Cream or gel Dolgit: how they differ and which is better

Dolgit is a medicinal product that is available in an easy-to-use form - in the form of gels and ointments. It allows you to quickly and permanently get rid of pain in the joints, has an anti-inflammatory effect, and additionally relieves swelling.

The medicine Dolgit is a remedy that doctors often recommend to their patients, but only in the presence of certain diseases. Following the doctor's recommendations when using the drug Dolgit allows you to restore joint mobility, significantly reduce pain during movement, and eliminate morning stiffness, which is known to many.

Compound

Dolgit cream for external use contains the active ingredient ibuprofen , and also contains additional components: medium chain triglycerides, propylene glycol, glyceryl monostearate, sodium methyl parahydroxybenzoate, macrogol 30 stearate, macrogol 100 stearate, lavender oil, orange flower oil, xanthan gum, water
Gel Dolgit contains the active substance ibuprofen , as well as additional components: dimethyl hydroxymethyl dioxolane (solketal), isopropanol, poloxamer, medium chain triglycerides, orange flower oil, lavender oil, water.

Release form

  • Dolgit cream 5% for external use is a homogeneous soft substance that has a white or creamy white tint and has a slight specific odor. Tubes of cream are sold in 20 g, 50 g and 100 g. The tube is sealed with a membrane and equipped with a plastic cap. One tube is placed in a cardboard box.
  • Gel Dolgit 5% for external use is a soft, transparent, colorless mass with a characteristic odor. The gel is sold in tubes coated inside with a protective varnish, 20 g, 50 g and 100 g. The tube is sealed with a membrane and equipped with a plastic cap. One tube is placed in a cardboard box.

pharmachologic effect

Gel and ointment Dolgit produces a local decongestant and analgesic effect.

The product also provides an anti-inflammatory effect. Ibuprofen is a non-steroidal anti-inflammatory drug. Under its influence, a non-selective blocking of COX-1 and COX-2 occurs, and an inhibitory effect on the synthesis of PGE2, prostacyclin (PGI2) and TxB2 is noted.

The most pronounced analgesic effect is noted for pain that is inflammatory in nature. Under the influence of Dolgit, pain at rest and during movement decreases or completely disappears, morning stiffness decreases, as well as swelling of the joints, and range of motion increases.

Ibuprofen reduces platelet in the area of ​​inflammation and the migration of leukocytes, as well as the release of lysosomal enzymes in this area.

Side effects

Most often, Dolgit is well tolerated by patients, but allergic reactions (redness, rash, swelling, burning sensation, itching), bronchospasms may occur. If the drug gets into the gastrointestinal tract, it is necessary to rinse and consult a doctor.

You should also pay attention to the fact that the ibuprofen content in the drug provides an analgesic effect, so pay attention to the simultaneous use of other non-steroidal anti-inflammatory drugs, which can lead to adverse reactions.

The use of the drug Dolgit does not impair coordination of movement, therefore it is not contraindicated for people driving. Does not affect physical and mental development. Does not cause drowsiness.

Sold freely in pharmacies without a prescription. When purchasing this product, pay attention to the manufacturing date (shelf life 3 years).

Medicine and healthComment

Pharmacokinetics and pharmacodynamics

After the cream or gel has been applied to the skin, ibuprofen penetrates into deep tissues - synovial fluid, joints, subcutaneous tissue, muscles. There therapeutic concentrations are achieved.

In the application area, the therapeutic effect is achieved through direct distribution through the skin into the tissue. A small amount of the active substance is determined in plasma. The effect of the drug is observed 15-30 minutes after the product has been applied. The effect continues for 3-4 hours after applying Dolgit cream or gel. If the product is applied to the joint area, the active component is absorbed into the synovial fluid, from where it enters the blood. It is excreted from the body in urine.

Description of the drug DOLGIT

With simultaneous use, ibuprofen reduces the effect of antihypertensive drugs (ACE inhibitors, beta-blockers), diuretics (furosemide, hydrochlorothiazide).

When used simultaneously with anticoagulants, their effect may be enhanced.

When used simultaneously with GCS, the risk of side effects from the gastrointestinal tract increases.

When used simultaneously, ibuprofen can displace indirect anticoagulants (acenocoumarol), hydantoin derivatives (phenytoin), and oral hypoglycemic drugs, sulfonylurea derivatives, from compounds with blood plasma proteins.

When used simultaneously with amlodipine, a slight decrease in the antihypertensive effect of amlodipine is possible; with acetylsalicylic acid - the concentration of ibuprofen in the blood plasma decreases; with baclofen - a case of increased toxic effects of baclofen has been described.

When used simultaneously with warfarin, an increase in bleeding time is possible; microhematuria and hematomas were also observed; with captopril - the antihypertensive effect of captopril may be reduced; with cholestyramine - a moderate decrease in the absorption of ibuprofen.

When used simultaneously with lithium carbonate, the concentration of lithium in the blood plasma increases.

When used simultaneously with magnesium hydroxide, the initial absorption of ibuprofen increases; with methotrexate - the toxicity of methotrexate increases.

The simultaneous use of NSAIDs and cardiac glycosides can lead to worsening heart failure, a decrease in glomerular filtration rate and an increase in the concentration of cardiac glycosides in the blood plasma.

There is evidence of the likelihood of an increase in the concentration of methotrexate in the blood plasma during the use of NSAIDs.

With simultaneous use of NSAIDs and cyclosporine, the risk of nephrotoxicity increases.

NSAIDs may reduce the effectiveness of mifepristone, so taking NSAIDs should be started no earlier than 8-12 days after stopping mifepristone.

