Can Voltaren be taken with Coumadin?

50-year-old woman5 years ago
Hello pharmacists, can Voltaren gel be used with coumadin? They say that now it is possible. And with prednisone by mouth and after a cortisone infiltration? Thank you very much!
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Sarah-Yan Chagnon · 5 years ago
Hello, the possibility of applying Voltaren gel at the same time as taking Coumadin depends on several factors and is case by case. In particular, where on the body do you want to apply the Voltaren? What do you want to treat?
50-year-old woman · 5 years ago
For shoulder tendinitis
Sarah-Yan Chagnon · 5 years ago
In fact, the risk with Voltaren gel is that even if it is applied to the skin, it can have absorption into the bloodstream of the drug. So, since it is an anti-inflammatory, if it is combined with the blood-thinning Coumadin, it increases the risk of bleeding. The absorption of Voltaren gel into the bloodstream obviously depends on the duration of application and the surface area, so since we are only covering one shoulder, the regular Voltaren gel (not the extra-strength) could be used for a short period of less than 7 days. Care should be taken not to apply heat up to one hour after the Voltaren so as not to increase its absorption. Also, Voltaren gel does not interact with cortisone tablets or injections. Note that the safest topical medication to use with Coumadin is menthol gel (example: Deep Cold). I invite you to consult your pharmacist who will be able to show you how to apply all these products and have a better overview of your complete medication file.
Sarah-Yan Chagnon · 5 years ago
Pleasure, Sarah-Yan Chagnon, pharmacist
50-year-old woman · 5 years ago
Thank you very much for your very detailed answer!

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