Product image of Itami (Diclofenac Sodium) supplied by GNH India

Itami

Active Ingredient:
Diclofenac Sodium
Origin:
EU

Itami (Diclofenac Sodium)

Diclofenac Sodium, the active ingredient in Itami, is a nonsteroidal anti-inflammatory drug (NSAID) presented as a topical formulation for external use. It is used to relieve mild to moderate pain and to reduce inflammation in musculoskeletal conditions, particularly in localized joint and muscle areas.

GNH India supplies Itami as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to strict quality standards and provides regulatory‑approved batches to meet global demand.

Manufacturer / TM Owner

Fidia Farmaceutici S.P.A

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Indications & Clinical Uses

Diclofenac Sodium is applied topically to address pain and inflammation within the musculoskeletal system.

  • Mild to moderate pain: provides localized analgesic relief without systemic exposure.
  • Musculoskeletal inflammation: reduces swelling and discomfort in joints and soft tissues.
  • Localized joint and muscle pain: alleviates discomfort associated with overuse or minor injury.

How It Works

  • Diclofenac Sodium inhibits cyclooxygenase‑1 (COX‑1) and cyclooxygenase‑2 (COX‑2) enzymes in peripheral tissues, decreasing the conversion of arachidonic acid to prostaglandins. The reduced prostaglandin synthesis diminishes inflammation, pain signaling, and edema at the site of application, while the topical route limits systemic absorption compared with oral NSAIDs.

Side Effects

Topical diclofenac may cause skin‑related reactions and, in rare cases, systemic adverse events.

Common Side Effects

  • Skin irritation: mild redness or itching at the application site.
  • Burning sensation: transient warmth or stinging after application.
  • Dryness: localized skin dryness or flaking.
  • Pruritus: itching without rash.

Serious or Rare Side Effects

  • Severe allergic reaction: swelling, hives, or difficulty breathing.
  • Stevens‑Johnson syndrome: rare severe skin blistering and detachment.
  • Systemic NSAID toxicity: gastrointestinal ulceration, renal impairment, or cardiovascular events, especially with extensive use.

Precautions & Warnings

When using Itami, consider the following precautions to ensure safe and effective treatment.

  • Assess skin integrity: avoid application on open wounds, eczema, or infected skin.
  • Limit application area: do not exceed the recommended total surface area (typically 10 % of body surface) per day.
  • Avoid occlusion: do not cover the treated area with airtight dressings unless directed by a healthcare professional.
  • Monitor systemic effects: be aware of potential NSAID‑related gastrointestinal, renal, or cardiovascular risks, especially in susceptible patients.
  • Use with caution in cardiovascular disease: patients with heart failure or hypertension should consult a physician before use.
  • Store at room temperature: keep the product in its original container, protect from moisture and direct heat.

Avoid Interactions

Diclofenac Sodium can interact with other medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Other NSAIDs or aspirin: additive gastrointestinal toxicity.
  • Lithium: diclofenac may raise lithium serum levels, risking toxicity.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or diuretics: may reduce renal function, especially in dehydrated patients.
  • Selective serotonin reuptake inhibitors (SSRIs): heightened bleeding risk.
  • Methotrexate: potential for increased methotrexate toxicity due to reduced renal clearance.

Frequently Asked Questions

Itami is a topical formulation of diclofenac sodium that is used to relieve mild to moderate pain and to reduce inflammation in musculoskeletal conditions such as joint, tendon and muscle discomfort. It is applied directly to the skin over the affected area to provide localized analgesic and anti‑inflammatory effects.

Diclofenac sodium works by reversibly inhibiting the cyclooxygenase‑1 (COX‑1) and cyclooxygenase‑2 (COX‑2) enzymes. This inhibition blocks the conversion of arachidonic acid into prostaglandins, which are mediators of inflammation, pain and swelling. By lowering prostaglandin levels at the site of application, diclofenac reduces the inflammatory response and pain perception.

The appropriate dose of Itami is determined by the prescribing healthcare professional based on the patient’s condition, age, and the size of the area to be treated. The prescriber will specify the amount to apply, the frequency of application, and the maximum duration of therapy.

Safety data for topical diclofenac during pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and only under medical supervision. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternative treatments with their healthcare provider.

To order Itami, submit an enquiry on the product page at gnhindia.com, indicating the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements) and assist with import documentation.

Itami delivers diclofenac directly to the skin, which can provide effective pain relief with lower systemic exposure compared with oral NSAIDs. This topical route may reduce the risk of gastrointestinal side effects common with oral agents. Compared with other topical NSAIDs, diclofenac has a well‑established efficacy profile for musculoskeletal pain, though individual response can vary.

Store Itami at room temperature, preferably below 25 °C (77 °F). Keep the product in its original packaging, protect it from moisture, direct sunlight and excessive heat. Do not freeze the preparation. Ensure the container is tightly closed when not in use to maintain stability.

Itami is applied to clean, dry skin over the painful or inflamed area. The prescriber will indicate the amount (e.g., a pea‑size amount) and frequency, typically 2–4 times daily. Gently rub the gel or cream until it disappears, and wash hands after application unless the hands are the treatment site.

Serious risks, although rare, include severe allergic reactions such as swelling, hives, or difficulty breathing, and rare skin conditions like Stevens‑Johnson syndrome. Systemic NSAID toxicity—such as gastrointestinal ulceration, renal impairment, or cardiovascular events—can occur, especially with extensive or inappropriate use. Patients should seek immediate medical attention if they notice any of these signs.

Itami should not be used by individuals with known hypersensitivity to diclofenac, other NSAIDs, or any component of the formulation. It is also contraindicated on broken, infected or inflamed skin, and should be avoided in patients with a history of severe cardiovascular disease, uncontrolled hypertension, or active peptic ulcer disease unless directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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