Which is better: diclofenac or movalis injections. Movalis or Diclofenac. What is best to take for rheumatic soft tissue lesions? Contraindications for use

1 year ago

In medical practice, drugs with analgesic, anti-inflammatory and antipyretic properties are often used. The pharmaceutical industry offers similar drugs, which sometimes forces doctors to make difficult choices. The topic of our conversation today: Movalis or Diclofenac - which is better?

Before we answer the question of which is more effective - Diclofenac or Movalis, I would like to separately consider the annotation of each of these pharmacological agents. At detailed analysis it will be easier to identify their advantages and disadvantages, similarities and differences.

"Movalis" is one of the drugs that have anti-inflammatory, analgesic and antipyretic properties. It is released by prescription. In pharmacies you can buy Movalis in various forms ah, including:

• suspension;
• pills;
• rectal suppositories;
• injections.

According to the annotation, Movalis is prescribed for the treatment of a number of ailments and pathological conditions, including:

• arthrosis;
• rheumatoid arthritis;
• spondylitis;
• osteoarthritis.

This pharmacological agent has big list contraindications, therefore self-medication is extremely undesirable, in otherwise may get worse clinical picture illness. If the limit is not observed daily dosage and the duration of treatment, side effects and complicated consequences appear.

You should stop taking Movalis if you have the following conditions and diseases:

On a note! Persons under the age of 18, as a rule, are not prescribed Movalis in the form intramuscular injections. Before reaching 12 years of age, it is not recommended to take Movalis in the form of a suspension or tablets. Although there are exceptions to every rule, and this applies to the treatment of juvenile rheumatoid arthritis.

Diclofenac has the same properties as Movalis. Its active ingredient is diclofenac sodium. This pharmacological agent is dispensed in pharmacies over the counter, but only in the form for external use, and the rest - by prescription.

Diclofenac is available not only in the form of tablets and suppositories. This pharmacological drug also found in the form of injections, topical ointments, and even ophthalmic drops.

On a note! According to the annotation, Diclofenac is not one of the pharmacological agents that influence the progression of the disease. It is intended to eliminate the symptoms that appear - relieve inflammation and relieve pain attacks.

"Diclofenac" in certain pharmacological forms (suppositories, tablets) is prescribed for the treatment of a number of ailments and pathological conditions, in particular:

• sciatica;
• headaches of varying intensity;
• radiculitis;
• toothache;
• myalgia;
• pain with the progression of malignant pathologies;
• neuralgia;
• Bekhterev's disease;
• bursitis;
• algodismenorrhea;
• adnexitis;
• arthritis of various forms;
• otitis;
• pharyngitis.

On a note! In some cases, rectal suppositories "Diclofenac" can be prescribed to the patient to alleviate the condition of acute respiratory and viral diseases and flu.

In the form of injections, Diclofenac is prescribed for the treatment of the following diseases:

• arthritis of various forms;
• osteoarthritis;
• inflammatory processes of a certain etiology;
• neuralgia;
• lumbago;
• pain syndromes in the postoperative period.

On a note! You can always keep Diclofenac on hand in the form of an ointment. It is used to relieve pain during traumatic injuries soft tissues, muscle pain and so on.

You can also buy at the pharmacy ophthalmic drops with the same name. In this pharmaceutical form, Diclofenac is prescribed for the treatment of a number of pathologies:

• cystic edema;
• conjunctivitis;
• corneal erosion;
• cataracts;
• inflammatory processes in the cornea;
• photophobia.

What is better - Diclofenac or Movalis injections?

Depending on the pharmacological form these drugs component composition does not change, the active substances remain the same. In each individual case, the doctor selects the most suitable form for treatment.

It is quite difficult to give an unambiguous answer to the question of which is better - Diclofenac or Movalis. Each person feels pain differently, and the same illness can develop with a distinctive degree of severity.

In general, in medical practice they believe that Movalis is one of the most successful and effective similar drugs"Diclofenac", despite the fact that these pharmaceuticals various active components.

