Myositis (aseptic inflammation of skeletal muscles);
• Gout;
• Hernia or protrusion of intervertebral discs.

In combination with antispasmodics, suppositories can be used for hepatic or renal colic to relieve pain.

Additionally, rectal suppositories can be prescribed for other pathologies accompanied by pain and inflammation: the postoperative period, acute pain in the back or spine, dental and headaches, infectious ENT diseases with a painful course.

Suppositories relieve pain, eliminate spasms and swelling, and also have an antipyretic and anti-inflammatory effect. Rectal administration allows to reduce the negative impact of the drug components on the condition of the gastric mucosa

In gynecology

Diseases of the reproductive system often occur with severe pain, so Diclofenac suppositories are used quite often in gynecology.

The use of suppositories in gynecology can be carried out as part of complex therapy to relieve unpleasant symptoms in the presence of various inflammatory processes of the ovaries and uterus.

During menstruation, a woman may experience severe pain in the lower abdomen, which is accompanied by other emotional and vegetative disorders, and sometimes by fever. Diclofenac suppositories will relieve pain and have an antipyretic effect.

In the treatment of inflammation of the appendages, Diclofenac has an anti-inflammatory and analgesic effect, and does not allow the pathology to pass from the acute phase to the chronic one.

The effect of suppositories can be enhanced by additional administration of the same drug in the form of tablets or injections. But you cannot use Diclofenac to treat gynecological problems on your own, because this can only worsen the patient's condition.

During pregnancy

During pregnancy, many women suffer from lumbar and spinal pain due to increased stress on these areas. Such conditions are indications for the use of Diclofenac during pregnancy.

In gynecology, Diclofenac is effective for painful periods and inflammation of the ovaries. Pain in the lower abdomen on the first day of the cycle, which accompanies the physiological process of opening the uterus, can temporarily disable work. Diclofenac suppositories are used most successfully in gynecology

Suppositories do not affect the contractility of the uterus, so they can be used in early pregnancy. Although, if it is possible to do without medications, doctors still recommend abandoning their use.

Note! Pregnant women can be prescribed Diclofenac suppositories for hemorrhoids, arthralgia and neuralgia.

In the first and last months of pregnancy, the use of suppositories is prohibited, because this can stimulate the threat of miscarriage, and prevents the mother's body from preparing for labor.

For prostatitis

Diclofenac can be used for any pathological process in the prostate gland, except prostate cancer.

Diclofenac suppositories for prostatitis have the following effects:

• Reduce inflammation in tissues;
• Eliminate pain and swelling;
• Reduce temperature;
• They have an antispasmodic effect on the tissues surrounding the prostate gland and prostate;
• Thin the blood.

The dosage and course of treatment with Diclofenac for prostatitis should be agreed with the attending physician.

It should be borne in mind that Diclofenac suppositories, despite their analgesic and anti-inflammatory effect, are not used if the patient has hemorrhoids or rectal pathologies

The indications are:

• Painful menstruation – dysmenorrhea. Pathology can be primary or secondary. If pain during menstruation is not associated with some kind of genital disease, Dicofenac suppositories can be used without fear. Secondary dysmenorrhea can be a symptom of a serious pathology, so before using suppositories you should consult your doctor.
• Inflammation of the appendages - fallopian tubes, ovaries (adnexitis).

For treatment to be successful, Diclofenac suppositories are combined with taking other medications - injections, pills, capsules. When using suppositories, the therapeutic effect occurs very quickly - within an hour, while when used orally, 2-4 hours must pass for the medicine to take effect.

How to use candles

Diclofenac rectal suppositories are administered directly into the rectum. A cleansing enema is recommended in advance if it is not possible to empty the intestines naturally.

The dosage of the drug is determined depending on the composition of the drug (Diclofenac 100 mg or Diclofenac 50 mg) and is usually 100-150 mg per day in two or three doses. In especially severe cases, the dose may be increased by the doctor.

Important! Increasing the dosage on your own will not increase the effect, but may cause overdose symptoms and significantly worsen the patient's condition.

