Pain at the injection area of diclofenac.

Question: Patients have pain at the injection site of the drug diclofenac. Can we mix diclofenac injections with injections of lidocaine or not? Or has any other better way to make specific area injected less painful?

Answer: The symptoms of pain at the injection site of diclofenac can occur more than 1%. Mixing drugs lidocaine and diclofenac by yourself is not recommended.

Mixing the two drugs together by ourselves may be a problem, because each drug may contain other substances and both drugs may not mix well.

However, it can relieve pain at the injection site by gently massaging the injection site after injection of diclofenac.

Currently there is a combination between lidocaine and diclofenac in the dosage form of intramuscular injections on the market; such as voltaren injection etc.

References:

1. NHS choice. Diclofenac injection. Available from:http://www.nhs.uk/conditions/arthritis/pages/MedicineSideEffects.aspx?condition=Pain&medicine=diclofenac%20sodium&preparation=Diclofenac%2075mg/3ml%20solution%20for%20injection%20ampoules

2. Diclofenac. IV compatability. Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Available from: http://www.micromedexsolutions.com.

3. Kanika KH, Rani SP. Effect of massage on pain perception after administration of.

intramuscular Injection among adult patients. Nurs and Midwife Res J 2011; 7: 130-8.