Iodex UltraGel+

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Iodex UltraGel+ product image

Iodex UltraGel+ eases joint pain and inflammation all day long when applied twice daily1

Provides up to 12 hours of relief from joint pain through an anti-inflammatory action.1

Contains diclofenac, a potent non-steroidal anti-inflammatory drug (NSAID) with effective analgesic and anti-inflammatory properties.2

Diagram showing the concentrations of diclofenac reaching the various tissues beneath the skin of the knee following topical application3

Diclofenac gets deep into the joint area3

After topical administration, diclofenac is distributed to the subcutaneous tissues, muscle, synovial tissues and synovial fluid, the latter tissues typically being most likely to be driving joint pain.3 Its chemical properties support retention within the joint where it is needed, rather than the blood stream.3,4

Iodex UltraGel+ is specially formulated to help the anti-inflammatory ingredient get through the skin .5,6 It contains a permeation enhancer for increased delivery of diclofenac through the skin. 6 *

The deep penetration of Iodex UltraGel+ makes it suitable for the treatment of joint pain related to trauma of the tendons, ligaments, muscles and other joint tissues as well as localised soft-tissue rheumatism.5

*Voltaren 12-hour (2.32%) Emulgel compared with Voltaren (1.16%) Emulgel (in vitro study) when measured over 24 hours.

Man holding ankle

Provides up to 12 hours of relief from joint pain1

Iodex Ultragel+ has proven clinical efficacy: in a study of acute ankle sprain, patients experienced a 65% reduction in pain from baseline after 4 days , with additional benefits in terms of reductions in swelling vs placebo.1

Iodex Ultragel+ provides all-day joint-pain relief, meaning convenient twice-daily application is all that is needed.1,5

The lowest number-needed-to-treat (NNT) for Voltaren Emulgel* vs other topical NSAIDs in acute musculoskeletal pain7,8

A Cochrane Review of 61 studies of topical NSAIDs compared with placebo (>8000 patients) reported that Voltaren Emulgel has the lowest NNT (1.8) of topical NSAIDs in acute musculoskeletal pain, including topical ibuprofen (3.9).7.8*†

This means that for every single patient you treat with Iodex Ultragel+ over other topical NSAIDs, you have a better chance of giving them the significant pain relief that helps get them back on their feet and enjoying life again. 7

*1.16% and 2.32% Voltaren Emulgel formulations included in the review.†vs topical ibuprofen, ketoprofen, benzydamine, piroxicam and indomethacin.

Very low systemic exposure

Graphic depicting systemic exposure with topical or oral diclofenac 3

Low systemic absorption, for a lower risk of systemic side effects 3,5,9

Iodex UltraGel+ has a low systemic exposure 3,5,10 meaning a reduced risk of systemic side effects and drug–drug interactions.3,5

That includes a reduced systemic side-effect risk vs oral NSAIDs (e.g. gastrointestinal events).11.12 *

*There is an increased risk of mild dermatological side effects (e.g. skin irritation) with topical diclofenac, but this is non-serious and reversible.

Supported by treatment guidelines

Osteoarthritis treatment algorithm14–16

Providing additional pain-relief alongside paracetamol13–15*

Clinical guidelines support the use of paracetamol for chronic osteoarthritis pain of the knee,13,16 hand13 and hip,16 with the option of adding topical NSAIDs for further pain relief,13,16 including for the treatment of short-term pain flares that often accompany chronic osteoarthritis pain.16 However, more-recent guidelines do not recommend the use of paracetamol (alone or in combination with topical NSAIDs) for the treatment of osteoarthritis.17

*Current Osteoarthritis Research Society International (OARSI) guidelines do not recommend treating osteoarthritis with paracetamol.

What can Iodex Ultragel+ do?

Lady sitting beside bunch of flowers

Nora needs to regain mobility by easing joint stiffness

Nora wakes up with joint pain and stiffness each morning and has difficulty climbing stairs but does not want this to control her life or her choices.