The duration of the course is determined by the doctor and averages about a week. At the beginning of treatment, the patient is advised to listen to his condition, because Diclofenac suppositories can cause a number of side effects:

• From the digestive system: development of pain in the upper part of the stomach, nausea, periodic vomiting, diarrhea.
• On the part of the hematopoietic system - the development of anemia, a decrease in the level of platelets and leukocytes.
• From the nervous system - periodic dizziness, headaches, sleep disturbances, fatigue, anxiety, irritability. Less commonly, visual disturbances (hallucinations, blurred objects), tremors, and tinnitus may occur.
• From the urinary system - decreased kidney function.
• On the part of the skin - redness, irritation, burning at the site of insertion of the suppository.
• From the cardiovascular system – surges in blood pressure.
• Allergic rashes, itching.

Before using suppositories, it is recommended to empty the intestines for better absorption of the active component. Suppositories must be inserted as deeply as possible. The manipulation is carried out at night

If any undesirable effect occurs, you should immediately stop using Diclofenac suppositories and replace them with another drug.

During the period of use of Diclofenac, it is necessary to abstain from drinking alcohol, and you should not drive vehicles, because. the drug affects the speed of psychomotor reactions.

It is prohibited to use Diclofenac in the following conditions:

• Hemorrhagic colitis;
• Rectal, anal bleeding;
• Bronchial asthma;
• Inflammation of the rectum;
• Hematopoietic disorders;
• Hemorrhoids in the acute stage;
• Ulcers of the stomach and intestines.

Also, suppositories should not be used by patients under 15 years of age and by persons with individual intolerance to the components of the drug.

With caution and under the supervision of a doctor, suppositories should be used by elderly people, patients suffering from high blood pressure, heart failure, and inflammation of the digestive tract.

During long-term therapy using Diclofenac suppositories, blood counts should be periodically monitored to exclude the development of other pathologies.

If you use other drugs during the use of Diclofenac, you should inform your doctor about this in order to prevent a possible negative effect from the interaction.

Diclofenac suppositories should be used with caution. They are not intended for people with blood pressure problems, intestinal or stomach diseases, liver or kidney disease, rectal bleeding

Suppositories for hemorrhoids

Many patients wonder how effective is the use of Diclofenac suppositories for hemorrhoids?

Experts do not recommend using this drug; there are more effective drugs with fewer side effects.

For acute hemorrhoids, this remedy is strictly prohibited. Otherwise, the course of the disease may be seriously aggravated by bleeding and severe pain.

The drug "Diclofenac" can be used for the development of hemorrhoidal cones only on those areas of the skin that are not damaged by cracks or bleeding.

The use must be carried out exclusively as prescribed and under the supervision of a physician; the course must also be prescribed by a specialist.

The drug "Diclofenac" with long-term use can cause addiction and serious aggravation.

https://www.youtube.com/watch?v=8cxsc9bpohE

Important! Diclofenac suppositories and ointments are intended exclusively for external use and cannot be used orally.

What can be replaced

The price of Diclofenac suppositories is very affordable and varies within 30 rubles. But, if for some reason it is not possible to buy Diclofenac suppositories 50 and 100 mg, you can purchase analogues of the drug, which contain the same active ingredient.

The most popular substitutes: Naklofen, Diclak, Voltaren, Diclomelan.

If there are contraindications to the use of Diclofenac, the drug can be replaced with drugs from the NSAID group that are identical in action. Analogs of Diclofenac:

Reviews of Diclofenac suppositories from patients are mostly positive. Some note a weak analgesic effect of the drug, but to a greater extent this depends on the chosen dosage. A high positive effect when using Diclofenac suppositories can be achieved only when the product is used according to the instructions and as prescribed by a specialist.



Increasingly, on the shelves of pharmacies there are multifunctional drugs that literally treat everything. Non-steroidal anti-inflammatory drugs belong to this group. If everything is obvious with the use of ointments and tablets, then what Diclofenac suppositories help with needs to be figured out.

