Voltaren 50mg Suppository

Voltaren 50mg Suppository is a rectal formulation of diclofenac, a non-steroidal anti-inflammatory drug (NSAID), providing 50mg of diclofenac per suppository. It is prescribed to relieve pain, inflammation, and fever associated with conditions such as osteoarthritis, rheumatoid arthritis, acute musculoskeletal injuries, post-operative pain, and other painful inflammatory conditions, particularly when oral medicines are not suitable or convenient.

As a potent NSAID with recognised gastrointestinal, cardiovascular, and kidney risks, Voltaren 50mg Suppository is a prescription medicine in Malaysia. Through DoctorOnCall, customers can complete an online consultation so that a doctor can assess suitability and issue a prescription before the medicine is dispensed by a registered pharmacist.

Diclofenac works by inhibiting cyclo-oxygenase (COX-1 and COX-2) enzymes, reducing the body’s production of prostaglandins, which are responsible for triggering pain, inflammation, and fever. When given rectally as a suppository, diclofenac is absorbed through the rectal lining directly into the bloodstream, which can be useful when a person has difficulty swallowing tablets or is experiencing nausea or vomiting.

Wash your hands before and after use. If possible, empty your bowels before inserting the suppository. Remove the suppository from its wrapper and gently insert it, pointed end first, into the rectum using a finger, then remain lying down for a few minutes to help it dissolve and be retained. Use exactly as prescribed by your doctor and do not exceed the recommended frequency.

The dose and duration of use will be determined by your doctor based on your condition, typically one suppository (50mg) inserted rectally once or twice daily, not exceeding the maximum daily dose your doctor has prescribed. Do not use for longer than advised without further medical review.

Check the expiry date printed on the carton before use, and do not use the suppository after this date. Suppositories that have become too soft due to heat can be re-firmed by placing them in the refrigerator briefly before use, but should not be used if damaged or discoloured.

Store Voltaren 50mg Suppository below 25°C, or as directed on the packaging, away from direct heat and sunlight, and keep them in their original wrapping until use. Keep out of the reach and sight of children.

• Known hypersensitivity to diclofenac, aspirin, or other NSAIDs, including a history of asthma, hives, or allergic reaction triggered by these medicines
• Active or history of peptic ulcer disease or gastrointestinal bleeding
• Recent rectal bleeding, proctitis, or other rectal or anal inflammation
• Severe heart failure, active heart disease, or history of heart attack or stroke
• Severe kidney or liver impairment
• Third trimester of pregnancy
• Use around the time of coronary artery bypass graft (CABG) surgery

• Other NSAIDs or aspirin, which increase the risk of stomach and kidney side effects
• Anticoagulants (blood thinners) such as warfarin, which may increase bleeding risk
• Corticosteroids, which may increase the risk of gastrointestinal bleeding
• ACE inhibitors, angiotensin receptor blockers, or diuretics, whose blood pressure-lowering effect may be reduced, with a risk to kidney function
• Lithium or methotrexate, whose blood levels may be increased by diclofenac

• Wash your hands before and after inserting the suppository
• Try to empty your bowels beforehand for better absorption
• Remain lying down for a few minutes after insertion to help retention
• Do not take other NSAIDs or aspirin at the same time unless advised by your doctor
• Report rectal bleeding, severe stomach pain, black stools, or unusual swelling to your doctor promptly
• Attend follow-up appointments so your doctor can monitor your response and any side effects

Voltaren 50mg Suppository is a prescription-only NSAID that may be preferred over oral diclofenac when a person cannot swallow tablets comfortably or is experiencing nausea or vomiting, but it carries similar systemic risks to oral NSAIDs, including gastrointestinal, cardiovascular, and kidney effects. Your doctor will assess your individual risk factors before prescribing and may recommend periodic monitoring for longer courses of treatment.