Scientists have conducted repeated studies to determine the degree of effectiveness of these drugs. People suffering from back pain were divided into two groups. One of them was administered intramuscularly with Diclofenac, and the other with Movalis.

Both groups noted obvious relief and subsidence of pain after the first manipulations. Over time, the condition improved, but with the introduction of Movalis, people felt much better, and pain syndrome became less intense.

How do you know whether Movalis or Diclofenac is better? Reviews from doctors were divided into two diametrically opposed camps. But most qualified doctors are still inclined to believe that both pharmacological agents are effective and each “works” in a certain clinical situation.

Let's take a look at the list of side effects

In order for the comparison of Diclofenac and Movalis to be comprehensive and objective, it is necessary to pay attention to the possible side effects of both drugs.

Important! In order not to encounter side symptoms, it is necessary to take this or that drug only as prescribed by the treating specialist in the specified dosage. In case of individual intolerance to the active components, it is recommended to consult a doctor to replace the drug with a similar one.

As shown medical practice, Movalis is safe to take a long period, but only under the strict supervision of a specialized doctor. Diclofenac is also often prescribed for long-term use. In this case, you need to periodically check the condition of your liver, take blood and urine tests.

Excessive and long-term use of Diclofenac not coordinated with a doctor can cause a number of side effects:

In fact, in the annotation for Diclofenac it is indicated huge list all sorts of side effects. It is impossible not to be frightened by the average person who is prescribed such a drug.

As for Movalis, the list of its side effects is smaller. These include:

• bowel dysfunction;
• dyspepsia;
• discomfort or pain in the epigastric region;
• rashes on the skin;
• swelling at the injection site;
• allergic reactions.

On a note! In the annotation to this pharmacological agent A number of other side effects are indicated. However, there is a note that they appear extremely rarely.

Which anti-inflammatory drug is more effective: Movalis or better Diclofenac or Ketonal - which is better, which is safer for the human body? Especially for readers of “Popular about Health” I will consider the features of the use of these pharmaceuticals.

Pharmacological group

All three drugs fall into the same category - non-steroidal anti-inflammatory drugs, which are widely used to treat pathologies of the musculoskeletal system.

Despite belonging to the same pharmaceutical group, the active substances in the drugs are different. The drug Movalis contains meloxicam as an active ingredient. The medicine is available in tablets, solution, suppositories, and also in the form of a suspension.

In the drug Diclofenac, the active component is diclofenac sodium. This medicine is produced in the form of ointment, gel, drops, solution, and also in the form of rectal suppositories.

Ketonal contains ketoprofen as active ingredient and is released in the following dosage forms: tablets, solution, gel, suppositories, cream. All three drugs are available with a prescription.

pharmachologic effect

All three drugs have anti-inflammatory, antipyretic and analgesic effects. The mechanism of their action is related to their ability active component suppress the processes of synthesis of special enzymes - cyclooxygenases, which leads to a decrease in the concentration of mediators of the inflammatory reaction, mainly prostaglandins.

In addition to suppressing the synthesis of inflammatory mediators, the drugs stabilize lysosome membranes, which reduces the severity of pathological changes.

The use of medications helps suppress the manifestations of inflammation, which leads to the disappearance of pain, elimination of swelling and redness, normalization of temperature, and restoration of function of the affected part of the body.

Suppression of pain during administration medicines is associated with a decrease in the severity of inflammatory changes, as well as with an increase pain threshold, which occurs as a result of a decrease in the concentration of prostaglandins in pain centers.
Suppression of prostaglandin synthesis is not selective. This process occurs in most tissues of the human body, including the gastric mucosa, which is a provoking factor in the development of ulcers and bleeding.

Damage to the gastric mucosa occurs when long-term use all non-steroidal anti-inflammatory drugs. As stated by the manufacturer, when taking Movalis this side effect is less pronounced.

