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Equate arthritis pain - Medication Information

Product NDC Code 49035-262
Drug Name

Equate arthritis pain

Type Brand
Pharm Class Anti-Inflammatory Agents,
Non-Steroidal [CS],
Cyclooxygenase Inhibitors [MoA],
Decreased Prostaglandin Production [PE],
Nonsteroidal Anti-inflammatory Drug [EPC]
Active Ingredients
Diclofenac sodium 10 mg/g
Route TOPICAL
Dosage Form GEL
RxCUI drug identifier 855633
Application Number ANDA211253
Labeler Name Wal-Mart Stores Inc
Packages
Package NDC Code Description
49035-262-01 1 tube in 1 carton (49035-262-01) / 100 g in 1 tube
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Active ingredient

A list of the active, medicinal ingredients in the drug product.
Active ingredient Diclofenac sodium (NSAID*) 1% (equivalent to 0.93% diclofenac) *nonsteroidal anti-inflammatory drug

Dosage and administration

Information about the drug product’s dosage and administration recommendations, including starting dose, dose range, titration regimens, and any other clinically sigificant information that affects dosing recommendations.
Directions 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. Daily Per Dose For your arthritis pain: • Use 4 times per day every day • Do not use on more than 2 body areas at the same time Use ENCLOSED DOSING CARD to measure a dose • For each upper body area (hand, wrist, or elbow) – Squeeze out 2.25 inches (2 grams) • For each lower body area (foot, ankle or knee) –Squeeze out 4.5 inches (4 grams) Read the enclosed User Guide for complete instructions: • 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 Diclofenac Sodium Topical Gel, 1% product. The dosing card is re-usable.
Use 4 times per day every dayDo not use on more than 2 body areas at the same timeFor each upper body area (hand, wrist, or elbow) – Squeeze out 2.25 inches (2 grams)For each lower body area (foot, ankle or knee) –Squeeze out 4.5 inches (4 grams)
DailyPer Dose
For your arthritis pain:
Use ENCLOSED DOSING CARD to measure a dose

Inactive ingredient

A list of inactive, non-medicinal ingredients in a drug product.
Inactive ingredients carbomer homopolymer Type C, cocoyl caprylocaprate, fragrance, isopropyl alcohol, mineral oil, polyoxyl 20 cetostearyl ether, propylene glycol, purified water, strong ammonia solution

Indications and usage

A statement of each of the drug products indications for use, such as for the treatment, prevention, mitigation, cure, or diagnosis of a disease or condition, or of a manifestation of a recognized disease or condition, or for the relief of symptoms associated with a recognized disease or condition. This field may also describe any relevant limitations of use.
Uses • for the temporary relief of arthritis pain ONLY in the 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.

Purpose

Information about the drug product’s indications for use.
Purpose Arthritis pain reliever

Spl product data elements

Usually a list of ingredients in a drug product.
equate arthritis pain diclofenac sodium DICLOFENAC SODIUM DICLOFENAC CARBOMER HOMOPOLYMER TYPE C (ALLYL PENTAERYTHRITOL CROSSLINKED) COCO-CAPRYLATE/CAPRATE ISOPROPYL ALCOHOL MINERAL OIL POLYOXYL 20 CETOSTEARYL ETHER PROPYLENE GLYCOL WATER AMMONIA

Package label principal display panel

The content of the principal display panel of the product package, usually including the product’s name, dosage forms, and other key information about the drug product.
Package/Label Principal Display Panel equate ™ Compare to Voltaren ® Arthritis Pain active ingredient ORIGINAL PRESCRIPTION STRENGTH Arthritis Pain Diclofenac Sodium Topical Gel, 1% (NSAID) Arthritis Pain Reliever • For Daily Treatment of Arthritis Pain • Anti-Inflammatory • For External Use Only NET WT 3.53 OZ (100g) arthritis pain-image 1 arthritis pain-image 2

