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Voltaren vs. Conzip

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Diclofenac (Voltaren) and tramadol (Ultram, Conzip) are both prescription medications used to treat pain, but they belong to different drug classes and work in different ways. Diclofenac is a non-steroidal anti-inflammatory drug (NSAID) that helps reduce pain and swelling by blocking certain proteins in your body. It is available in various formulations, including tablets, capsules, and powder, and is typically used for conditions like arthritis, migraines, and menstrual cramps. Tramadol, on the other hand, is an opioid that changes the way your brain perceives pain and also increases levels of serotonin and norepinephrine. It is used when non-opioid medications aren't effective enough. Unlike diclofenac, tramadol is a controlled substance due to its potential for misuse and dependency. Diclofenac is not recommended for use in pregnancy, especially after the second trimester, while tramadol is generally not recommended during pregnancy or breastfeeding due to risks to the baby. Both medications have serious side effects, but tramadol has additional risks like dangerously slow breathing and serotonin syndrome.

Diclofenac

 

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Tramadol

 

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Summary for Voltaren

Prescription only

Diclofenac is a prescription non-steroidal anti-inflammatory drug (NSAID) that works well to treat pain and swelling in certain conditions, such as osteoarthritis, rheumatoid arthritis, and menstrual cramps. Diclofenac comes in different formulations, including delayed-release tablet and powder packet for oral solution. Similar to other NSAIDs, it has warnings for serious side effects, such as stroke, heart attack, and stomach bleeds, especially with higher doses and longer use.

Indications for Voltaren

  • Mild to moderate pain
  • Osteoarthritis
  • Rheumatoid arthritis
  • Ankylosing spondylitis (arthritis of the spine)
  • Migraine attacks
  • Menstrual cramps

Pros and Cons for Voltaren

Pros

  • Available in many different formulations, such as tablet, capsule, and powder
  • Available in a long-acting form that only needs to be take once per day
  • Diclofenac potassium (Cambia) powder can help with migraine pain in as quickly as 15 minutes.
  • All brands of diclofenac are available as lower-cost generics.

Cons

  • Typically have to take multiple times a day (except for the powder and extended-release tablet)
  • Not recommended for use in children (except for diclofenac potassium (Zipsor) capsules, which can be used in children age 12 years and older)
  • Not recommended for use in pregnancy, especially starting in the second trimester or later
  • Not the best option if you're 65 years or older, or have kidney, heart, liver, or bleeding problems

Common Side Effects for Voltaren

Up to 10% of people taking diclofenac experience:

  • Headaches
  • Dizziness
  • Ringing in the ear
  • Swelling in the arms and legs
  • Nausea
  • Vomiting
  • Heartburn
  • Stomach bleeds, ulcers, and damage
  • Passing gas
  • Stomach pains
  • Constipation
  • Diarrhea
  • Rash
  • Dry and itchy skin
  • Anemia
  • Bleeding that's hard to stop

Warnings for Voltaren

  • Heart attack and stroke
  • Stomach bleeding and ulcers
  • Liver damage
  • High blood pressure, heart failure, and swelling of your arms and legs
  • Kidney damage and high potassium levels
  • Severe asthma attack
  • Severe allergic or skin reaction
  • Harm to unborn babies

Summary for Conzip

Prescription only

Tramadol is an opioid pain medication used when non-opioid medications aren't working well enough to control pain. Compared to other opioids, tramadol might have a lower risk of misuse and dependency. But tramadol is a controlled substance and has a lot of potentially serious risks, so it must be used with caution.

Indications for Conzip

  • Pain that isn't relieved by non-opioid pain medications alone

Pros and Cons for Conzip

Pros

  • Extended-release tablets and ConZip capsules are taken once per day and last throughout the day.
  • Immediate-release tablets are available as a lower-cost generic.
  • Possible lower risk of misuse and dependency compared to other opioids

Cons

  • A controlled medication, so there are special requirements to get a prescription filled
  • Must slowly lower the dose to stop the medication after long-term use to avoid withdrawal symptoms
  • Can't use in some children due to higher risk of potentially severe and life-threatening side effects
  • Not recommended while breastfeeding

Common Side Effects for Conzip

  • Constipation (up to 46%)
  • Nausea (up to 40%)
  • Dizziness (up to 33%)
  • Headache (up to 32%)
  • Sleepiness (up to 25%)
  • Vomiting (up to 17%)

Warnings for Conzip

  • Potential for addiction and misuse
  • Dangerously slow breathing (respiratory depression)
  • Overdose
  • Harm to newborn babies
  • Drug interactions
  • Difficulty concentrating and extreme sleepiness
  • Serotonin syndrome
  • Seizures
  • Low blood pressure
  • Low adrenal hormone levels
  • Physical dependence and withdrawal
  • Low blood sodium levels

Prices with our coupons for Voltaren vs. Conzip

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Diclofenac Sodium60 tablets / 75mg
$14.38$20.85
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Tramadol60 tablets / 50mg
$11.42$22.11
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