Diclofenac and Movalis - indications for use

The use of various forms of drugs is indicated in the following cases:

Psoriatic arthritis;
Traumatic lesion bones and joints;
Osteochondrosis;
Pain syndrome medium degree heaviness;
IN complex treatment infectious pathology different localizations;
Ankylosing spondylitis;
Rheumatoid arthritis.

Before using drugs, you must consult a specialist and undergo a comprehensive examination.

Ketonal - indications for use

In addition to the conditions mentioned above, the drug Ketonal adds the following diseases:

Algodismenorrhea (pain with cyclic bleeding);
Pain syndrome with oncological diseases;
Neuralgia of any location;
Reiter's syndrome.

The analgesic effect of the drug Ketonal is more pronounced in comparison with diclofenac. Before using the medicine, you should also consult a specialist.

Indications for use

All three drugs have a similar list of contraindications:

Intolerance active ingredients;
Ulcerative lesion upper sections intestines;
Intestinal or stomach bleeding;
Liver failure;
Decompensated pathology excretory system;
Children's and adolescence;
Intolerance to acetylsalicylic acid;
Pregnancy;
Severe heart failure;
Lactation period.

Relative contraindications: cerebrovascular diseases, elderly age, smoking in adulthood, alcohol abuse, pathology of blood lipid composition, diabetes mellitus, anemic conditions, the need for surgical interventions, use of anticoagulants.

Similarities and differences

All three drugs have a pronounced anti-inflammatory effect. However, the severity of pharmaceutical effects is minimal for the drug Diclofenac, and maximum for the drug Ketonal.

Diclofenac is produced in Russia by Hemofarm. The drug Ketonal is produced by the pharmaceutical concern Sandoz, located in Eastern Europe. The drug Movalis is a product of the German pharmaceutical company Boehringer.

The severity of side effects is maximum for the drug Diclofenac and minimal for the drug Movalis. We are talking, first of all, about damage to the intestinal mucosa.

The most inexpensive drugs quite obviously, is Diclofenac. For example, the cost of a package of tablets is only 15 - 20 rubles. The next most expensive is Ketonal. The price of a package of capsules is about 150 rubles. Movalis, thanks to the improved formula, is already much more expensive - about 650 rubles.

Conclusion

The choice of drug is determined by the opinion of the attending physician and the patient’s ability to pay. Any questions you have should be directed to your doctor.

When choosing therapy for various pathologies musculoskeletal system The question may arise of choosing between the drugs Movalis or Diclofenac: which helps better and is preferable to prescribe. To find out the answers to these questions, it is necessary to study the pharmacological characteristics of medications and familiarize yourself with the results clinical trials to compare these medicines.

Treatment of pathologies of the musculoskeletal system

Anti-inflammatory drugs are basic in therapy large number diseases of the musculoskeletal system, including degenerative-dystrophic pathologies. Non-steroidal drugs, which include Movalis and Diclofenac, have a pronounced therapeutic effect but also have side effects. Basics undesirable manifestation when using these medications - negative impact on organs digestive system. Therefore, non-steroidal anti-inflammatory drugs are not prescribed for more than 10 days.

Therapeutic effect of Diclofenac and Movalis

Diclofenac and Movalis are frequently prescribed medications that have a similar spectrum of actions, including anti-inflammatory, analgesic and antipyretic. But still, the effects of these drugs are different.

Diclofenac - no selective inhibitor cyclooxygenase, which is why large quantity probable negative reactions. Movalis is a selective inhibitor of cyclooxygenase type 2, and therefore there is no negative influence on organs gastrointestinal tract. This is the main, but not the only difference in the action of drugs. Pharmacological characteristics each drug will help to identify the similarities and differences between the effects of Diclofenac and Movalis.

Pharmacological characteristics of the drug Diclofenac

Diclofenac has the following effects:

• anti-inflammatory;
• antipyretic;
• antiaggregation;
• analgesic;
• antirheumatic.

All these actions are possible due to inhibition of the enzyme cyclooxygenase. Because of this biochemical reactions the arachidonic cascade becomes impossible, which causes a disruption in the synthesis of prostaglandins, leukotrienes, thromboxane and prostacyclin. The release of enzymes from lysosomes is blocked, and the aggregation of blood platelets is suppressed.

