Dosanac Dosage/Direction for Use

Emulsion gel: Depending on the size of the painful site to be treated, apply 2-4 g gel (3-6 cm length), 3-4 times daily to the affected parts and rub in gently. It is advisable to review the treatment after 2 weeks.
Injection: For adults: The dosage is generally 1 ampoule daily, injected deep intragluteally into the upper outer quadrant. By way of exception in severe cases (e.g. of colic) two injections, separated by an interval of few hours, can be given per day (one into each buttock). Alternatively, it is possible to combine one ampoule with other dosage forms of Dosanac up to a maximum daily dosage of 150 mg.
Dosanac injection should not be given for more than a few days; if necessary, the treatment can be continued with Dosanac coated tablets.
Special populations: Established cardiovascular disease or significant cardiovascular risk factors: The use of high dose diclofenac (150 mg/day) for more than 4 weeks is contraindicated in patients with established cardiovascular disease (congestive heart failure, established ischemic heart disease, peripheral arterial disease) or uncontrolled hypertension. If diclofenac treatment is needed, patients with established cardiovascular disease, uncontrolled hypertension or significant cardiovascular risk factors (e.g. hypertension, hyperlipidemia, diabetes mellitus and smoking) should be treated only after careful consideration and at dose ≤ 100 mg daily when initial treatment with diclofenac injection continues with diclofenac tablets or suppositories for more than 4 weeks. As the cardiovascular risks of diclofenac may increase with dose and duration of exposure, diclofenac should always be prescribed at the lowest effective daily dose and for the shortest duration possible.