Spl unclassified section

Information not classified as belonging to one of the other fields. Approximately 40% of labeling with effective_time between June 2009 and August 2014 have information in this field.
Consumer Information Diclofenac Sodium Topical Gel, 1% (NSAID) Arthritis Pain Reliever User Guide How to use Diclofenac Sodium Topical Gel, 1% with answers to frequently asked questions Quick Start How to get started right away with Diclofenac Sodium Topical Gel, 1% Understanding Diclofenac Sodium Topical Gel, 1% Diclofenac Sodium Topical Gel, 1% (NSAID) – arthritis pain reliever is an arthritis pain relief medication that you apply to your skin. Before You Use Diclofenac Sodium Topical Gel, 1% Read the Drug Facts Label, which appears on the carton. Remove the dosing card from the inside of the carton. You should always use the dosing card to measure out the correct dose of Diclofenac Sodium Topical Gel, 1%. The first time you use a tube of Diclofenac Sodium Topical Gel, 1%: You will have either one of the tube caps shown below Using Diclofenac Sodium Topical Gel, 1% How often to use Diclofenac Sodium Topical Gel, 1% Use 4 times a day for best results. For example: Where to apply Diclofenac Sodium Topical Gel, 1% Diclofenac Sodium Topical Gel, 1% can be used on up to 2 body areas from the following list: a hand, a wrist, an elbow, a foot, an ankle, a knee. Do not use on more than 2 body areas at once. Some examples include: Measuring the correct amount using the dosing card For each upper body area (a hand, a wrist, or an elbow): Squeeze gel from the tube equal to the length shown on the upper body section of the dosing card (2.25 inches). For each lower body area (a foot, an ankle, or a knee): Squeeze gel from the tube equal to the length shown on the lower body section of the dosing card (4.5 inches). Lost Your Dosing Card? Don’t worry! Call 1-800-719-9260 to get a free replacement. Applying Diclofenac Sodium Topical Gel, 1% Gently rub Diclofenac Sodium Topical Gel, 1% into the skin using your hand. Apply 4 times a day for best results. Do not use on more than 2 body areas at once. Apply only to clean, dry skin that doesn’t have any cuts, open wounds, infections or rashes. Do not apply in the same area as any other medicines or products that are applied to the skin. After You Use Diclofenac Sodium Topical Gel, 1% Wash your hands after applying Diclofenac Sodium Topical Gel, 1%. If the treated area is the hands wait up to 1 hour to wash the hands. Wash the dosing card with water. Store dosing card with your Diclofenac Sodium Topical Gel, 1% and keep out of reach of children. Wait ten minutes before covering the treated areas with clothes or gloves. Avoid: • showering or bathing for at least 1 hour after use • exposing the treated area to sunlight or artificial light (such as in tanning booths) • use in same area as other products applied to the skin • applying a bandage over the treated area • eye, nose, or mouth contact • if eye contact occurs, rinse thoroughly with water Facts you need to know Important information about Diclofenac Sodium Topical Gel, 1% Do not use Diclofenac Sodium Topical Gel, 1%... • 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 Ask a doctor before use if... • 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. Ask a doctor or pharmacist before use if... • you are under a doctor’s care for any serious condition • you are taking any other drug • you are pregnant or breast-feeding Turn over for more information → 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. Warnings to consider before use... Allergy alert Diclofenac may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include: • hives • blisters • asthma (wheezing) • facial swelling • skin reddening • 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 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. This can be fatal. The risk is higher if you use more than directed or for longer than directed. Follow these important guidelines when using Diclofenac Sodium Topical Gel, 1%... • use only as directed • apply only to clean, dry skin that does not have any cuts, open wounds, infections or rashes • do not apply in the same area as any other product used on the skin • do not apply with external heat such as heating pad • do not apply a bandage over the treated area • do not get gel in eyes, nose or mouth • store ENCLOSED DOSING CARD with your Diclofenac Sodium Topical Gel, 1%. The dosing card is re-usable. