Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Diclofenac patch (Flector) and lidocaine 5% patch (Lidoderm) are both topical medications used to relieve pain, but they belong to different medication classes. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that treats pain and inflammation from minor strains, sprains, and bruises. Lidocaine is a local anesthetic used to relieve nerve pain from shingles, known as postherpetic neuralgia. Diclofenac patches are applied once or twice daily, depending on the brand, while lidocaine patches are applied once daily for up to 12 hours. Common side effects of diclofenac include skin reactions and digestive issues, while lidocaine may cause skin irritation and, rarely, methemoglobinemia, a serious blood condition. Diclofenac should not be used with oral NSAIDs due to increased bleeding risk, but this isn't an issue with lidocaine patches.
Diclofenac patch
Lidocaine 5% patch (Lidoderm)
Diclofenac patch
Lidocaine 5% patch (Lidoderm)
Summary of Flector vs. Lidoderm
Summary for NSAID
Prescription only
Diclofenac patch is a topical skin patch that works well to treat pain and inflammation caused by strains, sprains, and bruises. It's easy to apply, but you cannot get the patches wet.
Summary for Local anesthetic
Prescription only
Lidocaine 5% patch (Lidoderm) is a prescription medication used to relieve nerve pain caused by a shingles infection, also called postherpetic neuralgia (PHN). It's a local anesthetic that works by numbing your nerves to help reduce pain. You apply the patch directly to the painful area of your skin once a day, and it can be worn for up to 12 hours in a 24-hour period. Common side effects include temporary skin irritation, redness, and a mild burning sensation where the patch is applied.
Indications of Flector vs. Lidoderm
Indications for
•Acute (sudden onset) pain from minor strains, sprains, and bruises
•Not recommended for use during pregnancy, especially during the third trimester
Pros and Const for Local anesthetic
Pros
•Works directly on the skin
•Generally well-tolerated with few side effects
•Can cut patches to fit the area of pain
Cons
•Commonly causes skin irritation
•Must avoid contact with water wearing the patch
•Might interact with many medications
Common Side Effects of Flector vs. Lidoderm
Common Side Effects for
•Application site reactions, like burning, itching, inflamed skin, dryness, or redness (11%)
•Digestive tract reactions, like nausea, upset stomach, indigestion, changes in your sense of taste, vomiting, diarrhea, constipation, or dry mouth (9%)