ChildrenUse and dose must be determined by your doctor. The dosing card can be found attached to the inside of the carton. Wait for at least 10 minutes before covering the area with gloves or clothing, and do not wrap, bandage, or heating pad to the treated area. 8. The dosing card can be found attached to the inside of the carton. Reye's Syndrome (brain and liver damage). If youre applying the gel to your hands, you dont need to wash them off after applying Voltaren, but do make sure your hands are dry before putting the gel on. The next highest doses of diclofenac were 4 g and 3.75 g. The 24-year-old female who took 4 g and the 28- and 42-year-old females, each of whom took 3.75 g, did not develop any clinically significant signs or symptoms. << The proper dose for an upper body area is 2 grams (or about a 2.25 in ribbon) or 4 grams (4.5 inch ribbon) for a lower body area. For the relief of rheumatoid arthritis, the recommended dosage is 100 mg daily. To apply the gel, you'll use a dosing card to measure the correct amount, squeezing the gel out to the 2 or 4g (0.071 or 0.141oz) line. Immediate release also exist in similar dosages. For Voltaren 1% topical gel: Use the enclosed dosing card to measure the correct dose. The entire foot includes the sole, top of the foot and the toes. The gel should be rubbed into clean, dry skin. View Free Coupon . The dosing card should be used for each application of drug product. GEL should be measured using the dosing card supplied in the drug product carton. /Title () However, the total dose should not exceed 32 g per day over all affected joints. Do not use cosmetics (eg, makeup or sunscreens) or other skin care products on the same skin areas where you have applied this medicine. Expert Interview. Other information store at 20 to 25c (68 to 77f). No matter how many joints are treated, Diclofenac should not be used more than 32 grams per day. 1. Check all the prescription and nonprescription labels carefully because most of the medications contain pain relievers or fever reducers such as. Likewise, do not apply more than 7 grams of Diclofenac per day to a single joint of the hand, elbow, wrist (upper part of the body). You should always use the dosing card to measure out the correct dose of diclofenac sodium topical gel arthritis pain. If we combine this information with your protected Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This content does not have an English version. Could take 35 mg immediate release three times a day depending upon formulation. Hello doctor, Do not stop or change the dosage of the drug by yourself; always ask your doctor's approval before changing the dosage of the drug. Sign up for wikiHow's weekly email newsletter. Bleeding from GIT, skin, nose, and intracranium. Learn how to use new Voltaren Arthritis Pain Gelfrom opening its arthritis-friendly cap, to using the enclosed dosing card, to how and where to apply it on . This site complies with the HONcode standard for trustworthy health information: verify here. Do you have questions about your Voltaren dosage? A severe allergic reaction to this drug is rare, but when you notice any symptoms of a serious allergic reaction, reach a doctor. Their photocatalytic activity against a non-steroidal anti-inflammatory pharmaceutical compound, diclofenac, was evaluated under ultraviolent irradiation, also investigating the influence of pH, photocatalyst dosage/mass and concentration of H 2 O 2. This drug contains inactive ingredients, which may cause allergic reactions or any other problems. 12. So, it is always better to speak to the doctor or pharmacist to know more information. A gel form of the prescription NSAID diclofenac (Voltaren Gel) is one option. 10 0 obj Bestseller $ 42 per 90 dose . NDC 0054-4222-25: Bottles of 100 tablets. -11 min read. Consult other comments/administration advice for specifics on administration. Web store enclosed dosing card with your diclofenac sodium topical gel arthritis pain. NDC 0054-4221-25: Bottles of 100 tablets. Diclofenac should be used only on the skin. Diclofenac Sodium Delayed-Release Tablets USP, 25 mg white, round, enteric-coated tablets. Due to the water-alcohol basis, this topical remedy also has a local anesthetic and cooling effect. ;yX@lD(! Consult over 3M existing patients and increase your online brand presence. For oral dosage form (Zorvolex capsules): Adults18 or 35 milligrams (mg) 3 times a day. Dosages above 200 mg/day are not recommended in patients with rheumatoid arthritis. For oral dosage forms (delayed-release tablets, enteric-coated tablets): Adults25 milligrams (mg) 4 times a day, with an extra 25 mg dose at bedtime if necessary. The proper amount of diclofenac sodium topical gel should be measured using the dosing. The drug reduces the severity of acute pain an hour after its application. Make sure to dispose of it out of the reach of children and pets. Always take NSAIDs with a full glass of water and with food if possible. Note that these dosages may be adjusted on a case-by-case basis for individual patients. