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Licart

Licart is the brand name for the diclofenac epolamine topical system, a nonsteroidal anti-inflammatory drug (NSAID) used to treat acute pain due to minor strains, sprains, and bruises. It works by reducing inflammation and pain at the site of injury. Licart is applied directly to the skin over the affected area, providing targeted pain relief.

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Frequently Asked Questions

How long does it take for Licart to work?
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Licart typically begins to relieve pain within a few hours after applying the patch. Maximum pain relief is usually achieved after continuous use for 24 hours.

How long does it take for Licart to work?
Open FAQClose FAQ

Licart typically begins to relieve pain within a few hours after applying the patch. Maximum pain relief is usually achieved after continuous use for 24 hours.

Can I wear Licart while showering?
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No, it is recommended to remove the patch before showering or bathing, as exposure to water can affect its adhesive properties and the release of the medication.

Can I use Licart along with other NSAIDs?
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Using multiple NSAIDs, including oral NSAIDs like ibuprofen or naproxen, while using Licart can increase the risk of serious side effects such as stomach ulcers or bleeding. Always consult your doctor before combining medications.

What should I do if I experience skin irritation with Licart?
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If you experience mild skin irritation, such as redness or itching, try applying the patch to a different area of the skin. If severe irritation occurs or the irritation persists, discontinue use and contact your healthcare provider.

Is Licart safe to use for long-term pain management?
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Licart is typically prescribed for short-term use to relieve acute pain. Long-term use of NSAIDs may increase the risk of cardiovascular and gastrointestinal side effects. Consult your healthcare provider if you need to use the patch for an extended period.

Comprehensive Drug Guide

How Does Licart Work?

Licart works by inhibiting the enzyme cyclooxygenase (COX), which plays a role in the production of prostaglandins, substances that cause inflammation, pain, and fever. By reducing prostaglandin production, Licart helps alleviate pain and reduce inflammation in the affected area. Since it is applied topically, Licart delivers the active ingredient directly to the site of pain, minimizing systemic side effects.

Common Dosages

  • One patch is applied once daily to the affected area.

Typical Dosing

  • For acute pain relief: Apply one Licart patch once daily to the area of pain. The patch should remain in place for up to 24 hours. After removing the patch, dispose of it properly and apply a new patch if needed.

Typical Dosing

FDA Approved Indications

  • Treatment of acute pain due to minor strains, sprains, and bruises in adults.

Who Shouldn't Take Licart?

  • Known hypersensitivity or allergy to diclofenac or other NSAIDs.
  • History of asthma, urticaria, or allergic-type reactions to aspirin or other NSAIDs.
  • Third trimester of pregnancy, as NSAIDs can cause harm to the fetus.
  • Coronary artery bypass graft (CABG) surgery, due to an increased risk of cardiovascular events.

Advice From The Pharmacist

  • Apply the patch to clean, dry, intact skin over the area where pain is felt. Avoid applying to broken or damaged skin.
  • Do not use more than one patch at a time and do not wear the patch for more than 24 hours.
  • Wash your hands after applying or removing the patch to avoid transferring the medication to your eyes or mouth.
  • Avoid applying heat (e.g., heating pads) over the patch, as it may increase the absorption of the medication, leading to an increased risk of side effects.
  • Avoid exposure to sunlight or UV lamps on the treated area, as diclofenac can make the skin more sensitive to sunlight.

Side Effects of Licart

Common Side Effects

  • Skin irritation at the application site (redness, itching, or burning)
  • Rash
  • Itching

Uncommon/Severe Side Effects

  • Gastrointestinal bleeding or ulcers
  • Cardiovascular events, such as heart attack or stroke, especially with long-term use.
  • Liver toxicity, indicated by yellowing of the skin or eyes (jaundice) or dark urine.
  • Severe allergic reactions, such as difficulty breathing, swelling of the face or throat, or hives.

Risks and Warnings of Licart

  • Cardiovascular Risks: Like other NSAIDs, Licart may increase the risk of heart attack, stroke, and other cardiovascular events, especially in patients with pre-existing heart conditions or when used long-term. It should not be used during or after coronary artery bypass surgery (CABG).
  • Gastrointestinal Risks: NSAIDs, including Licart, can increase the risk of serious gastrointestinal bleeding, ulcers, and perforation of the stomach or intestines. These risks are higher in elderly patients and those with a history of GI problems.
  • Kidney and Liver Concerns: Prolonged use of NSAIDs can cause kidney damage or liver toxicity. Patients with pre-existing kidney or liver issues should use Licart with caution and under medical supervision.
  • Pregnancy: Licart should be avoided in the third trimester of pregnancy due to the risk of fetal harm, including premature closure of the ductus arteriosus.

Interactions with Licart

Common Drug Interactions

  • Aspirin or other NSAIDs: Increases the risk of gastrointestinal side effects, including bleeding and ulcers.
  • Anticoagulants (e.g., warfarin): Increases the risk of bleeding.
  • ACE inhibitors or ARBs: May reduce kidney function when taken with NSAIDs.
  • Diuretics: NSAIDs can reduce the effectiveness of diuretics and may lead to kidney problems.

Alternatives to Licart

  • Voltaren Gel (diclofenac sodium topical gel): Another topical NSAID used for pain relief.
  • Salonpas (menthol and methyl salicylate patch): An over-the-counter topical analgesic patch for mild pain relief.
  • Ibuprofen (Advil) or Naproxen (Aleve): Oral NSAIDs used for pain and inflammation, though they may have more systemic side effects than topical treatments like Licart.