Analogues of the drug

Analogues of the drug include:

• Voltaren - rectal suppositories, available in dosages of the main active ingredient of 50 and 100 mg, have an identical analgesic effect, cost - 315-367 rubles;
• Diclovit - rectal suppositories of 50 mg, produced in Russia, 10 pieces of suppositories cost 145 rubles;
• Diclofenac - rectal suppositories 100 mg, have a more pronounced effect, cost 10 pieces - 94 rubles.

And here is more information about how to correctly perform electrophoresis with Diclofenac.

Diclofenac suppositories are an effective pain reliever, which is intended for rectal administration and is used to alleviate the condition of patients with gynecological diseases, pathologies of the musculoskeletal system and pain of any origin. It has many side effects, so it should be used only as prescribed by a doctor, although it is available without a prescription.

source

Indications for use Diclofenac

When diclofenac natrii was first synthesized as a drug, the resulting drug was used primarily for the treatment of inflammatory diseases of the musculoskeletal system. Over time, when pharmacologists learned to synthesize the drug in other forms, other branches of medicine found their application in the indications for Diclofenac.

Today it is actively used by medical specialists in the field of:

• surgery;
• traumatology;
• sports medicine;
• neurology;
• gynecology;
• oncology;
• nephrology;
• ophthalmology.

Due to its two-component action aimed at eliminating pain and inflammation, Diclofenac is used for bruises, sprains, for postoperative pain relief, for the treatment of back pain, joint pain, and can be instilled in cases of damage to the visual apparatus. All this is possible thanks to the variety of dosage forms presented in pharmacies. Indications for the use of Diclofenac suppositories include the field of gynecology and proctology.

Use in women

Thanks to the ability to relieve acute and chronic pain syndrome, inflammatory processes, spasms in the pelvic organs.

Indications for the use of suppositories in gynecology are:

• painful menstruation;
• inflammation of the ovaries;
• fallopian tube cyst;
• sexual infections;
• adhesive processes.

Diclofenac therapy should be started after the first symptoms appear, after consulting a gynecologist. Depending on the dynamics, treatment can last from 3 to 7 days. To increase the effectiveness of treatment, suppositories are combined with other forms of drug release, for example, tablets or injections. Diclofenac suppositories become indispensable during postoperative rehabilitation.

Use in men

Inflammation of the prostate gland becomes an acute problem for men over the age of 40. Symptoms of prostatitis disrupt the usual routine of life and cause serious concern. Inflammation is accompanied by constant discomfort, the urge to urinate, pain in the groin and perineum, which interferes with normal work and rest.

Due to the anatomical features of the location of the prostate gland, the prescription of Diclofenac rectal suppositories is always justified. The thin wall of the rectum allows the drug to penetrate directly into the site of inflammation, where pain symptoms are eliminated and the patient’s general condition is normalized.

For the treatment of hemorrhoids

Representatives of both sexes can face the unpleasant problem of hemorrhoids at any age. Diclofenac suppositories will help cope with both the chronic form of the disease and acute manifestations. The drug has a rapid effect even in advanced stages of the disease. Contraindication is the use of Diclofenac on damaged areas of the intestine. If there are cracks, wounds, or tears in the mucous membrane, then therapy should begin with other drugs that promote healing.

Although the drug is not addictive, it is still not recommended to use it for a long time, since the likelihood of side effects increases. No studies have been conducted on the effect of Diclofenac on pregnant women, therefore expectant and nursing mothers should not use suppositories during pregnancy and breastfeeding.

How does it affect the body? (Pharmacodynamics)

The rectal suppository melts completely at body temperature in a few minutes. The main substance is released and quickly enters the blood. When using suppositories, peak concentrations in serum accumulate after 1-1.5 hours, and from tablets after 2-2.5 hours. At the same time, suppositories do not damage the gastric mucosa.

By inhibiting COX, diclofenac:

• reduces the amount of prostaglandins that protect the gastrointestinal mucosa from damage. lowers body temperature to normal if there was a fever;
• reduces the amount of prostaglandins by blocking the COX enzyme involved in their synthesis;
• has an analgesic effect.

