Arthritis/rheumatic disorders:


Temporary relief of arthritis pain only in upper body areas (eg, hand, wrist, elbow) or lower body areas (eg, foot, ankle, knee).


Use dosing card to apply gel. Upper body areas (eg, hand, wrist, elbow): Apply 2g to the affected area 4 times daily. Lower body areas (eg, foot, ankle, knee): Apply 4g to the affected area 4 times daily. All: use up to 21 days. Max: 2 body areas at the same time. Do not wash treated hands for at least 1hr after application. Wait at least 10mins after application before getting dressed.


<18yrs: not established.


Allergy to any other pain reliever or fever reducer. Before or after heart surgery. More than 2 body areas at the same time. Use in the eyes, nose or mouth.


Not for strains, sprains, bruises or sports injuries. Discontinue if no relief within 7 days or if an allergic reaction occurs. Hepatic impairment. Increased risk of severe GI bleeding (esp. ≥60yrs of age, history of GI ulcers/bleeding, prolonged therapy). Increased risk of heart attack or failure, and stroke (esp. in prolonged therapy). History of GI events (eg, heartburn). Hypertension. Heart disease. Liver cirrhosis. Renal disease. Asthma. Recent stroke. Reevaluate if pain worsens or persists more than 21 days. Do not apply to open wounds, infections, inflammations, or rashes. Avoid eyes, mucous membranes, external heat and/or occlusive dressings, sunlight. Elderly. Pregnancy (3rd trimester; avoid). Nursing mothers.

Pharmacologic Class:

NSAID (benzeneacetic acid deriv.).


Increased risk of GI bleed with anticoagulants, corticosteroids, other NSAIDs, or ≥3 alcoholic drinks/day. Caution with diuretics.

Adverse Reactions:

Skin irritation, redness, swelling, fever; GI bleed (eg, feel faint, bloody or black stools, vomit blood, stomach pain), heart problems or stroke (eg, chest pain, trouble breathing, leg swelling, weakness, slurred speech), allergic reactions.

Generic Availability:


How Supplied:

Gel—20g, 50g, 100g, 150g