The active substance is diclofenac sodium. Each 1 g of gel contains 10 mg diclofenac sodium as diclofenac diethylamine.
Almiral gel contains the active substance diclofenac which belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It is specially formulated for rubbing into the skin only.
Excipients/Inactive Ingredients: Propylene glycol, isopropanol, carboxypolymethylene (carbopol 940), dipropylene glycol monomethylether, peppermint oil, purified water.
Almiral gel is used to relieve pain and swelling in a number of painful conditions affecting the joints and muscles.
Almiral gel relieves rheumatic and muscular pain, and reduces swelling and inflammation, eg injuries involving the tendons, ligaments, muscles and joints. For relief of sprains, strains, bruises, backache, tendonitis (e.g. tennis elbow) and for localized and mild arthritis.
Almiral gel may also be used to treat other conditions as determined by a doctor.
If the patient has any questions about how Almiral gel works, ask a doctor or pharmacist.
How to use Almiral: Always use this medicine exactly as described in this monograph or as the doctor or pharmacist has told the patient. Check with the doctor or pharmacist if the patient is not sure.
For adults and adolescents over 12 years of age: Apply Almiral gel 3 to 4 times a day on the painful area.
How to apply Almiral gel: Before first use, pierce the sealing membrane of the tube with spiked top of cap.
Gently squeeze out a small amount of gel from the tube and apply to the painful or swollen area, slowly rubbing into the skin. The amount needed will vary depending upon the size of the painful or swollen area; an amount ranging in size from a cherry to a walnut will usually be sufficient.
The patient may notice a slight cooling effect when the patient rubs the gel in.
Wash the hands after rubbing in Almiral gel, unless of course they are the site being treated.
How long to use Almiral gel: Do not use Almiral gel for more than: 2 weeks for muscle and joints injuries (e.g. sprains, strains, bruises) or tendonitis.
3 weeks for arthritis pain.
Use no more than is required for shortest period of time needed.
Longer treatment may be recommended by a doctor.
If the pain and swelling do not improve within 7 days, or if they get worse, tell the doctor.
If the patient uses more Almiral than he/she should: In case the patient or a child accidentally swallows Almiral gel, or in case the patient has accidentally used much more than recommended, contact a doctor immediately.
If the patient forgets to use Almiral: If the patient misses the application of Almiral gel at the correct time, apply it when he/she remembers and then carry on as normal. Do not apply a double quantity to make up for the forgotten application.
If the patient has any further questions on the use of this product, ask a pharmacist.
Do not use Almiral: If the patient is allergic (hypersensitive) to diclofenac or other medicines used to treat pain, fever or inflammation, such as ibuprofen or acetylsalicylic acid (a substance also used to prevent blood clotting), or any of the other ingredients of this medicine listed in Description. If the patient is not sure, ask a doctor or pharmacist. Symptoms of an allergic reaction to these medicines may include: wheezing or shortness of breath (asthma); skin rash with blisters or hives; swelling of the face or tongue; runny nose.
If the patient is in the last 3 months of pregnancy.
If any of these applies to the patient, do not use Almiral gel.
Do not apply to skin with conditions such as cuts, open wounds, or on skin that has a rash or eczema. Discontinue the treatment if a skin rash develops after applying the product. Do not use more than directed or for a longer period of time than directed, unless told by a doctor.
Almiral gel is for external use only. Do not use it in the mouth. Do not swallow it. Be careful not to get Almiral gel in the eyes. If this happens, rinse the eyes well with clean water. See a doctor or pharmacist if any discomfort persists.
A brace or wrap commonly used for injuries like sprains can be used but do not use under airtight (plastic) bandages.
If the patient has any questions, talk to a doctor or pharmacist before using Almiral gel.
Other medicines and Almiral gel: Tell a doctor or pharmacist if the patients is taking, have recently taken or might take any other medicines.
Almiral gel contains propylene glycol: May cause skin irritation.
Use in Pregnancy, Lactation and Fertility: If the patient is pregnant or breast-feeding, think the patient may be pregnant or are planning to have a baby, ask a doctor or pharmacist for advice before using this medicine.
Do not use Almiral gel if the patient is pregnant, especially during the last 3 months of pregnancy, as it could harm the unborn child or cause problems at delivery. Use Almiral gel only on advice of the doctor before use if the patient is pregnant or breastfeeding, think the patient may be pregnant or are planning to have a baby.
Use in Children (under 12 years of age): Do not use Almiral gel on a child under 12 years of age.
Pregnancy, breast-feeding and fertility: If the patient is pregnant or breast-feeding, think the patient may be pregnant or are planning to have a baby, ask a doctor or pharmacist for advice before using this medicine.
Do not use Almiral gel if the patient is pregnant, especially during the last 3 months of pregnancy, as it could harm the unborn child or cause problems at delivery. Use Almiral gel only on advice of the doctor before use if the patient is pregnant or breastfeeding, think the patient may be pregnant or are planning to have a baby.
Possible side effects: Like all medicines, this medicine can cause side effects, although not everybody gets them.
Some rare and very rare side effects might be serious: If the patient experiences any of the following signs of allergy, STOP using Almiral gel and tell a doctor or pharmacist immediately: Skin rash with blisters; hives (may affect between 1 and 10 in every 10,000 people).
Wheezing, shortness of breath or feeling of tightness in the chest (asthma) (may affect less than 1 in every 10,000 people).
Swelling of the face, lips, tongue or throat (may affect less than 1 in every 10,000 people).
Other side effects which may occur are usually mild, passing and harmless (if the patient is concerned, tell a doctor or pharmacist).
Common side effects: (may affect between 1 and 10 in every 100 people).
Skin rash, itching, reddening or smarting of the skin.
Very rare side effects: (may affect less than 1 in every 10,000 people).
The skin may be more sensitive to the sun. Possible signs are sunburn with itching, swelling and blistering.
Reporting of side effects: If the patient gets any side effects, talk to a doctor or pharmacist. This includes any possible side effects not listed in this monograph. The patient can also report side effects directly via the national reporting system. By reporting side effects the patient can help provide more information on the safety of this medicine.
Do not throw away any medicines via wastewater or household waste. Ask a pharmacist how to throw away medicines that are no longer use. These measures will help protect the environment.
Store below 25°C, in the original package.
D11AX18 - diclofenac ; Belongs to the class of other dermatologicals.
Almiral Gel 1%
100 g x 1's;25 g x 1's;50 g x 1's
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