Prostaglandins are chemical compounds that the body constantly synthesizes, but when there is inflammation of any nature, their number increases sharply. They enter the brain, reach the hypothalamus, and begin to stimulate the thermoregulation center that is located there. In response, body temperature rises. In addition, passing through nerve endings, prostaglandins stimulate pain receptors. Their sensitivity to pain mediators (bradykidin and histamine) increases. When prostaglandins decrease:

• the temperature returns to normal;
• pain decreases or goes away;
• the severity of local signs of inflammation decreases: swelling, redness, etc.

Rectal suppositories are prescribed for:

• inflammatory, degenerative-dystrophic processes in joints and surrounding tissues;
• injuries and after operations;
• polyarthritis;
• Bekhterev's disease;
• atroses;
• spondyloarthrosis;
• neuritis;
• neuralgia (lumbago, sciatica and others);
• gout

According to the instructions for use of diclofenac, rectal suppositories are contraindicated for such diagnoses as:

• erosions, acute and chronic ulcers of the gastrointestinal tract;
• inflammatory process in the intestines (for example, Crohn's disease);
• heart failure grades 3 and 4;

• severe insufficiency of kidney and liver function;
• intolerance to other drugs from the NSAID group, including aspirin, allergy to additional components of suppositories.

• hepatic porphyria;
• bleeding from any internal organ (special attention to those who have suffered a hemorrhagic stroke, bleeding into the membranes of the brain);
• heart failure, fluid retention;
• increased blood pressure that is difficult to respond to drug therapy;
• coronary artery bypass grafting;
• age up to 12 years.
• pregnancy and breastfeeding (exception – vital signs).

When prescribing the drug to a nursing mother, the baby must be weaned and transferred to artificial feeding. With long courses of treatment (more than two weeks), it is necessary to monitor the level of liver enzymes and the condition of the gastrointestinal mucosa.

During treatment, regardless of the duration of the course, side effects may appear:

• nausea, vomiting, abdominal pain, digestive disorders;
• increased liver function tests;
• bleeding from the gastrointestinal tract, both from the upper and lower sections;
• dizziness, headaches;
• sleep disorders, sudden mood swings, seizures;
• disorders of perception: taste, vision;
• increased blood pressure, rapid heartbeat, heart pain;
• manifestations of allergies: skin, respiratory, others;
• swelling;
• inhibition of hematopoiesis;
• spasm of the bronchi and bronchioles.

It has been proven in clinical studies that the active component of the suppository increases the risk of myocardial infarction.

According to indications for use, diclofenac rectal suppositories are prescribed:

• adults 100 mg once a day (morning or evening);
• children 12–18 years old: 50 mg once a day or 25 mg twice a day.

The maximum daily dose for adults is 150 mg, for children 12-18 years old – 100 mg.

1. The suppository should be placed in the morning or evening at the most preferable time.
2. Before the procedure, you should empty your bowels or do a cleansing enema.
3. Wash your hands, lie on your left side, slightly bending your knees and hips.
4. With clean hands, carefully insert the suppository into the anus.
5. Roll over onto your back and lie down for 15-20 minutes until the candle melts and is absorbed.
6. Wash your hands after the procedure.

In accordance with the instructions for use in gynecology, diclofenac suppositories can be used for such diagnoses as algomenorrhea, inflammation of the ovaries, which are accompanied by acute pain syndromes. In gynecology, treatment with suppositories is carried out when it is necessary to achieve the fastest possible result: in the conditions of microflora and vaginal temperature, the medicine quickly dissolves and is just as quickly (and in the maximum volume) delivered to the diseased organ.

In different pharmacies, the price of diclofenac suppositories may vary depending on the size of the pharmacy chain’s markup, sales region, and manufacturer. Without a doctor's prescription, the medicine in a dosage of 50 mg grams, 10 suppositories, can be bought in online pharmacies:

• Europharm – 40 rubles;
• Dialogue – 30 rubles;
• Maksavit – 31 rubles;
• Pharmacy – 24.80 rubles.
• Еapteka – 54 rubles.

You can replace the medicine with similar drugs based on the same active substance. These include:

Voltaren is a Swiss drug based on diethylamine diclofenac. In suppositories it is used as an analgesic with a pronounced anti-inflammatory and analgesic effect. Price – from 320 rubles.

