Neuropathy: Call for Information on Voltaren Emulgel (Topical Diclofenac Sodium)

Dr. David Kaufman, an AIDS physician at St. Vincent's Hospital in New York, has had considerable success with a topical formulation of the prescription drug Voltaren (a non-steroidal anti-inflammatory, in the same class as Advil or Aleve); "applied several times a day, it reduces pain with essentially no side effects." The topical drug, called Emulgel, made by Geigy Pharmaceuticals, is sold without a prescription in Europe, Australia, and elsewhere, but is not sold in the U.S., even with a prescription. According to the Nursing99 Drug Handbook, the mechanism of action is unknown, but the oral formulation "produces anti-inflammatory, analgesic, and antipyretic effects, possibly by inhibiting prostaglandin synthesis." The topical formulation is widely used by runners and swimmers, and is sold on the Internet.

We would like to hear (1) of others' experience with Emulgel, or other brands of topical diclofenac sodium, for relieving neuropathy; (2) any information about obtaining it in the U.S.; and (3) experience with topical use of other anti-inflammatory drugs for treating neuropathy. Contact us at AIDS Treatment News, either by email at aidsnews@aidsnews.org, by phone at 800-TREAT-1-2 or 415-255-0588, or by mail at P.O. Box 411256, San Francisco, CA 94141.