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away (1-800-222-1222). Stop using Diclofenac Sodium Topical Gel, 1% and ask a doctor if... • 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 Questions and Answers Answers to questions you may ask about Diclofenac Sodium Topical Gel, 1% Can I use Diclofenac Sodium Topical Gel, 1% for the immediate relief of pain like that associated with sprains, strains, bruises, or sports injuries? No. Do not use for strains, sprains, bruises, or sports injuries. This product has not been shown to work for these types of injuries. It’s intended only for the temporary relief of arthritis pain. How quickly will Diclofenac Sodium Topical Gel, 1% work for arthritis pain? Diclofenac Sodium Topical Gel, 1% may take up to 7 days to work for your arthritis pain; it is not for immediate relief. With 4 times-a-day use, you may start to feel relief within a few days. You should feel significant pain relief within 7 days of continuous use. If no pain relief in 7 days, stop use. What is Diclofenac Sodium Topical Gel, 1% used for? Diclofenac Sodium Topical Gel, 1% can be used for the temporary relief of arthritis pain in the hands, wrists, elbows, feet, ankles, and knees. Osteoarthritis (OA) is the most common form of arthritis. It mainly affects a type of tissue called cartilage, which cushions the joints and prevents the bones from rubbing against each other. With OA, cartilage begins to break down and wear away, resulting in joint pain and stiffness. OA occurs more frequently as you get older. Pain develops slowly and can gradually worsen over time. How does Diclofenac Sodium Topical Gel, 1% work? Diclofenac sodium, the medicine in Diclofenac Sodium Topical Gel, 1%, is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs are used to treat pain from medical conditions such as arthritis. Diclofenac Sodium Topical Gel, 1% works similarly to oral NSAIDs like ibuprofen or naproxen by temporarily blocking the production of pain signaling chemicals called prostaglandins. However, when taking a pill, the medication is distributed to the site of pain through the bloodstream. Compared to oral diclofenac, only 6% of the medicine in Diclofenac Sodium Topical Gel, 1% is absorbed in the bloodstream. It works by penetrating through your skin at the application site to deliver arthritis pain relief. How does over-the-counter Diclofenac Sodium Topical Gel, 1% differ from prescription Diclofenac Sodium Topical Gel, 1%? Over-the-counter Diclofenac Sodium Topical Gel, 1% is the same strength and formula as original full prescription strength Diclofenac Sodium Topical Gel, 1% but is available without a prescription. Apply Diclofenac Sodium Topical Gel, 1% 4 times a day to ensure you get the full effect of the medicine. Can I apply Diclofenac Sodium Topical Gel, 1% to upper and lower body areas at the same time? Yes. You can use Diclofenac Sodium Topical Gel, 1% on up to 2 body areas at the same time. The areas can include the foot, ankle, knee, hand, wrist, and elbow. Some correct examples include: Do not use Diclofenac Sodium Topical Gel, 1% on more than 2 body areas at once. Can I apply Diclofenac Sodium Topical Gel, 1% without measuring it out on the dosing card first? No. Use the dosing card to make sure you are getting the correct amount of medicine. Can I use Diclofenac Sodium Topical Gel, 1% on my spine, hips, or shoulders? No. The use of Diclofenac Sodium Topical Gel, 1% on the spine, hips, and shoulders has not been studied. Can I take any other pain medications with Diclofenac Sodium Topical Gel, 1%? Ask your doctor or pharmacist before using Diclofenac Sodium Topical Gel, 1% if you are taking any other pain reliever or are planning on taking any other pain reliever, especially prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others). Can I take any other pain medications during the first 7 days I use Diclofenac Sodium Topical Gel, 1%? Taking other pain medications is generally not recommended. Speak with your doctor or pharmacist before taking other pain medications when using Diclofenac Sodium Topical Gel, 1%. How long can I use Diclofenac Sodium Topical Gel, 1%? Use Diclofenac Sodium Topical Gel, 1% 4 times a day every day for up to 21 days for treatment of arthritis pain or as directed by your doctor. Diclofenac Sodium Topical Gel, 1% should be part of an overall program for managing your arthritis pain. The program should also include activities such as appropriate movement or exercise, specific lifestyle changes, and weight maintenance. Regular visits and discussions with your doctor can help incorporate Diclofenac Sodium Topical Gel, 1% into a complete program to help manage your arthritis pain. What do I do if I get Diclofenac Sodium Topical Gel, 1% in my eyes? If eye contact occurs, rinse thoroughly with water and consult a doctor if irritation lasts more than an hour. How do I clean the dosing card? Wash the dosing card with water, and store dosing card and tube out of reach of children. What if I miss a dose of Diclofenac Sodium Topical Gel, 1%? If you forget to apply Diclofenac Sodium Topical Gel, 1% don’t double your dose. Just apply the next dose as scheduled. How should I store Diclofenac Sodium Topical Gel, 1%? • Store at 20-25°C (68-77°F). • Do not freeze Diclofenac Sodium Topical Gel, 1%. • Store the dosing card with your Diclofenac Sodium Topical Gel, 1%. • Keep out of reach of children. Additional Questions? Call 1-800-719-9260. Made in Israel Distributed By Perrigo ® Allegan, MI 49010 87A00 00 J3 Image 1 Image 2 Image 3 Image 4 Image 5 Image 6 Image 7 Image 8 Image 9 Image 10 Image 11 Image 12