Diclovit is a domestic medicine (Nizhpharm). Widely used to relieve pain syndromes, inflammation due to neuralgia, gout, after operations, etc. Price - from 149 rubles.

Also, according to indications and principle of action, you can purchase diclofenac analogues in suppositories belonging to the same pharmaceutical group:

Ibuprofen is a Russian suppository for rectal use for children based on the active ingredient of the same name. Acts as an analgesic and antipyretic in inflammatory processes, febrile conditions, and ENT diseases. Price – from 90 rubles.

Indomethacin is a drug that operates on the basis of the main component of the same name, which belongs to the NSAID group. It has an analgesic and antipyretic effect in diseases of the musculoskeletal system. Price – from 96 rubles.

Ketonal is a Slovenian medication for rectal use, the active substance of which is ketoprofen. Used to relieve pain, fever and inflammation. Price – from 238 rubles.

I became acquainted with this drug during my illness. I was diagnosed with ovarian inflammation and it was accompanied by incredible pain. Treatment began with suppositories, and soon I felt relief. The most important thing is without pain, and the effect came almost immediately. I had to ask for help. I would like to note that it helped me even after the operation, I already took it in tablets. I recommend it.

This drug relieves pain well, and what is especially important, fights its root cause – inflammation. Different forms of release make it possible to choose the appropriate one, depending on the problem - acute pain or the need for course treatment. The extensive base that proves its effectiveness inspires confidence. But you need to be careful, long-term use negatively affects the functioning of the gastrointestinal tract.

How to use Diclofenac suppositories in gynecology should be explained by your attending physician. Since independent use of suppositories is not allowed. The drug belongs to the group of non-steroidal anti-inflammatory drugs. Helps relieve pain, relieve swelling, stop inflammation. It is available in different forms, but in gynecology suppositories are mainly used.

Instructions for use

The instructions for use of Diclofenac state that before using the medicine you must wash your hands with soap. The suppository is removed from its original packaging and the pointed edge is inserted into the anal or vaginal opening, depending on the indications, as deeply as possible. The suppository should be inserted into the vagina while lying on your back, with your pelvis raised up using pillows or a blanket. It is better to introduce the medicine into the anus while squatting, after emptying the intestines and performing hygiene procedures. It is better to administer the medicine at night.

Each Diclofenac suppository contains 30–50 mg of active ingredient. The total daily dose of the drug entering the body should not exceed 150 mg, since a larger amount provokes unwanted side effects. The timing of treatment is determined by the dynamics of recovery, but the patient himself should strive to minimize the duration of the therapeutic course.

Benefits of Diclofenac suppositories

Diclofenac suppositories help get rid of uncomfortable conditions that are not customary to talk about out loud. Suppositories have a whole list of advantages over other dosage forms of this active substance. They do not cause complications possible with parenteral use (abscesses, necrosis, infiltrates).

Since suppositories are administered rectally, local irritation to the stomach is eliminated, and the risk of ulcers and erosions of the mucous membrane is reduced . The rectum has a good blood supply, so the drug is quickly absorbed into the blood, providing an additional systemic effect. The number of medications taken per day is reduced. A tangible result from use occurs almost immediately. Diclofenac suppositories are not addictive, so over time no additional increase in dose is required to maintain the therapeutic effect.

The price of Diclofenac suppositories is significantly lower than its analogues. Depending on the package configuration and the amount of active ingredient, the cost varies from 50 to 100 rubles. The drug occupies a special place in the group of NSAIDs. Despite the fact that many new drugs have now appeared, Diclofenac is able to help with pain symptoms of varying degrees of intensity.

Found a mistake? Select it and press Ctrl + Enter



If pain occurs, it is important to choose a remedy that will quickly relieve it, such as the drug Diclofenac suppositories. It acts faster than tablets and penetrates to the site of origin instantly. The suppositories are administered rectally and have an effective composition, but the instructions for use notify the patient of contraindications and possible side effects. Doctors recommend using the drug after medical consultation.