At internal use complete resorption of the medication occurs; food intake can provoke a decrease in the rate of absorption, but does not have a depressing effect on its usefulness. Achieving the maximum concentration of a bioactive substance in plasma may differ depending on the dosage form:

• when taken orally in tablet form short acting Cmax is reached after 1-2 hours;
• when taken orally in a tablet form of prolonged action - after 5 hours;
• for intramuscular administration - after 10-20 minutes;
• for rectal administration - after half an hour.

Diclofenac binds to plasma proteins almost completely (99%). Bio active substance enters synovial fluid and tissues, where the increase in concentration will be somewhat slower. When applied topically, Diclofenac reaches the site of pathology through the skin.

About a third of the drug is excreted in the feces in a metabolized form, the remaining two-thirds undergo biotransformation in liver cells and are excreted in the urine.

Diclofenac has a more pronounced anti-inflammatory effect than acetylsalicylic acid, ibuprofen, butadione, indomethacin.

Diclofenac promotes weakening at rest and during movements, eliminates their swelling, and the effect of the drug is aimed at improving the functionality of the joints. For post-traumatic and postoperative inflammation medicine relieves pain and reduces swelling of the affected area. In the case of course use of Diclofenac, the concentration of the active substance in articular and periarticular tissues is higher than in plasma.

The medicine is prescribed for the treatment of various diseases:

• inflammatory pathologies of joints (,);
• degenerative-dystrophic pathologies (,);
• neuralgia, myalgia, sciatica, ;
• pathological conditions of periarticular tissues (rheumatic lesions of muscle tissue);
• post-traumatic and postoperative pain syndromes;
• adnexitis;
• migraine attacks;
• hepatic and renal colic;
• infectious and inflammatory pathologies of the respiratory system.

In forms for local application Diclofenac is prescribed for the correction of injuries to muscle tissue, tendons, ligaments and joints, and local forms. In the shape of eye drops the drug is used for the treatment of non-infectious conjunctivitis and in some operations on the organs of vision.

Contraindications to the use of Diclofenac:

• stomach ulcer;
• disorders of hematopoietic processes;
• exacerbation of intestinal inflammation;
• “aspirin” asthma;
• child's age up to 6 years;
• the period of bearing a child (especially the last trimester).

The use of this medication is limited for diagnosed disorders of the functionality of the kidneys and liver, heart failure, porphyria, lactation and professional activity With high concentration attention.

Adverse reactions to Diclofenac:

• digestive disorders (vomiting, nausea, constipation, diarrhea, flatulence);
• NSAID gastropathy (erythema, erosion, ulcers in the antrum of the stomach);
• erosions, ulcers in the intestines;
• bleeding;
• pancreatitis;
• liver dysfunction (drug-induced hepatitis);
• impaired renal function (nephritis, rarely - failure);
• headaches and dizziness, irritability, excessive fatigue;
• local manifestations of allergies: exanthema, erythema, erosion, ulcers;
• systemic anaphylaxis;
• violations by hematopoietic organs(anemia, leukopenia, thrombocytopenia);
• increased blood pressure;
• convulsive conditions;
• when intramuscular injection- formation of abscesses, necrotic changes in adipose tissue;
• when rectal administration- mucous-bloody discharge from the rectum, painful defecation.

To minimize risk side effects, when using Diclofenac, you should regularly donate blood for general analysis to determine the formula and on biochemical analysis to assess the functional state of the liver and stool analysis for occult blood.

Pharmacological characteristics of the drug Movalis

Range pharmacological effects Movalisa:

• anti-inflammatory;
• antipyretic;
• analgesic.

Structurally, Movalis is a derivative of enolic acid. The mechanism of action of the drug is based on the selective inhibition of type 2 cyclooxygenase. Due to the selectivity of the effect on various forms of the enzyme, the severity of adverse reactions from the digestive system.

