Adiflam 1% Gel: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction: swelling of face, lips, tongue, or throat, difficulty breathing.
- Severe skin reaction: blistering, peeling, or widespread rash.
- Signs of gastrointestinal bleeding: black or bloody stools, vomiting blood, severe abdominal pain.
- Chest pain, shortness of breath, or irregular heartbeat.
- Decreased urine output or swelling in legs.
- Yellowing of skin or eyes (jaundice).
- Severe headache with visual changes.
If experiencing severe symptoms, call emergency services immediately.
What is dd gel used for?
This medicine is a topical gel containing diclofenac 1%, an NSAID used to relieve pain and inflammation in conditions like osteoarthritis, sprains, and strains. It is applied directly to the skin over the affected area.
- Generic Name: Diclofenac
- Manufacturer: Dales Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 dd gel के बारे में (Hindi Summary)
उपयोग: यह दवा डाइक्लोफेनाक 1% जेल है, जिसका उपयोग दर्द और सूजन को कम करने के लिए किया जाता है। यह घुटनों, हाथों और अन्य जोड़ों के ऑस्टियोआर्थराइटिस, मोच, खिंचाव और खेल चोटों में प्रभावी है। इसे प्रभावित त्वचा पर पतली परत में लगाएं और हल्के हाथ से मलें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में त्वचा पर लालिमा, खुजली, जलन या दाने शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या गंभीर त्वचा प्रतिक्रिया हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के निर्देशानुसार ही करें। इसे आंखों, मुंह या अन्य श्लेष्मा झिल्ली पर न लगाएं। टूटी या संक्रमित त्वचा पर न लगाएं। उपयोग के बाद हाथ धो लें। धूप में जाने से बचें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 dd gel Uses & Benefits
[{"condition":"Osteoarthritis of superficial joints","description":"This medicine is used to relieve pain and improve mobility in osteoarthritis of the knees, hands, and other superficial joints.","evidence":"Well-established"},{"condition":"Soft tissue injuries","description":"It helps reduce pain and inflammation" class="semantic-link" title="Medicines for swelling">swelling in sprains, strains, and sports injuries.","evidence":"Well-established"},{"condition":"Localized musculoskeletal pain","description":"It provides relief for localized muscle and joint pain, such as back pain or neck pain.","evidence":"Well-established"},{"condition":"Tendinitis and bursitis","description":"It may be used to reduce pain and inflammation in tendinitis and bursitis.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Neuropathic pain","description":"Sometimes used off-label for localized neuropathic pain, though evidence is limited.","evidence":"Limited"},{"condition":"Postherpetic neuralgia","description":"Topical diclofenac may be tried for postherpetic neuralgia, but evidence is insufficient.","evidence":"Insufficient"}]
Primary treatment for: Osteoarthritis
Also treats: Soft tissue injuries, Musculoskeletal pain, Tendinitis, Bursitis
📋 Drug Information
| Generic Name(s) | Diclofenac |
| Brand Name | Adiflam 50mg Tablet |
| Manufacturer | Dales Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID's- Non-Selective COX 1&2 Inhibitors (acetic acid) |
| Route of Administration | Topical |
| Storage | Store at room temperature (15-30°C). Protect from light and moisture. Keep the tube tightly closed when not in use. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the cyclooxygenase enzymes, specifically COX-1 and COX-2, which are responsible for converting arachidonic acid into prostaglandins. Prostaglandins are chemical messengers that promote inflammation, pain, and fever. By blocking these enzymes, diclofenac reduces the production of prostaglandins at the site of application, thereby decreasing inflammation and pain. Because the gel is applied topically, the effect is largely localized to the underlying tissues, with less systemic exposure compared to oral formulations.
Mechanism Steps
💡 How to Take dd gel
Strength: Topical gel containing 1% diclofenac.
Dosage Information
| Adult Dosage | Apply a thin layer of this medicine to the affected area 3 to 4 times daily, or as directed by your doctor. The amount needed depends on the size of the area being treated. Typically, a 2-4 cm line of gel is used for an area of about 10 cm x 10 cm. Massage gently until absorbed. Wash hands after use unless hands are being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Use with caution and consult a doctor for appropriate dosing. |
| Renal Impairment | No dosage adjustment is typically required for topical use. However, in patients with severe renal impairment, consult a doctor before use. |
| Hepatic Impairment | No dosage adjustment is typically required for topical use. However, in patients with severe hepatic impairment, consult a doctor before use. |
| Maximum Daily Dose | The maximum daily dose for topical diclofenac gel is not strictly defined, but it should not exceed the recommended application frequency. For adults, up to 4 applications per day is typical. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of dd gel
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Ibuprofen | Major | |
| Naproxen | Major | |
| Clopidogrel | Major | |
| ACE inhibitors | Moderate | |
| ARBs | Moderate | |
| Diuretics | Moderate | |
| Lithium | Moderate | |
| Methotrexate | Moderate | |
| Topical corticosteroids | Minor |
🚨 Major Interactions
- Oral NSAIDs (e.g., ibuprofen, naproxen)
- Anticoagulants (e.g., warfarin)
- Antiplatelet agents (e.g., clopidogrel)
⚡ Moderate Interactions
- ACE inhibitors and ARBs
- Diuretics
- Lithium
- Methotrexate
🍷 Alcohol Interaction
Alcohol does not directly interact with topically applied diclofenac. However, excessive alcohol consumption may increase the risk of gastrointestinal bleeding if the medicine is absorbed systemically. It is advisable to limit alcohol intake while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to diclofenac or other NSAIDs.","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.","Application to broken, infected, or inflamed skin.","Use in the eyes or on mucous membranes.","Third trimester of pregnancy.","Severe heart failure, severe kidney disease, or severe liver disease."]