Reviews about the use of candles

Reviews about the use of the drug are positive. Diclofenac quickly helps to get rid of pain and make you feel better.

inna85

I was bothered by nagging pain in the lower abdomen, like during menstruation. But my period has already ended for a few days. I decided to wait. But the pain did not go away. I was admitted to the hospital. And they gave candles. The pain went away for about 20 minutes. More precisely, it subsided, but it was still there somewhere in the distance. In general, these candles did not help me, alas. I put them in at night for almost a week, and in the first days I was told to put them in twice. In the end, there was no point, I stopped using them. I hope they helped someone else.

Dinkivinky

Unfortunately, we all get sick. And women sometimes more often, so I was sick like a woman, and there was surgical intervention. After the procedure, I was prescribed medications, including Diclofenac suppositories. They provide excellent pain relief. I'm glad that medications can still be effective and inexpensive.

Tanuushka

Rewolf

What are Diclofenac suppositories?

Diclofenac suppositories intended for rectal administration are included in the group of anti-inflammatory, analgesic and antipyretic drugs. They are white or yellowish cylindrical suppositories. Inside, Diclofenac suppositories may have an airy porous core and a funnel-shaped depression. The medicine is available by prescription. The instructions suggest storing the medication in a dry, out-of-sun place at a temperature of up to 25 degrees, the shelf life is three years. You should keep the medicine away from children.

pharmachologic effect

Diclofenac suppositories is a non-steroidal anti-inflammatory drug (NSAID) and a phenylacetic acid derivative that can act non-selectively. It inhibits several enzymes, disrupts the metabolism of arachidonic acid and reduces the level of prostaglandins, helping to get rid of inflammation. Due to this, Diclofenac suppositories work more effectively for inflammatory pain, reaching maximum concentration half an hour after administration.

One suppository weighing 2 g contains 50 or 100 mg of the active substance diclofenac sodium. Auxiliary components of suppositories are cetyl alcohol and semi-synthetic glycerides. Diclofenac suppositories are produced with a concentration of 100 mg of diclofenac sodium, five or six suppositories in contour packaging with cells. Suppositories with 50 mg of diclofenac sodium are located inside a pack of six pieces with one contour package.

Description of Diclofenac suppositories: composition and release forms

Diclofenac is a non-steroidal anti-inflammatory drug that has anti-edematous, analgesic and antipyretic properties. Available in several forms:

• pills;
• capsules;
• ointment;
• gel;
• injection solution;
• suppositories.

Diclofenac suppositories help to quickly eliminate pain

Varieties of the drug indicate its widespread use in all areas of medicine. In gynecology, it is very popular in the form of rectal suppositories, since the effect resulting from such use will not take long to appear.

Candles consist of:

• active ingredient: diclofenac sodium;
• auxiliary components:

• solid fat;
• silicon dioxide (colloid);
• propylene glycol.

Their shape is cylindrical or cone-shaped (depending on the manufacturer of the drug), color - from white to cream.

Due to the peculiar structure of the intestine (its inner lining is endowed with a huge number of tiny blood vessels - capillaries), Diclofenac is instantly absorbed into the blood, and the effect occurs quite quickly (within fifteen to twenty minutes the pain subsides).

In addition, the drug has a blood-thinning effect, which reduces the risk of blood clots and blood clots.

Indications for use

According to the annotation, Diclofenac suppositories are prescribed by a doctor for the following patient indications:

• inflammation of the musculoskeletal system (arthritis, rheumatism, spondylitis, osteoarthritis, gout);
• degenerative diseases of the musculoskeletal system (bursitis, tendovaginitis, lumbago, sciatica, ossalgia, arthralgia, radiculitis);
• pain – headache, migraine, dental, neuralgia, myalgia, colic in the kidneys and gall bladder, cancer, post-traumatic, post-operative, inflammatory;
• gynecological diseases - algodismenorrhea, pelvic inflammation, adnexitis;
• infectious diseases - pharyngitis, tonsillitis, otitis media;
• fever due to colds and flu;
• prostatitis, hemorrhoids.