When administered intramuscularly, absorption of the active substance occurs completely. The maximum concentration of meloxicam in plasma is one hour after entering the body.

The bioavailability of the drug when taken orally in tablet form reaches 89%. Maximum concentration in plasma when taken orally occurs after 5-6 hours. The intake of food does not impair the absorption of the drug.

In case of use rectal suppositories the maximum concentration of the bioactive substance in plasma occurs after 5 hours. Therefore, suppositories are bioequivalent to the tablet form of the drug. Movalis is able to enter the local concentrations, which are about 50% of the plasma content.

The drug is excreted from the body in feces and urine in a metabolized form; less than 5% is excreted in unchanged form.

Movalis is prescribed in the following cases:

• for rheumatoid arthritis;
• with ankylosing spondylitis;
• for osteoarthritis and other degenerative pathologies.

Contraindications for use:

• hypersensitivity to the bioactive substance and auxiliary components of the drug;
• bronchial asthma, skin manifestations hypersensitivity or angioedema with a history of taking non-steroidal anti-inflammatory drugs;
• stomach ulcer;
• ulcerative colitis;
• impaired liver function;
• impaired kidney function;
• pathologies of the blood coagulation system;
• heart failure;
• periods of childbearing and breastfeeding;
• injection solution is not prescribed to children under 18 years of age;
• Rectal suppositories and tablet forms are not prescribed to children under 12 years of age.

List of adverse reactions:

• disruption of hematopoietic processes (manifest in the form of anemia, leukopenia, thrombocytopenia);
• anaphylactic reactions;
• headaches and dizziness, sleep disturbances, mood swings;
• esophagitis, gastritis, colitis, stomach and duodenal ulcers;
• impaired liver function, hepatitis;
• dermatitis, photosensitivity, erythema, rashes, itching;
• bronchial “aspirin” asthma;
• renal failure, nephritis;
• impaired vision function, conjunctivitis.

In the case of a course of taking Movalis, to minimize side effects, you should monitor functional state hematopoietic system, liver, digestive system organs.

Simultaneous use of Diclofenac and Movalis

Since Diclofenac and Movalis belong to the same pharmacological group medications - non-steroidal anti-inflammatory drugs, their joint reception irrational, because it can provoke more pronounced adverse reactions than when used in isolation.

Patients ask the question: which is better - Movalis or Diclofenac? In this situation, the answer is quite clear.

Results of clinical studies of the effectiveness of Movalis and Diclofenac

To identify the preferred drug, studies were carried out on the effectiveness of Diclofenac and Movalis and compared therapeutic results and side effects. In 2001, N. A. Shostak and D. A. Shemetov published the results of a study of the effects of drugs on patients with spinal column complicated by severe pain syndrome.

The effectiveness of Diclofenac was studied in the treatment of 24 patients, Movalis - 30. The study revealed that Movalis and Diclofenac have a similar rate of achieving an analgesic effect and comparable overall efficiency. However, the advantage of Movalis is its greater safety with regard to the likelihood of side effects from the digestive system.

Movalis is as effective, but safer than Diclofenac, a non-steroidal anti-inflammatory drug, and therefore can be recommended as good drug for the treatment of patients with pathologies of the musculoskeletal system.

Comparison of drug costs

The question of the price of medicines in a number of situations is decisive in the issue of choosing a drug. Approximate price on different shapes Diclofenac and Movalis are given in the table.

Of course, the cost of various forms of Diclofenac is several times less than the cost of similar forms of Movalis, which is why it is purchased by patients more often. However, if the doctor prescribed Movalis, it means that in a specific clinical situation it is more appropriate to use this drug.

When answering the question: Movalis or Diclofenac - which is better, reviews should not be decisive in making a specific decision. Only a specialist who is treating the patient can choose the right medication. Self-prescription of a particular medication can aggravate the condition due to the development of side effects from many organ systems, so you should be especially careful and follow all medical recommendations.