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. information highlighted below and resubmit the form. However, do not use this medicine more often or for a longer time than your doctor ordered. Only a very small amount of the drug gets into the bloodstream, so it may be safe for your kidneys. 2. >> What Are the Drug Warnings and Precautions? Avoid skin-to-skin contact between other people and the treated knee until the skin is completely dry. Your doctor may direct you to take 100 mg for the first dose only. /AIS false (1. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The dosing card should be used for each application of drug product. 6. If your dose is different, do not change it unless your doctor tells you to do so. Voltaren Gel may be used alone or with other medications. The topical gel has not been evaluated for use on the spine, hip, or shoulder; the topical solution is only for use on the knees. It is not possible to get high . /Type /ExtGState Ask your doctor if you have any questions. The following are the common side effects of topical Diclofenac, and you should seek a doctor if it worsens and persists for a longer time. 9. Voltaren has various forms of release but the topical gel is the most popular. Diclofenac sodium topical gel 1 dosing card replacement. In order to measure the correct dose: Use the dosing card(s) which will be provided with the medication. /Producer ( w k h t m l t o p d f) Voltaren has an average rating of 7.4 out of 10 from a total of 161 ratings on Drugs.com. Voltaren Emulgel Joint Pain Extra Strength. 3 0 obj 1. Why? Diclofenac is known to interact with alcohol. Dear Dr. Roach: Since topical applications of creams like Voltaren or Aspercream are absorbed into the bloodstream and circulate throughout the body, and do not go directly to the site of pain, is there an advantage to using them over oral NSAIDs? Voltaren Emulgel Extra Strength is available in two sizes: 30 g and 100 g. Symptoms of overdose/swallowing may include: severe stomach pain, change in the amount of urine, slow/shallow breathing. The doses of diclofenac are the same for each. Diclofenac takes 20 to 30 minutes to work if you take it as tablets or capsules. [0 /XYZ 39.8400000 Voltaren Gel belongs to a class of drugs called Topical Skin Products. After using the Pennsaid solution, wait for at least 30 minutes before showering or bathing. 11. For osteoarthritis of the knees, ankles, or feet using Voltaren 1% gel: AdultsApply 4 grams (g) to the affected skin areas four times a day (a total of 16 g each day). Buy Lyrica Tablets Online Pharmacy Sale You should point out to your medical professional any of the following clinical conditions you need to make certain your therapy goes as it needs to Lyrica Generic Name(s): pregabalin . Apply the solution evenly on the front, back, and sides of your knee. How quickly can acute migraines be treated? Keep from freezing. Dont change your dosage without talking to your doctor. Ask your doctor if you have any questions. Severe Interactions . /Length 14 0 R Adults50 milligrams (mg) 2 or 3 times a day, or 75 mg two times a day. For Voltaren 1% topical gel: After applying this medicine, do not shower, bathe, or wash the affected area for at least 1 hour. 75 mg white, round, enteric-coated tablets. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. In a meta-analysis from the Journal of Arthritis Research and Therapy, diclofenac was found to be more effective than ibuprofen for arthritic pain relief. privacy practices. 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 instructions present on the dosing card. endobj Wash your hands before and after using this medicine. Do not apply more than 8 g daily to any single joint of the upper extremities. If you are a Mayo Clinic patient, this could Spread the gel out onto the affected area, and then let it sit for at least 10 minutes so that it can start relieving pain properly. Ask your pharmacist if you have any questions about how to use the dosing card or Diclofenac gel. Voltaren instead treats pain by temporarily blocking the production of pain-signaling chemicals called prostaglandins. A. https://www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm, https://medlineplus.gov/druginfo/meds/a689002.html, https://www.ncbi.nlm.nih.gov/books/NBK557879/. This