⚠️ Warnings & Precautions
["For external use only. Do not ingest.","Avoid contact with eyes and mucous membranes.","Do not apply to large areas of skin or use under occlusive dressings without medical advice.","Avoid exposure of treated areas to sunlight or sunlamps.","Wash hands after application unless hands are the treated area.","Consult a doctor if symptoms persist or worsen after 7 days of use.","Use with caution in elderly patients and those with kidney or liver disease.","Do not use in children under 12 years without medical advice."]
🤱 Lactation Safety
It is not known whether diclofenac applied topically is excreted in breast milk. However, systemic absorption is low. Consult your doctor before using this medicine while breastfeeding. Avoid applying to the breast area.
💊 Overdose Management
Overdose with topical diclofenac is unlikely due to low systemic absorption. If accidental ingestion occurs, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, abdominal pain, and gastrointestinal bleeding. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.
Additional Safety Advice
Use this medicine exactly as prescribed by your doctor. Apply a thin layer to the affected area and gently rub it in. Wash your hands thoroughly after applying, unless your hands are the treated area. Avoid contact with eyes, mouth, or other mucous membranes. Do not apply to broken, irritated, or infected skin. Do not cover the treated area with airtight dressings unless instructed by your doctor. Avoid exposure of the treated area to sunlight or sunlamps, as this may increase the risk of skin reactions. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for more than the recommended duration without medical advice. Keep out of reach of children. If you accidentally swallow this medicine, seek medical attention immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to skin reactions and systemic effects due to thinner skin and reduced renal function. Use with caution and consult a doctor for appropriate use.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. Topical diclofenac is generally not recommended during the third trimester of pregnancy.
🏥 Post-Surgery Considerations
Consult your surgeon before using this medicine after surgery, especially if you have surgical wounds. Do not apply to broken skin or incisions.
🦷 Dental Procedures
This medicine is not typically used for dental pain. Consult your dentist for appropriate pain management after dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While using this medicine, you can continue with your regular exercise routine as tolerated. However, avoid strenuous activities that may worsen your condition. If you experience increased pain or swelling, rest and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience any dizziness or drowsiness (rare), avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Stop using this medicine and consult your doctor if your symptoms do not improve after 7 days, if they worsen, or if you experience any severe side effects such as skin rash, swelling, or difficulty breathing. Do not stop prescribed treatment without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine over large areas or under occlusive dressings may increase systemic absorption and the risk of NSAID-related side effects such as gastrointestinal, renal, and cardiovascular effects. Regular monitoring may be needed if used for extended periods. Consult your doctor for periodic evaluation.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve joint function.
Evidence: Well-establishedMay help reduce pain in some individuals.
Evidence: ModerateAlternative topical analgesic for localized pain.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations while using this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label. Bring a copy of your prescription in case of customs checks. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, continue applying as needed for pain; no strict schedule adjustment is required for topical use. Keep it in your carry-on luggage if you need it during the flight.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling relief within 1-2 hours after application, but full effects may take a few days of regular use.
A: No, this medicine is not recommended for use on the face unless specifically directed by your doctor. Avoid contact with eyes and mucous membranes.
A: Pediatric dosing is not established. Consult a pediatrician before using this medicine in children.
A: Consult your doctor before combining with oral NSAIDs, as it may increase the risk of side effects.
A: Stop using the medicine and consult your doctor if you develop a rash or severe skin irritation.
🤔 Common Patient Concerns
🔄 Substitutes for dd gel
View AllAlternative brands with exact same active ingredient:
-
diclofam 100mg tablet srIntas Pharmaceuticals Ltd ₹4.43 92.6% CHEAPER
-
dicoliv 100mg tablet srCadila Pharmaceuticals Ltd ₹4.98 91.7% CHEAPER
-
dicloact 100mg tablet srCadila Pharmaceuticals Ltd ₹5.39 91% CHEAPER
-
nudic 10mg injectionNumark Ltd ₹7.56 87.4% CHEAPER
-
spasmcare 10mg injectionLaborate Pharmaceuticals India Ltd ₹8.20 86.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine works instantly.
Fact: It may take 1-2 hours to start feeling relief, and regular use is needed for full effect. - Myth: More gel means faster relief.
Fact: Using more than recommended does not improve efficacy and may increase side effects. - Myth: This medicine is completely safe because it is topical.
Fact: While generally safe, it can cause skin reactions and, rarely, systemic effects if absorbed in large amounts.
🔄 Alternative Options
Generic Alternatives
- Diclofenac 1% gel
Brand Alternatives
- Adiflam 1% Gel