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Voltaren gel vs. Celebrex

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)

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Celebrex

(celecoxib)

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Summary for Voltaren gel

Prescription or over-the-counter

Topical diclofenac is a non-steroidal anti-inflammatory drug (NSAID). It helps temporarily relieve pain from osteoarthritis in adults. This medication comes as a %1 gel as generic and brand name (commonly Voltaren gel). It's available over the counter. There are also topical solutions of various strengths by prescription only. You apply the medication to the skin of the affected joints, up to 2 or 4 times daily. The exact dosage and number of times per day depends on which form you use. Side effects include dry skin, skin irritation, and itching. More serious risks include high blood pressure and stomach issues, but the potential is low.

Indications for Voltaren gel

  • Pain from osteoarthritis of the knee - topical solutions and 1% gel
  • Pain from osteoarthritis of small joints, such as hands, wrists, elbows, or feet - 1% gel only

Pros and Cons for Voltaren gel

Pros

  • Can help relieve specific areas of osteoarthritis pain
  • 1% gel available over the counter without a prescription
  • Less serious side effects than taking diclofenac pills by mouth

Cons

  • Doesn't provide relief right away
  • Can be inconvenient to use because you need to wait for the medication to dry before putting on clothing
  • Not for minor sprains, bruises, or other joints (like the back or hip)

Common Side Effects for Voltaren gel

1% gel:

  • Skin irritation (e.g., redness, rash, itchiness; 4%)

1.5% solution:

  • Dry skin (32%)
  • Skin irritation (9%)
  • Indigestion (8%)
  • Stomach pain (6%)

Warnings for Voltaren gel

  • Risk of heart attack and stroke
  • Risk of stomach ulcers and stomach bleeding
  • Liver damage
  • High blood pressure
  • Swelling and risk of heart failure
  • Kidney damage
  • High potassium levels
  • Worsening asthma in certain people
  • Severe allergic reaction or skin reaction
  • Risk of general bleeding and anemia
  • Higher risk of serious side effects when used together with oral NSAIDs
  • Harm to an unborn baby

Summary for Celebrex

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 for Celebrex

Pros and Cons for Celebrex

Pros

  • Can use for different types of arthritis
  • Fewer stomach side effects compared to some other NSAIDs
  • Safe to take for children 2 years and older with RA
  • Can open capsules and mix contents with applesauce, so it's convenient for people with difficulty swallowing pills

Cons

  • Can raise the risk of heart attack and stroke
  • Not recommended during second and third trimesters of pregnancy
  • Not recommended for use if you have severe liver disease
  • Might not be safe for people with a sulfa allergy

Common Side Effects for Celebrex

Adults

Children

  • Headache (13%)
  • Fever (8%)
  • Belly pain (4-8%)
  • Cough (7%)
  • Nausea (7%)
  • Diarrhea (5%)
  • Common cold (stuffy nose, sneezing; 5%)

Warnings for Celebrex

  • Heart attack and stroke
  • Stomach bleeding and ulcers
  • Liver problems
  • High blood pressure and heart failure
  • Kidney damage and high potassium levels
  • Severe allergic reactions
  • Severe asthma attack
  • Harm to unborn babies

Prices with our coupons for Voltaren gel vs. Celebrex

Price Card Drug Icon
Diclofenac Sodium1 tube / 100g of 1%
$12.25$26.79
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Price Card Drug Icon
Celecoxib30 capsules / 200mg
$11.21$190.97
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