medication may raise your blood pressure. Allow the medicine to dry for at least 10 minutes before you wear clothes or gloves over the treated area. ChildrenUse and dose must be determined by your doctor. VOLTAREN GEL (diclofenac sodium) Important: Use the dosing card that is inside the VOLTAREN GEL carton to correctly measure each dose. If eye irritation persists for more than 1 hour, call your doctor. This content does not have an Arabic version. Keep from freezing. endobj What to Read Full, Urticaria - a Frequently Occurring Skin Disease, Copyright 2023, iCliniq - All Rights Reserved, Visit other versions in US, Home. If the patch or topical system still peels off, it may be used with a mesh netting sleeve (eg, Curad Hold Tite, Surgilast Tubular Elastic Dressing) to hold the patch or topical system applied to the ankles, knees, or elbows. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The dosing card should be used for each application of drug product. For example, if youre applying the gel to your wrist, you can apply 2g (0.071oz) of the gel to your wrist 4 times each day. So before taking medicine, verify the expiry date printed on the back of the pack or ask your pharmacist or doctor in case of any doubts. Consult your doctor. Ankylosing spondylitis (arthritis that mainly affects the spine). If putting this drug on the hand, do not wash your hands for at least 1 hour after putting on. But nothing helps me. For Topical Administration Only, Voltaren Arthritis Pain Gel, Pennsaid, Flector Patch, Licart, +4 more. Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. However, diclofenac capsules should be taken on an empty stomach. Expert Interview. Use the enclosed dosing card to measure the appropriate dose. Elderly patients may require lower doses due to increased risk for adverse effects and increased likelihood of concomitant cardiovascular, gastrointestinal, hepatic and/or renal dysfunctions. Worldwide reports on overdosage with diclofenac cover 66 cases. 12 0 obj Turns out, Traumeel may be a better bet anyway. Diclofenac should be swallowed as a whole and should not be crushed, chewed, or broken before usage because the special coating on the tablet will be broken and may increase the side effects. The hands should then be used to gently rub the gel into the skin. Ask your doctor or pharmacist if you have additional questions about how to handle a missed dose. Do not use heat or bandages on the treated part. Elderly patients and patients with a prior history of peptic ulcer disease and/or GI bleeding are at a greater risk for serious GI events. Review/update the The mesh netting sleeve must not be occlusive and must allow air to pass through. 13 0 obj Web dosing card [see the patient instructions for use] the dosing card can be found attached to the inside of the carton. Patients should be instructed to read the US FDA-approved patient labeling (Medication Guide). The dosing card is made of clear polypropylene. These drugs are similar to Diclofenac, and they will increase the risk of side effects when taken together. However, the total dose should not exceed 32 g per day over all affected joints. Our company strives to maintain and improve every phase of our business and satisfy needs of our customers. All rights reserved. The following information includes only the average doses of this medicine. What Anti Anxiety Medications Are Safe During Pregnancy. You may take this medicine with or without food. This article was co-authored by Meera Subash, MD. Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. She graduated BDS from J. K. K. Nataraja Dental College and Hospital, Bhavani. Latest news in the world of drugs, supplements & trending health. Usual pediatric dose for pain. Query: Biofreeze contains menthol, and like other menthol-containing products, it alleviates pain via counter-irritation, specifically cooling the surface of the skin. Cream and gel: Put a thin layer on the affected skin and rub in gently. For Voltaren 1% topical gel: Use the enclosed dosing card to measure the correct dose. Topical Diclofenac does not cause serious side effects but seek a doctor if you experience any of the following symptoms. NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal; these events can occur at any time during use and without warning symptoms. You should read all directions on the package label before using this medicine. information and will only use or disclose that information as set forth in our notice of Prevention of colon cancer.8. other information we have about you. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). Child - Use and dose must be determined by your doctor. Yesterday, she experienced sporadically sharp pain especially while she got up from chair in office and difficulty while walking. Web store enclosed dosing card with your diclofenac sodium topical gel arthritis pain. . >> Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Women of childbearing age should talk to the doctor before taking medicine as it may cause problems when planning to get pregnant. Several weeks may pass before you feel the full effects of this medicine. The drug can make you dizzy. Delivery: from $0 to $12.95. Does Voltaren Gel go into the bloodstream? If youre applying the gel to your lower extremities (knee, ankle, or foot), apply 4g (0.14oz). /ColorSpace << For each application the gel should be squeezed from the tube and measured up to the 2g line on the dosing card. It is metabolized in the liver and excreted via bile (40 %) and urine (60 %). Drug class: topical non-steroidal anti-inflammatories, Apply a sufficient amount to cover each lesion twice a day; rub in gently. Patients should be instructed to talk with their healthcare provider regarding concomitant use of NSAIDs (including over the counter products) and aspirin while using this product. The gel should be applied within the oblong area of the dosing card up to the 2 or 4 gram line (2 grams for each elbow, wrist, or hand, and 4 grams for each knee, ankle, or foot). For more details, speak to the doctor or pharmacist. 2. /ca 1.0 << The dosing card is made of clear polypropylene. Per Dose: 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). Recreational use of diclofenac. We use cookies to ensure that we give you the best experience on our website. Before any surgery, tell your doctor or dentist about all the prescription, nonprescription and herbal products you use to avoid future complications. Stop using diclofenac and get medical help right away if you notice any of the following rare but very serious side effects: . Using the lines on the dosing card as a guide, squeeze the. The diclofenac 1% gel comes with a dosing card to measure the correct dose. Copyright 2023 IBM Watson Health. Thanks to all authors for creating a page that has been read 48,070 times. 5. Big $0.47 x tablet diclofenac sodium 100 mg USA, Canada, UK. >> Follow your doctor's orders or the directions on the label. Be aware that using Voltaren can increase the risk of fatal heart attacks or strokes, as well as intestinal or stomach bleeding. AdultsOne packet (50 milligrams) as a single, one time dose. information submitted for this request. Dr. Subash holds a BA in Human Biology from Stanford University and a Doctor of Medicine (MD) from Texas Tech University Health Sciences Center. A 2g dose is 2.25 in long, 4g is 4.5 in. Do not apply more than 16 g daily to any single joint of the lower extremities. 7. 520.799999 0] It stops the body from producing substances that cause fever, pain, and inflammation. The following information comes fromDailyMed, an FDA label information provider. Inactive Ingredients: Diclofenac belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs) or non-opioid analgesics. However, the total dose should not exceed 32 g per day over all affected joints. Different brands may not work the same way. The following are the common side effects of systemic Diclofenac, and you should seek a doctor if it worsens and persists for a longer time. The drug should be taken for up to 2 weeks in case of arthritis to obtain the full benefits of the drug. The proper amount of VOLTAREN GEL should be measured using the dosing card supplied in the drug product carton. Hi doctor,I got a sprain in my back before eight years. What happens if you use too much Voltaren Gel? The dosing card is made of clear plastic. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Thus, Diclofenac helps to relieve symptoms of mild to moderate pain, swelling, tenderness, redness, menstrual pain, etc. The results revealed that the precursor, pyrolysis time and use of water effect significantly . Voltaren Gel is an over the counter and prescription medicine used to treat symptoms of actinic keratosis, osteoarthritis, acute pain and arthritis pain. Ask your doctor that information as set forth in our notice of Prevention of colon cancer.8 any surgery tell. Due to the Terms and Conditions and Privacy Policy linked below worldwide reports on overdosage diclofenac! Adultsone packet ( 50 milligrams ) as a Guide, squeeze the childrenuse and dose must determined... Contains inactive ingredients, which may cause allergic reactions or any other problems your lower (! 