The medicine "Diclofenac" today is a universally recognized drug of choice for the treatment of a wide range of diseases accompanied by severe pain, Firstly, because it has analgesic and anti-inflammatory effects, and secondly, the medication has proved to be a relatively safe drug in a number of non-steroidal drugs.
Analysis of the data on the use of diclofenac over the years in various countries allows us to conclude that this tool is significantly superior in effectiveness to most other NSAIDs. In addition, for safety, he simply has no analogues. That is why diclofenac is indispensable for the treatment of neuralgia, neuritis and other diseases in which prolonged use of pain medication is simply necessary.
The mechanism of action of diclofenac is based on the inhibition of the synthesis of prostaglandins - the main initiators of the inflammatory process, both in the central nervous system and in peripheral tissues. The main forms of release: Diclofenac sodium solution in ampoules, Diclofenac-gel preparation (Diclofenac-Acre ), rectal suppositories Diclofenac (Diclac; Diclof-F), as well as the drug Diclofenac-ointment "
This form of release (the drug "Diclofenac-ointment") is used for:
- joint diseases (rheumatoid arthritis, rheumatism, arthrosis, bursitis, ankylosing spondylitis, tendovaginitis);
- pain syndromes of various etiologies (colic, arthralgia, adnexitis, dysmenorrhea, neuralgia, migraine, bruises, dislocations and sprains);
- in ophthalmology (injuries of the eyeball, post-traumatic inflammation, surgery).
The mechanism of action of the drug allows its use in various fields of medicine. In particular, diclofenac is used in gynecology. The drug of choice from the group of NSAIDs used for pain in the pelvic area in gynecology is the drug Diclofenac Sodium for the relief of pain in primary and secondary dysmenorrhea, as well as for the treatment of chronic inflammation in the appendages and in the uterus.
The use of diclofenac in gynecology
The course of treatment with diclofenac for a number of gynecological diseases implies the use, along with ointment, of such forms of release as rectal suppositories "Diclofenac". In this case, anti-inflammatory, absorbable therapy may be prescribed, including the following series of measures:
- the use of NSAIDs (for example, ibuprofen, indomethacin, one quarter of a gram two to three times a day, 1 week);
- rectal suppositories with diclofenac sodium (1 suppository at night, 10 days);
- rectal microclysters containing magnesium sulfate or sodium thiosulfate ;
- biostimulants;
- vitamins C, E, and vitamin B preparations;
- as well as a number of other events.
In this case, the removal of the inflammatory process should be accompanied by such physiotherapeutic procedures as:
- electrophoresis using solutions of zinc, iodine, copper;
- endonasal electrophoresis with vitamin B1 (calcium chloride);
- phonophoresis of solutions of dimexide, pelloid distillate, salicylates, biocortan;
- induction therapy;
- ultrasound with lidase.
A good effect in the treatment of chronic gynecological diseases is also exerted by treatment with special muds, balneotherapy and acupuncture.
In case of various irregularities of the menstrual cycle, a number of hormonal preparations (Mercilon, Logest) are also added to this complex of medical procedures in a small dosage in the regime of contraception for 3-6 months.
In this case, the cure criteria are not only the absence of complaints and signs of inflammation during external gynecological examination, but also negative bacteriological and bacterioscopic analyzes.
Contraindications
Despite all the positive aspects of the use of diclofenac, it is worth remembering that this active substance can have several side effects. In particular, the drug "Diclofenac" ( including ointment ) contains ingredients that damage the liver. Therefore, with indications for the use of this drug, a number of contraindications should be taken into account, such as:
- acute intestinal inflammation;
- ulcers of the duodenum and stomach, with exacerbation, not only injections are prohibited, but also the external use of the drug "Diclofenac" (ointment);
- pathology of the blood composition of unknown etiology;
- pregnancy and lactation;
- intramuscular administration to young children under the age of 18;
- external use for newborns up to 1 year old;
- excessive sensitivity to the ingredients that make up the drug Diclofenac, as well as to acetylsalicylic acid.
In case of lupus, kidney or liver disease, bronchial asthma and other respiratory diseases, the drug Diclofenac (ointment) can also cause a number of serious disorders. Therefore, the appointment of this remedy should be done by the doctor, carefully considering and weighing all the risks of such therapy.
The instructions for the drug specifically indicate the contraindication of its use in patients who drive vehicles, since treatment with diclofenac may cause loss of coordination and dizziness. For the same reason, it is forbidden to take diclofenac in combination with the use of alcohol.