Based on the composition of the drugs, it can be argued that these medications are similar, but how can you understand how Movalis differs from Diclofenac and which is better? Which pills are more effective if you suffer from joint pain, migraine or osteochondrosis?

pharmachologic effect

In order to understand what methods drugs use to reduce pain, it is necessary to find out the pharmacological action of each.

• Diclofenac - this medication has been used to dull pain for a long time. Its principle of action is based on reducing the metabolism of prostaglandins, which are main reason occurrence of inflammatory processes. Diclofenac slows down the biosynthesis of several groups of cyclooxygenase enzymes, which affects not only the suppression of pain itself, but also the state of the gastrointestinal tract.
• Movalis, like Diclofenac, is a non-steroidal drug, but Movalis is a medicine latest generation. The pharmacological action of Movalis is also associated with a decrease in the synthesis of prostaglandins. The only difference between the drugs is that Movalis specifically acts on the second group of cyclooxygenase enzymes, which is why there are practically no side effects on the gastrointestinal tract. Movalis can also be classified as chondroneutrality, since when taken there is no noticeable effect on the synthesis of substances in articular cartilage.

Indications for use: Movalis and Diclofenac

Movalis or Diclofenac, which is better? This question is asked by many patients who suffer from certain pains. However, very often the answer to the question is hidden in the instructions of the drug: if your disease is on the list of indications for use, then without a doubt you should choose this particular medication.

For comparison, let’s look at the indications for use of both drugs:

• Movalis: widely used as symptomatic treatment rheumatoid arthritis, osteoarthritis varying degrees, ankylosing spondylitis.
• Unlike Movalis, Diclofenac has a wider list of indications: arthrosis, rheumatic diseases soft tissues, polyarthritis of acute and chronic form, lumbago, painful swelling that occurs after injury or surgery, inflammatory conditions with the presence of a pain symptom.

Thus, Diclofenac injections do a good job of eliminating pain of varying degrees of etiology, but the patient should be aware that when using this medicine, there may be greatest number side effects.

Side effects: Movalis and Diclofenac

Every medicine has an effect that you do not want to take. Undesirable consequences after taking Diclofenac and Movalis tablets are very different from each other.

Movalis

The probability of all listed side effects is less than one percent: nausea, abdominal pain, itching, headache, swelling, hot flashes. It is worth emphasizing that these undesirable effects do not always manifest themselves to their full extent. Each patient may have a different reaction to using Movalis.

Diclofenac

The possibility of unwanted effects depends entirely on the sensitivity to the drug, the amount of the drug used and the duration of its use. These include: vomiting, erythema, hyperemia, nausea, diarrhea, constipation, gastritis, erosive bleeding, pancreatitis, nephritis, fatigue, bronchospasm, pneumonia. At long-term use ointments, redness, itching and burning, and allergic reactions may occur at the application site.

This difference in side effects can be justified by the fact that Movalis is more modern drugs last generation. When obtaining the medicine, the effect of the medicine was studied more deeply, thanks to the latest technologies managed to create a substance that will affect the area of ​​pain as accurately as possible. That's probably why the price of Movalis is several times higher than Diclofenac. Not all patients have the opportunity to take expensive tablets, so you can replace Movalis with Diclofenac, you just need to follow the instructions exactly and do not forget about the presence of side effects.

Comparison of the effectiveness of Movalis and Diclofenac: a medical study

There is information on the Internet about conducting clinical trials of Movalis and Diclofenac. the main objective- identify the effectiveness and tolerability of each drug in patients in a hospital setting.

Patients suffering from identical back pain were asked to be divided into two groups: one was asked to be treated with the drug Movalis in the form of injections, the second with Diclofenac, the same form. The duration of the study is 6 days. The only condition is to prescribe Diclofenac 75 mg, and Movalis 15 mg. As you can see, the amount of Diclofenac is exactly 5 times more than its analogue. Main question: How effective will a medication with a reduced amount of active ingredient be?

To obtain the most objective result, neurological analysis was used to assess the intensity of pain in patients, as well as the presence or absence of a response to palpation.