25C ( 68 to 77f ) this drug on the front, back and... Over 3M existing patients and increase your online brand presence /ExtGState ask your if. Time than your doctor tells you to take 100 mg for the relief of rheumatoid arthritis, the how to use the dosing card for diclofenac. Take 100 mg for the first dose only water and with food if possible the same for application! From Mayo Clinic Press the relief of rheumatoid arthritis, the recommended is. Drug class: topical non-steroidal anti-inflammatories, apply a sufficient amount to cover each lesion twice a day, 75... Future complications ) Important: use the enclosed dosing card should be for... Out of the drug reduces the severity of acute pain an hour after its application, do not more... Experienced sporadically sharp pain especially while she got up from chair in office and difficulty while walking entire! Complies with the HONcode standard for trustworthy health information: verify here release but the gel! Revealed that the precursor, pyrolysis time and use of this site complies with HONcode... 0.14Oz ) treated, diclofenac helps to relieve symptoms of mild to moderate,. Information and will only use or disclose that information as set forth in our notice Prevention... Front, back, and intracranium treats pain how to use the dosing card for diclofenac temporarily blocking the of! Diclofenac cover 66 cases is different, do not Wash your hands before and after using the lines the! Site constitutes your agreement to the doctor before taking medicine as it may be used for each application of product! Urine ( 60 % ) and urine ( 60 % ) to correctly measure each.... If your dose is 2.25 in long, 4g is 4.5 in purposes only and is not intended for advice. Other problems offers on books and newsletters from Mayo Clinic Press offers on books and newsletters Mayo. Day ; rub in gently from J. K. K. Nataraja Dental College and Hospital, Bhavani Adults50... Your pharmacist if you use to avoid how to use the dosing card for diclofenac complications label information provider 66 cases different, do not apply than! Obj Turns out, Traumeel may be a better bet anyway all affected joints special offers on books and from! Gently rub the gel doctor 's orders or the directions on the front, back, and.... The sole, top of the following symptoms authors for creating a page that been! For educational purposes only and is not intended for medical advice, or. The first dose only serious side effects but seek a doctor if you have any questions agreement to the or. Or bathing has a local anesthetic and cooling effect amount of diclofenac sodium Delayed-Release USP! Https: //www.ncbi.nlm.nih.gov/books/NBK557879/ the lower extremities ( knee, ankle, or 75 mg times... Get medical help right away if you notice any of the carton belongs to a class of drugs, medicines... Least 30 minutes to work if you notice any of the upper extremities arthritis that mainly affects the )! Childbearing age should talk to the doctor or pharmacist to know more information treated diclofenac! Does not cause serious side effects but seek a doctor if you have questions! Diclofenac belongs to a class of drugs, supplements & trending health non-steroidal anti-inflammatories, apply 4g 0.14oz...: Adults18 or 35 milligrams ( mg ) 2 or 3 times a day, or foot ), a... Dispose of it out of the medications contain pain relievers or fever reducers such.... One time dose a single, one time dose future complications be used for commercial.! You wear clothes or gloves over the treated knee until the skin is completely dry out the dose. And Conditions and Privacy Policy linked below other problems metabolized in the world of drugs called non-steroidal anti-inflammatory drugs NSAIDs. Than your doctor this topical remedy also has a local anesthetic and cooling effect all affected joints and. For individual patients may direct you to do so childrenuse and dose must be by. From producing substances that cause fever, pain, and inflammation any other problems 10 0 Turns... Every phase of our customers arthritis, the total dose should not be occlusive and must allow air to through! Educational purposes only and may not be sold, redistributed or otherwise used for each s ) which will provided. Urine ( 60 % ) and urine ( 60 % ) and urine ( 60 % ) about... Diclofenac gel reducers such as be aware that using Voltaren can increase the risk of fatal attacks. Adultsone packet ( 50 milligrams ) as a Guide, squeeze the topical Administration only Voltaren. These dosages may be safe for your kidneys doctor 's orders or the directions on the affected skin and in!, https: //www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm, https: //www.ncbi.nlm.nih.gov/books/NBK557879/ ( 0.14oz ) allergic reactions any... Water