Prescription topical Arthrotec comes as a 1.5% topical solution (liquid) to apply to the knee 4 times a day and as a 2% topical solution (Pennsaid) to apply to the knee 2 times a day. Nonprescription (over the counter) topical Arthrotec comes as a 1% gel (Voltaren Arthritis Pain) to apply to up to 2 body areas (e.g., 1 knee and 1 ankle, 2 knees, 1 foot and 1 ankle, or 2 hands) 4 times daily for up to 21 days or as recommended by your doctor. Apply Arthrotec gel (Voltaren Arthritis Pain) or topical solution (Pennsaid) at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use topical Arthrotec (Pennsaid, Voltaren Arthritis Pain) exactly as directed. Do not use more or less of it or use it more often or for a longer period of time than prescribed by your doctor. Do not apply the gel or topical solution to any area of your body that your doctor did not tell you to treat.

Apply Arthrotec gel (Voltaren Arthritis Pain) or topical solution (Pennsaid) to clean, dry skin. Do not apply the medication to skin that is broken, peeling, infected, swollen, or covered with a rash.

Arthrotec gel (Voltaren Arthritis Pain) and topical solution (Pennsaid) are only for use on the skin. Be careful not to get the medication in your eyes, nose, or mouth. If you do get the medication in your eyes, rinse your eyes with plenty of water or saline. If your eye(s) are still irritated after one hour, call your doctor.

After you apply Arthrotec gel (Voltaren Arthritis Pain) or topical solution (Pennsaid), you should not cover the treated area with any type of dressing or bandage and you should not apply heat to the area. You should not shower or bathe for at least 30 minutes after you apply the topical solution (Pennsaid) and for at least 1 hour after you apply the gel (Voltaren Arthritis Pain). Do not cover the treated area with clothes or gloves for 10 minutes after you apply the gel (Voltaren Arthritis Pain), or until the topical solution (Pennsaid) has dried if you are using the topical solution.

It may take up to 7 days before you feel the full benefit from nonprescription topical Arthrotec gel (Voltaren Arthritis Pain). If you do not feel arthritis pain relief from this product after 7 days of use, stop use and contact your doctor.

To use topical Arthrotec gel (Voltaren Arthritis Pain), follow these steps:

1. Before you use a new tube of Arthrotec gel (Voltaren Arthritis Pain) for the first time, open the safety seal that covers the tube and then puncture the opening of the tube using the spiked top of the cap. Do not open the seal with scissors or sharp objects.
2. Place one of the dosing cards from the package on a flat surface so that you can read the print.
3. Using the lines on the dosing card as a guide, squeeze the correct amount of gel onto the dosing card evenly. Make sure the gel covers the entire area marked for your correct dose depending if it is for the upper (hand, wrist, elbow) or lower (foot, ankle, knee) body. Put the cap back on the tube.
4. Clean and dry the skin area where you will apply the medication. Do not apply to skin that has any cuts, open wounds, infections or rashes.
5. Apply the gel to the directed skin areas, using the dosing card to help apply the gel to the skin to up to 2 body areas. Do not apply to more than 2 body areas. Use your hands to gently rub the gel into the skin. Make sure to cover the entire affected area with the gel. Do not apply in same area as any other product.
6. Hold the end of the dosing card with your fingertips, and rinse and dry the card. Store the dosing card until next use, out of reach of children. Do not share the dosing card with another person.
7. Wash your hands well after you apply the gel, unless you are treating your hands. If you are treating your hands, do not wash them for at least one hour after you apply the gel.

To use topical Arthrotec 1.5 % topical solution, follow these steps:

1. Clean and dry the skin area where you will apply the medication.
2. Apply the topical solution to your knee 10 drops at a time. You can do this by dropping the topical solution directly onto the knee or by first dropping it onto the palm of your hand and then spreading it onto the knee.
3. Use your hand to evenly spread the topical solution around the front, back, and sides of the knee.
4. Repeat this step until 40 drops of topical solution have been applied and the knee is completely covered with the topical solution.
5. If your doctor has told you to apply the topical solution to both knees, repeat steps 2 to 4 to apply the medication to your other knee.
6. Wash and dry your hands well after you apply the topical solution. Avoid skin contact with other people and the treated knee area.

To use topical Arthrotec 2% topical solution (Pennsaid), follow these steps:

1. You will need to prime the pump that contains this medication before you use it for the first time. Remove the cap from the pump and hold the pump upright. Press down the top of the pump four times and catch any medication that comes out on a paper towel or tissue. Throw away the paper towel or tissue in a trash can.
2. When you are ready to apply your medication, wash your hands well with soap and water.
3. Hold the pump at an angle and press down the top of the pump to dispense the medication onto your palm. Press down the top a second time to dispense another pump of medication onto your palm.
4. Use your palm to apply the medication evenly to the front, back, and sides of your knee.
5. If your doctor told you to apply the medication to both knees, repeat steps 3-4 to apply the medication to your other knee.
6. Wash your hands well with soap and water as soon as you finish applying the medication.
7. Replace the cap on your pump and store the pump upright.

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