Research results

After completing the study, all patients noted a decrease in pain, but in the group that was treated with Movalis, a decrease in the severity of the disease was recorded after the first days of treatment. There is also evidence that patients in the first group noted the best tolerability and almost complete absence side effects.

Thus, Movalis, used at a dose 5 times less than Diclofenac, showed the best results. Therefore, we can conclude that it is more effective to use Movalis, although only a doctor has the right to decide which medicine can be used in each specific case.

Can both drugs be used at the same time?

Injecting Diclofenac and Movalis at the same time is strictly prohibited . It is necessary to remind once again that both medications are analgesic, anti-inflammatory drugs of non-steroidal origin, so if you are planning to inject with two drugs at the same time, the likelihood of side effects may increase several times.

In some cases, even an overdose may occur - bleeding from the gastrointestinal tract, sharp increase Blood pressure, decreased breathing and even coma. Therefore, even if you are suffering from unbearable pain or your joints are terribly aching, under no circumstances resort to using two medications at once. It is better to consult a doctor who will prescribe it for you optimal dose medicine.

How to take the pills

It has already been noted that Movalis and Diclofenac should not be taken at the same time, so it is necessary to take into account the method of administration and dosage of each medication separately.

Movalis

Movalis is used intramuscularly only in the first days of treatment, maximum daily norm- 15 mg. Injections should only be carried out by qualified personnel, deep into the muscle. For best result, the drug is taken with meals, washed down with water or other liquid. It is worth noting that the daily amount of medication used in the form of tablets, injections and suppositories should not be more than 15 mg, otherwise an overdose may occur and the likelihood of unwanted effects will sharply increase.

Adults take the tablets in some cases adolescents, then the recommended dose is halved. Patients who have concomitant disease as renal failure, initial therapy should be carried out with 7.5 mg per day.

Diclofenac

Diclofenac, like Movalis, is prescribed as an injection in the first days of treatment, increasing the dose to 75-150 mg per day. Maximum dose(2 ampoules), justified only if you need to achieve the fastest therapeutic effect. If maintenance therapy is necessary, treatment with Diclofenac tablets is recommended, which should not be taken more than 150 mg per day.

The tablets can be used by children from 6 years of age. The dose is calculated based on the child’s body weight: the recommended rate is 2 mg per kg, which is divided into several doses.

Adults, unless otherwise indicated, should take 150 mg tablets per day. Required condition is to divide the norm into several parts, for example, 2 or 3. You need to take the tablets after meals, with a small amount water.

Instructions

The effect of Diclofenac and Movalis is aimed at eliminating the symptoms of the disease. To figure out which medicine Better yet, you need to familiarize yourself with the characteristics of the medications.

Characteristics of Diclofenac

The drug is widely used in medical practice. It has a pronounced anti-inflammatory effect that acts anywhere in the body where the inflammatory process itself is localized. Therefore, this non-steroidal anti-inflammatory drug is used in the following cases:

• joint and bone diseases inflammatory in nature(rheumatism, rheumatoid arthritis, various inflammations joints);
• bone diseases developing against the background of a degenerative-inflammatory process (osteochondrosis, osteoarthritis);
• pathology nervous system(intercostal neuralgia, sciatica, lumbago);
• rheumatic diseases of periarticular tissues (tenosynovitis, bursitis);
• muscle inflammation (myositis);
• inflammation genitourinary system(algomenorrhea, adnexitis, pyelonephritis, cystitis, renal colic);
• inflammatory process of ENT organs (otitis media, sinusitis, rhinitis, tonsillitis).

Diclofenac is contraindicated for use in the presence of the following conditions:

• allergic reactions to any NSAIDs;
• disruption of the hematopoietic process;
• peptic ulcer of the digestive system;
• bleeding from the gastrointestinal tract;
• severe impairment of the functionality of the liver, heart, kidneys;
• pregnancy and lactation;
• age up to 6 years.

Prescribed with caution for anemia, asthma, edema syndrome, heart pathologies, diabetes mellitus, conditions after surgery and in old age.

