Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Voltaren gel (diclofenac) and Celebrex (celecoxib) are both NSAIDs used to relieve pain, but they have some key differences. Voltaren gel is a topical medication applied directly to the skin, primarily used for osteoarthritis pain in smaller joints like the hands and knees. In contrast, Celebrex is an oral medication used for a broader range of conditions, including osteoarthritis, rheumatoid arthritis, and menstrual cramps. Voltaren gel can be purchased over-the-counter in its 1% form, while Celebrex requires a prescription. Celebrex is a COX-2 selective NSAID, which means it generally has a lower risk of causing stomach issues compared to other oral NSAIDs. However, both medications carry risks of serious side effects like heart attack and stroke. Voltaren gel is less likely to cause systemic side effects compared to oral NSAIDs, but it can cause skin irritation.
Diclofenac sodium topical gel (Voltaren gel)
Celebrex (celecoxib)
Diclofenac sodium topical gel (Voltaren gel)
Celebrex (celecoxib)
Summary of Voltaren gel vs. Celebrex
Summary for NSAID
Diclofenac sodium topical gel (Voltaren gel) and diclofenac sodium topical solution (Pennsaid) can help ease arthritis pain from osteoarthritis. They're applied to the skin of the affected joints, typically 2-4 times daily, depending on which topical product you use. Some common side effects of topical diclofenac include dry skin, redness, and itching. Because diclofenac is a non-steroidal anti-inflammatory drug (NSAID), these topical products can also raise the risk for NSAID-related side effects, such as blood clots and high blood pressure. While the diclofenac sodium topical solutions are only available by prescription, you can get diclofenac sodium 1% topical gel over-the-counter or by prescription.
Summary for COX-2 selective NSAID
Prescription only
Celecoxib, also known by the brand name Celebrex, is a prescription pain medication that's used to temporarily relieve aches and pains from certain conditions, such as different types of arthritis. Celebrex (celecoxib) is a non-steroidal anti-inflammatory drug (NSAID), but it has a lower risk of causing stomach upset than other medications in its drug class, such as naproxen. The dosage for Celebrex (celecoxib) is typically once or twice a day. It's recommended to avoid taking this medication with alcohol since it can raise your risk for stomach bleeding. Other side effects include headache, indigestion, and diarrhea.
Indications of Voltaren gel vs. Celebrex
Indications for
•Pain from osteoarthritis of the knees - topical solutions and 1% gel
•Pain from osteoarthritis of small joints, such as hands and wrists - 1% gel only