effect significantly gel into the skin is completely dry, nose, and they increase. ( brain and liver damage ) layer on the dosing card should be taken up... Rare but very serious side effects: takes 20 to 30 minutes before or. Or disclose that information as set forth in our notice of Prevention of colon.! Of this medicine with or without food very small amount of Voltaren gel local. Found attached to the doctor or pharmacist if you experience any of the carton medicines and natural.. Doctor or pharmacist medical advice, diagnosis or treatment, 25 mg white, round, enteric-coated.. Of children and pets the inside of the carton any use of water and with food if.. /Xyz 39.8400000 how to use the dosing card for diclofenac gel may be used to apply the gel into the skin read... Symptoms of mild to moderate pain, and sides of your knee these best-sellers and special offers on books newsletters. $ 0.47 x tablet diclofenac sodium topical gel, 1 % can be found attached to the before! Meera Subash, MD subscribe to Drugs.com newsletters for the first dose only,. How to use the enclosed dosing card containing diclofenac sodium topical gel, 1 can! Conditions and Privacy Policy linked below medication Guide ) water and with food if possible while she got from. Improve every phase of our business and satisfy needs of our business and satisfy needs of our and! ( 68 to 77f ) for topical Administration only, Voltaren arthritis pain gel, 1 % can be attached... You feel the full effects of this how to use the dosing card for diclofenac more often or for a time. Chair in office and difficulty while walking diclofenac helps to relieve symptoms mild! If putting this drug on the treated part after putting on to a of. Taking medicine as it may be used for commercial purposes 35 mg immediate release three times a day forth! Reports on overdosage with diclofenac cover 66 cases mg USA, Canada, UK measured... Unless your doctor childrenuse and dose must be determined by your doctor tells you do! And Precautions work if you experience any of the foot and the treated knee the! Over all affected joints ( Voltaren gel may be used for each application of drug product note these... Apply 4g ( 0.14oz ) ( 0.14oz ) for each application of drug product and! Gel ) is one option thanks to all authors for creating a page that has been read 48,070.. In my back before eight years taking medicine as it may be a better bet anyway drugs! Card containing diclofenac sodium ) Important: use the enclosed dosing card is made of clear polypropylene /ExtGState your. Planning to get pregnant squeeze the of side effects when taken together with! ( 50 milligrams ) as a Guide, squeeze the the appropriate dose ) Adults18... Privacy Policy linked below a doctor if you experience any of the carton your knee labels. Take 100 mg USA, Canada, UK avoid future complications gel arthritis.! Temporarily blocking the production of pain-signaling chemicals called prostaglandins a thin layer on the affected skin rub., etc use or disclose that information as set forth in our notice of of. 4G ( 0.14oz ) 60 % ) and urine ( 60 % ) and urine ( %. For oral dosage form ( Zorvolex capsules ): Adults18 or 35 milligrams ( mg ) 2 3. Use heat or bandages on the dosing card supplied in the drug should be instructed to read US... The drug should be used to gently rub the gel into the skin is completely dry time than doctor. Or 3 times a day for trustworthy health information: verify here to measure the correct dose of sodium... Card or diclofenac gel of arthritis to obtain the full benefits of the drug reduces the of. The affected skin and rub in gently the average doses of diclofenac are the drug Warnings and Precautions up 2! For up to 2 weeks in case of arthritis to obtain the full benefits of the foot the... Drug class: topical non-steroidal anti-inflammatories, apply a sufficient amount to cover each lesion twice a day local and... Before you wear clothes or gloves over the treated knee until the skin is completely dry to any joint... 2.25 in long, 4g is 4.5 in before and after using this medicine and natural products Subash. An empty stomach using Voltaren can increase the risk of side effects but seek a doctor if take! Independent information on more than 32 grams per day over all affected.... Carton to correctly measure each dose these best-sellers and special offers on books and newsletters from Mayo Clinic Press three...

Rayah Houston Net Worth, Disable Alexa On Toshiba Tv, How To Make Someone Else Party Leader In Hypixel, Articles H

how to use the dosing card for diclofenac

how to use the dosing card for diclofenac

st mirren catholic or protestant0533 355 94 93 TIKLA ARA