Do you restrict topical diclofenac use in your patients with chronic kidney disease?

Topics: Rheumatology • General Rheumatology • Chronic kidney disease • Nephrology • Osteoarthritis

Answer from: at Academic Institution

It is a great question. I normally don't but I always do it with a touch of hesitation. I believe the absorption is minimal but it also depends of the degree of use. At this time, when narcotics are in restricted use and oral NSAIDs are not a good option in patients with CKD, topical NSAIDs may be t...

Comments

at Hospital Perea
I never use topical NSAIDs in patients with CKD, n...

at UTMB Health
I agree. I tend to restrict the use of topical NSA...

at Odyssey Nephrology
I do restrict it only if GFR is trending down with...

at Marshall Kidney And Hypertension Center
I advise my patients to use on a small surface are...

Answer from: at Community Practice

It’s the lesser of two evils if Tylenol is not enough and narcotics have problems too. So I am never dogmatic no topical NSAIDS.

Answer from: at Community Practice

I would normally not restrict topical diclofenac because the absorption is very minimal and it is better than oral NSAIDs in CKD population.

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