While using the drug, it is necessary to regularly conduct blood tests, because against the background of reception quantity blood cells may decrease significantly. During long-term therapy, it is advisable to take a test for occult blood in the stool. All these examinations will help to avoid gastrointestinal bleeding(This side effect many patients are asymptomatic). The risk of unwanted complications may increase due to a long course of treatment (more than 5-6 months), as well as in patients with diseases of the gastrointestinal tract.

The drug is produced in the form of tablets, injection solution, ointment, gel, suppositories, drops. Produced in Russia, Serbia, India and other countries.

Characteristics of Movalis

Movalis belongs to NSAID group. It is prescribed to relieve inflammation and pain, because it has powerful analgesic and anti-inflammatory properties. The drug is used as symptomatic therapy in such conditions:

• rheumatoid arthritis;
• Bekhterev's disease;
• arthrosis, osteoarthrosis;
• ankylosing spondylitis;
• degenerative-dystrophic diseases of the joints, which are accompanied by severe pain.

Contraindications to the use of the drug:

• sensitivity to the components of the drug;
• exacerbation of gastrointestinal diseases;
• taking anticoagulants;
• pregnancy and breastfeeding;
• age up to 12 years;
• old age (with caution).

Movalis provides systemic action, therefore can affect any system of the body, causing the following side effects:

• vomiting, nausea, abdominal pain, diarrhea, flatulence, belching, gastritis, colitis, gastrointestinal bleeding;
• urticaria, itching, hyperemia, various rashes, Quincke's edema, anaphylactic shock(rarely);
• thrombocythemia, anemia, leukopenia (rare);
• attacks of bronchial asthma;
• dizziness, tinnitus, drowsiness, headache, migraine, mood swings, anxiety;
• changes in vision clarity, conjunctivitis;
• sweating, hot flashes, tachycardia, changes in blood pressure.

All these undesirable complications develop and intensify as a result of exceeding standard doses.

They are produced in the form of tablets, injections for intramuscular administration, and suppositories. Country of origin - Germany.

What is the difference between Diclofenac and Movalis

Movalis belongs to the new generation of drugs. The active substance is meloxicam, which is highly effective (it acts directly at the site of inflammation). High digestibility of the drug contributes to quick elimination pathological process and symptoms of the disease.

Diclofenac is a popular drug that is often used to relieve pain. Diclofenac sodium (the active substance of the drug), entering the body, begins to quickly have a therapeutic effect.

The therapeutic effect of Movalis and Diclofenac is aimed at suppressing the synthesis of prostaglandins. The difference is that Movalis acts directly on the inflammatory process, so the risk of side effects in the digestive organs is practically absent. It has also been proven that Movalis takes part in the synthesis of substances in joint cartilage.

Medicines have some differences in indications, side effects and contraindications. Diclofenac has a wider list of indications for use than Movalis.

Which is better: Movalis or Diclofenac

To understand which drug is better, you need to consider the pros and cons of Movalis and Diclofenac. Based on numerous reviews from experts, the following conclusions can be drawn:

1. Diclofenac. Pros: fast action and low cost of the drug; cons: a large list of side effects and a limited course of treatment.
2. Movalis. Pros: it can be prescribed to elderly people, patients with pathologies of the gastrointestinal tract, liver and in case of impaired renal function (in such cases, the dosage regimen is selected by a doctor, and therapy should be carried out under his supervision). Cons: eliminates sharp pain slower than Diclofenac.
3. The composition of both medicines is strong to deal with pain and inflammatory process. But if the pain syndrome is severe, and it is necessary to quickly eliminate the symptoms of the disease, then a course of Diclofenac injections will be more effective. Only a specialist should inject the medicine.
4. Both Movalis and Diclofenac are equally effective means for degenerative-inflammatory processes and diseases of the musculoskeletal system.

The doctor should choose the drug and select the dosage, taking into account the severity of the disease and accompanying pathologies. Self-medication threatens the development of complications.