For prostatitis

Any form of prostatitis requires complex long-term therapy. Diclofenac suppositories eliminate severe pain and spasms, normalize the general condition of the patient. The drug relieves inflammation, swelling, enhances heat transfer, and relaxes the smooth muscles of the pelvis. The advantage of the medicine is its rapid and widespread effect, eliminating several symptoms of the disease at once. Doctors may prohibit the use of the drug in cases of high blood pressure, diseases of the gastrointestinal tract, liver, kidneys, or bleeding from the rectum.

In gynecology to the rectum

Diclofenac is actively used in gynecology for menstruation. It relieves acute pain caused by inflammation. In addition to its analgesic properties, suppositories treat inflammatory processes in the ovaries, appendages, adnexitis, and dysmenorrhea. To relieve pain in the first days of menstruation, women use suppositories for intravaginal or rectal administration - they dissolve and quickly act on the cause of the pain.

If a girl has inflammation of the appendages, then Diclofenac suppositories will help in the fight and will not allow the acute form to become chronic. Suppositories relieve pain and relieve inflammation in tissues. The analgesic effect lasts a long time, treatment lasts up to five days. You can use no more than one suppository per day; it is better to administer it at night.

For hemorrhoids

Diclofenac rectal suppositories for hemorrhoids have analgesic, anti-inflammatory and antipyretic properties. They quickly relieve pain in the rectum, relieve inflammation, swelling, and reduce hyperthermia. Among the advantages of treatment with Diclofenac for hemorrhoids, doctors note that it does not cause addiction or depression of the respiratory center, but has a powerful effect.

For back pain

Over many years of practice of using Diclofenac, it has become one of the main ones in the group of non-steroidal anti-inflammatory drugs. Rectal suppositories effectively relieve rheumatoid or degenerative inflammation in the back, joints and lower back. Suppositories act faster than tablets or injections, provide powerful pain relief, and penetrate directly to the source of inflammation. The dose and period of treatment for pain syndrome are prescribed by the doctor according to the individual characteristics of the patient who suffers from pain.

Diclofenac suppositories during pregnancy

The use of these suppositories is undesirable, but at the same time, they are sometimes prescribed to pregnant women. They can be used only if the benefit from them is greater than the harm they can cause to the body of the expectant mother and her baby .
But even if they are prescribed, they do it in the first two trimesters of pregnancy. During the last trimester, diclofenac suppositories cannot be used. They can easily penetrate the placenta to the fetus and have a negative effect on it. In addition, the active substances of the drug negatively affect the production of the hormone prolactin and may reduce its effect. This can disrupt natural processes and cause labor to not start on time. Complications may arise. As for the lactation period, taking the drug at this time is acceptable, since there is practically no risk that the active substances will pass into breast milk if you use Diclofenac rectal suppositories, and not tablets and injections.

Instructions for use of Diclofenac suppositories

Each package of Diclofenac suppositories is supplied with instructions for use. According to it, suppositories are administered rectally in a dose of 50 mg twice a day or 100 mg once. In mild cases, the daily dose does not exceed 100 mg. In complicated situations, the maximum daily dose is 150 mg of the drug. During a migraine attack, 100 mg of the medication will help eliminate its first signs; if necessary, the dose is increased to 150 mg. The abstract warns that suppositories are inserted after bowel movements or microenemas, as deep as possible into the rectum.

During pregnancy

According to the instructions for use, Diclofenac suppositories are contraindicated during pregnancy. A doctor has the right to prescribe a drug to a woman carrying a fetus or nursing a child if the expected benefit to the mother is higher than the potential threat to the baby. In addition to pregnancy and lactation, the drug should not be used by children under six years of age, with caution in case of impaired functioning of the kidneys, liver, and the elderly.

Directions for use and doses

Diclofenac suppositories are used by rectal (into the rectal cavity) administration. The introduction of a suppository is carried out after a natural bowel movement or a cleansing enema. The recommended therapeutic dose of the drug is 100-150 mg, which is divided into 2-3 administrations during the day. The maximum daily dose should not exceed 150 mg, the duration of the course of treatment is on average 7 days. The need for longer use of the drug is determined by the doctor.

