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

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...

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.

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