Ask doctor

Information about when a doctor should be consulted about existing conditions or sumptoms before using the drug product, including all warnings for persons with certain preexisting conditions (excluding pregnancy) and all warnings for persons experiencing certain symptoms. The warnings under this heading are those intended only for situations in which consumers should not use the product until a doctor is consulted.
Ask a doctor before us if • 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.

Ask doctor or pharmacist

Information about when a doctor or pharmacist should be consulted about drug/drug or drug/food interactions before using a drug product.
Ask a doctor or pharmacist before use if you are • under a doctor’s care for any serious condition • taking any other drug

Do not use

Information about all contraindications for use. These contraindications are absolute and are intended for situations in which consumers should not use the product unless a prior diagnosis has been established by a doctor or for situations in which certain consumers should not use the product under any circumstances regardless of whether a doctor or health professional is consulted.
Do not use • 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

Keep out of reach of children

Information pertaining to whether the product should be kept out of the reach of children, and instructions about what to do in the case of accidental contact or ingestion, if appropriate.
Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Questions

A telephone number of a source to answer questions about a drug product. Sometimes available days and times are also noted.
Questions or comments? 1-888-287-1915

Stop use

Information about when use of the drug product should be discontinued immediately and a doctor consulted. Includes information about any signs of toxicity or other reactions that would necessitate immediately discontinuing use of the product.
Stop use and ask a doctor if • 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

When using

Information about side effects that people may experience, and the substances (e.g. alcohol) or activities (e.g. operating machinery, driving a car) to avoid while using the drug product.
When using this product • avoid contact with eyes, nose, or mouth • if eye contact occurs, rinse thoroughly with water

Pregnancy or breast feeding

Pregnancy or Breast feeding
If pregnant or breast-feeding, 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.

Storage and handling

Information about safe storage and handling of the drug product.
Other information • 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.

Warnings

Information about serious adverse reactions and potential safety hazards, including limitations in use imposed by those hazards and steps that should be taken if they occur.
Warnings 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. Do not use • 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 Ask a doctor before us if • 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. Ask a doctor or pharmacist before use if you are • under a doctor’s care for any serious condition • taking any other drug When using this product • avoid contact with eyes, nose, or mouth • if eye contact occurs, rinse thoroughly with water Stop use and ask a doctor if • 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 If pregnant or breast-feeding, 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. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Disclaimer: Do not rely on openFDA or Phanrmacy Near Me to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: OpenFDA, Healthporta Drugs API