She already receives multiple oral medications and is concerned that adding more will increase her risk of side effects.

Nora tries to stay active by gardening and going for walks, but this can sometimes be a struggle.

She wants sustained relief from her pain so that she can do the things she enjoys.

Iodex UltraGel+ provides clinically proven joint pain relief 7 in a convenient, twice-daily application, without the worry of adding more oral medications.

Recommend Iodex Ultragel+ to your patients for relief of joint pain and inflammation all day long when applied twice daily

Iodex UltraGel+ product image

Iodex UltraGel+

For patients who are looking for long-lasting relief from joint pain and inflammation, using a topical formulation.

Iodex UltraGel+ product details

  • 1 g of Iodex UltraGel+ 2.32% Emulgel contains 23.2 mg of diclofenac diethylamine, which corresponds to 20 mg of diclofenac sodium.5

  • For cutaneous use only. Patients should consult their doctor if the condition does not improve or worsens within 7 days of starting treatment.

    The duration of treatment depends on the indication and clinical response. The product should not be used for more than 14 days for soft-tissue injuries or soft-tissue rheumatism, or 21 days for arthritis pain, unless recommended by a doctor.

    For adults and adolescents aged 12 and over

    Voltaren 12-hour 2.32% Emulgel provides lasting pain relief of up to 12 hours (applied two times daily - morning and evening). It should be rubbed gently into the skin at the affected area. The amount needed depends on the size of the painful area: 2 to 4 fingertip units of gel is sufficient to treat an area of about 400-800 cm². After application, the hands should be washed, unless they are the site being treated.

  • The possibility of experiencing systemic adverse events (those associated with the use of systemic forms of diclofenac) should be considered if topical diclofenac is used at a higher dosage or for a longer period of time than recommended. Topical diclofenac should be applied only to intact, non-diseased skin, and not to skin wounds or open injuries. It should not be allowed to come into contact with the eyes or mucous membranes, and should not be ingested. After rubbing the gel into the skin, non-occlusive bandages can be used, however without an airtight occlusive dressing.

    Contains propylene glycol esters, which may cause mild, localised skin irritation in some people. Also contains butylhydroxytoluene, which may cause local skin reactions (e.g. contact dermatitis) or irritation to the eyes or mucous membranes. Discontinue if a skin rash develops after applying.

    Contraindications5

    • Known hypersensitivity to diclofenac or to any of the excipients
    • Patients in whom asthma, angioedema, urticaria, or acute rhinitis are precipitated by acetylsalicylic acid or other NSAIDs
    • During the last trimester of pregnancy

    For the full description of special warnings and precautions with Iodex UltraGel+, please refer Product Information Leaflet.

  • The following convention has been utilised for the classification of undesirable effects: very common (≥ 1/10) common (≥ 1/100 to < 1/10); uncommon (≥ 1/1,000 to < 1/100); rare (≥ 1/10,000 to < 1/1,000); very rare (< 1/10,000):

    Body system

    Adverse reaction

    Frequency

    Infection and infestation

    Rash pustular

    Very rare

    Immune system disorders

    		 Angioedema, hypersensitivity (including urticaria)

    Very rare
    Respiratory, thoracic and mediastinal disorders

    Asthma

    Very rare
    Skin and subcutaneous tissue disorders Dermatitis (including contact dermatitis), rash, erythema, eczema, pruritus Common
    Dermatitis bullous Rare
    Photosensitivity reaction Very rare

    For the full list of adverse reactions with Iodex UltraGel+, please consult your local Summary of Product Characteristics.

Iodex UltraGel+ up to 12 hours of relief from joint pain7

Woman clutching knee

Joint pain and osteoarthritis

Learn more about osteoarthritis and how it can be managed with physiotherapy.

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Educational resources

Educational resources

Access detailed clinical information on Iodex Ultragel+.

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Patient care resources

Patient care resources

Download information on joint pain for your patient.

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