Side effects

The drug is active and effective, but it also has side effects on the body. The following pathologies must be taken into account when treating with Diclofenac suppositories:

• irritation of the skin and mucous membranes, bloody discharge;
• pain during bowel movements;
• allergy;
• abdominal pain, nausea, vomiting, diarrhea, flatulence;
• gastritis, anorexia, bleeding in the gastrointestinal tract, ulcers, jaundice;
• aphthous stomatitis, hepatitis, colitis, Crohn's disease, constipation, pancreatitis;
• exacerbation of hemorrhoids, proctitis;
• headaches, drowsiness, sensory disturbances;
• memory disorders, tremor, convulsions, anxiety, insomnia;
• depression, nightmares during sleep, blurred vision and hearing, tinnitus;
• urticaria, erythema, erythroderma, itching, photosensitivity;
• nephritis, renal failure, leukopenia;
• rapid heartbeat, chest pain, hypertension, myocardial infarction;
• bronchial asthma, shortness of breath, pneumonitis, lungs may swell.

In case of drug overdose, symptomatic treatment is required. When the concentration of the active substance in the blood is exceeded, diuresis and hemodialysis are ineffective due to the connection with proteins and the intensity of metabolism. An overdose of the drug is characterized by symptoms:

• headaches, dizziness;
• tinnitus cramps;
• stomach pain, nausea, vomiting, diarrhea, stomach bleeding;
• increased blood pressure, respiratory depression;
• coma, lethargy.

Candles affect driving and operating machinery, so at the time of treatment you should avoid work that requires increased concentration and speed of psychomotor reactions. It is important to know how Diclofenac interacts with other drugs:

• increases the concentration of lithium and digoxin in the blood plasma;
• weakens the effect of diuretics, together with potassium-sparing drugs increases the risk of hyperkalemia;
• increases the risk of bleeding in combination with anticoagulants and thrombolytics;
• aspirin reduces the concentration of diclofenac in plasma;
• combined use with glucocorticoids, serotonin inhibitors, colchicine, corticotropin or prednisolone increases the likelihood of gastric bleeding;
• reduces the effect of hypnotics, hypoglycemic and antihypertensive drugs;
• paracetamol, cyclosporine and gold enhance the development of nephrotoxic effect;
• antibacterial drugs, quinolone derivatives increase the likelihood of seizures;
• drugs that block tubular secretion increase the effectiveness and toxicity of the drug.

Contraindications

Instructions for use of Diclofenac suppositories indicate contraindications prohibiting the use of the drug:

• increased sensitivity to the composition;
• aspirin intolerance;
• bronchial asthma, polyps in the nose or paranasal sinuses (even transferred);
• bleeding disorder;
• exacerbation of gastric and duodenal ulcers;
• inflammation, erosion, bleeding in the gastrointestinal tract;
• renal, liver, heart failure;
• hyperkalemia, proctitis, exacerbation of hemorrhoids;
• pregnancy, lactation, age under 16 years.

Diclofenac suppositories are cheap and available for purchase. Analogues of the drug are offered for sale according to the principle of action:

• Dickloberl Retard;
• Diclopolus;
• Voltaren;
• Diclovit.

Diclofenac suppositories can be bought in an online store or ordered from a catalog through your usual pharmacy department. The price of the drug depends on the form purchased and the level of the pharmacy. The average cost of suppositories in Moscow is 74 rubles. On the websites you can find Diclofenac suppositories at a better price - 70 rubles, but you will have to pay for delivery or increase the order amount for free delivery by courier.

Contraindications and side effects

Like all medications, Diclofenac has contraindications for use indicated in the instructions:

• Peptic ulcers of the stomach and duodenum.
• Children under six years of age.
• Women after seven months of pregnancy.
• Lactation period.
• Allergic reactions to the drug.

We have already mentioned some side effects, but there are actually more of them:

• Pain in the stomach area may appear;
• Abdominal cramps;
• Sometimes erosions occur on the surface of the gastric or intestinal mucosa.
• Dizziness, headache, general weakness.
• Allergic reactions: rash, urticaria, etc.
• The liver or kidneys may be damaged. For example, proteinuria.
• There may be some changes in blood readings, such as anemia.