Generic Voltaren Sr

DICLOFENAC
Tablets: 50 mg (as potassium) (Rx) Various, Cataflam (Novartis)
Tablets, delayed-release: 25, 50, and 75 mg Various, Voltaren (Novartis)
(as sodium) (Rx)
Tablets, extended-release: 100 mg (as sodium) (Rx) Voltaren-XR (Novartis)

Indications
Rheumatoid arthritis and osteoarthritis: Relief of signs and symptoms; treatment of acute flares and exacerbation; long-term management.
Concomitant therapy -Concomitant therapy with other second-line drugs (e.g., gold salts) demonstrates additional therapeutic benefit. Whether they can be used with partially effective doses of corticosteroids for a "steroid-sparing" effect and result in greater improvement is not established.
Use with salicylates is not recommended; greater benefit is not achieved, and the potential for adverse reactions is increased. The use of aspirin with non-steroidal anti-inflammatory agents (NSAIDs) may cause a decrease in blood levels of the non-aspirin drug.

Administration and Dosage
Osteoarthritis - 100 to 150 mg/day in divided doses (50 mg twice/day or 3 times/ day [diclofenac sodium or potassium] or 75 mg twice/day [diclofenac sodium]). Dosages > 200 mg/day have not been studied.
Rheumatoid arthritis - 150 to 200 mg/day in divided doses (50 mg 3 or 4 times/day [diclofenac sodium or potassium] or 75 mg twice/day [diclofenac sodium]). Dosages > 225 mg/day of the delayed-release diclofenac sodium formulation and dosages > 200 mg/day of immediate-release diclofenac potassium formulation are not recommended.
Ankylosing spondylitis - 100 to 125 mg/day as 25 mg 4 times/day, with an extra 25 mg dose at bedtime, if necessary. Dosages > 125 mg/day have not been studied.
Analgesia and primary dysmenorrhea (diclofenac potassium only) - Recommended starting dose is 50 mg 3 times/day. In some patients, an initial dose of 100 mg followed by 50 mg doses will provide better relief. After the first day, when the maximum recommended dose may be 200 mg, the total daily dose should generally not exceed 150 mg.
ARTHRITIS

PREVENTIVE MEASURES FOR OSTEOPOROSIS: VITAMIN D AND EXERCISE
The following preventive measures can help everyone reduce the risk for developing osteoporosis:

Increase calcium and vitamin D intake
Many studies support the notion that if you don't consume enough calcium, you will be at increased risk for osteoporosis. Calcium needs change over the course of a lifetime, with increased needs during childhood and adolescence when the skeleton is growing and during pregnancy and breast-feeding. Postmenopausal women and older men also need more calcium. Medications also may deplete calcium reserves. Because Vitamin D helps with calcium absorption, taking in adequate amounts of vitamin D will help ensure that the body uses the calcium that it ingests.

Exercise
Like muscle, bone is living tissue that responds to exercise by becoming stronger. The best exercise for the bones is weight-bearing exercise that forces you to work against gravity. These exercises include walking, hiking, jogging, weight training, tennis, and dancing.
Research conducted by Dr. Christine M. Snow, director of Oregon State University's bone research lab and internationally known exercise scientist, has shed interesting light on the importance of exercise for residents of nursing homes in Oregon. Residents were given some modest exercises to do while wearing weighted vests. Subjects not only improved bone density but also balance and strength, which together can reduce risk of falling and fracturing bones. In addition, residents developed a faster gait, which makes them less likely to fall to the side if they lose balance. In studies of young gymnasts, Snow has found that bone density can be increased through various types of exercise. She emphasizes that it is vitally important that exercise begin early in life to ensure bone health in later years.
*4/277/5*
HEALTHY BONES

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