Concomitant use of NSAIDs and tacrolimus may increase the risk of nephrotoxicity.

Concomitant use of NSAIDs and zidovudine may lead to increased hematotoxicity. There is evidence of an increased risk of hemarthrosis and hematomas in HIV-positive patients with hemophilia who received concomitant treatment with zidovudine and ibuprofen.

In patients receiving concomitant treatment with NSAIDs and quinolone antibiotics, the risk of seizures may increase.

In patients receiving concomitant NSAIDs and myelotoxic drugs, hematotoxicity increases.

With the simultaneous use of ibuprofen and cefamandole, cefoperazone, cefotetan, valproic acid, plicamycin, the incidence of hypoprothrombinemia increases.

With the simultaneous use of ibuprofen and drugs that block tubular secretion, there is a decrease in excretion and an increase in plasma concentration of ibuprofen.

With the simultaneous use of ibuprofen and inducers of microsomal oxidation (phenytoin, ethanol, barbiturates, rifampicin, phenylbutazone, tricyclic antidepressants), there is an increase in the production of hydroxylated active metabolites and an increased risk of developing severe intoxications.

Indications for use

Dolgit gel and ointment are prescribed to patients with the following degenerative and inflammatory diseases of the musculoskeletal system:

  • glenohumeral periarthritis;
  • rheumatoid and psoriatic arthritis ;
  • manifestation of articular syndrome in rheumatism , as well as in case of exacerbation of gout ;
  • ankylosing spondylitis;
  • deforming osteoarthritis
  • radiculitis;
  • osteochondrosis with radicular syndrome;
  • sciatica;
  • tendovaginitis , tendinitis , bursitis ;
  • lumbago.

The drug is also prescribed for myalgia, which has both a rheumatic and non-rheumatic nature.

It is advisable to use Dolgit for a variety of household, sports, and industrial injuries:

  • sprains;
  • dislocations;
  • bruises;
  • ligament and muscle ruptures;
  • swelling of soft tissues after injuries.

Indications

Instructions for use of Dolgit gel allows you to use the drug for the treatment of the following pathologies:

  • Arthritis of various forms;
  • Ankylosing spondylitis;
  • Radiculitis;
  • Osteochondrosis;
  • Joint damage;
  • Bruises and injuries;
  • Dislocations and sprains;
  • Osteoarthritis, etc.

The drug is used as an auxiliary or primary therapy. To understand what Dolgit gel helps with, you should consult a doctor or study the instructions. The drug is available without a prescription, but you should still consult a doctor before using it.

Contraindications

Dolgit is contraindicated for a number of diseases and conditions:

  • eczema , weeping dermatoses (gel is contraindicated);
  • infected wounds and abrasions (gel is contraindicated);
  • child's age under 1 year (gel is contraindicated);
  • pregnancy and breastfeeding;
  • bronchial asthma or other manifestations of allergies associated with a history of taking NSAIDs;
  • high sensitivity to the components of the drug.

Side effects

Often the drug is well tolerated, but in rare exceptions there may still be adverse reactions:

  • Attacks of bronchial asthma;
  • Generalized itching;
  • Skin rashes, itching;
  • The appearance of edema;
  • Redness at the sites where the composition was applied.


If side effects occur, especially with long-term use, it is necessary to stop using the composition. If therapy should be continued, Dolgit analogues may be prescribed.

Instructions for use of Dolgita (Method and dosage)

The product in the form of gel and cream is used externally only.

Gel Dolgit, instructions for use

It is necessary to apply the gel to the area where pain is noted, with a strip of 5-10 cm. The gel should be rubbed in with light movements until it is completely absorbed into the skin. It is recommended to carry out this procedure 3-4 times a day. The gel should not be used under an airtight covering bandage. If a severe case is diagnosed, topical treatment should be combined with oral NSAIDs.

Cream Dolgit, instructions for use

The ointment is applied 2-3 times a day. Rub the product with light movements into the area where pain is felt until it is completely absorbed. The duration of use depends on the severity of the condition. Treatment can be practiced for 10 days, then you should consult a doctor.

After using the medicine, you must wash your hands; do not allow the medicine to get into your eyes or mucous membranes. Also, the medicine is not applied to places where there are scratches or other damage to the skin.

The maximum permissible dose of external agents Dolgit is 20 cm of product.

Gel Dolgit

Available in aluminum tubes of 20, 50, 100 g (contains 50 mg of active ingredient per 1 gram of drug) in cardboard packaging with instructions. Intended for use for similar ailments as the cream. The gel is more suitable for emergency use.

The gel must be applied 3-4 times a day, and in slightly larger quantities than the cream, it is absorbed longer and leaves a film behind, it is recommended to cover the top with a bandage or bandage, the duration of use is up to 10 days . If symptoms do not go away, after consultation with your doctor, you can combine it with other drugs. The course of treatment is determined by the doctor after establishing the nature of the disease. Has a low degree of absorption.

Contraindications: pregnancy and lactation. allergic reaction to auxiliary components. eczema, psoriasis, weeping dermatoses, bronchial asthma.

Overdose

If the cream or gel was used in quantities exceeding those indicated, or the product was applied to large areas of the body, the patient may develop nausea , abdominal pain, headaches, and a feeling of drowsiness .

In such cases, if possible, you need to remove all remnants of the product from the skin. If the medicine was taken orally, it is necessary to rinse the stomach, use laxatives and carry out symptomatic treatment.

special instructions

Before starting treatment, you should first read the instructions in order to understand why Dolgit cream is used and in what cases it is advisable to do so.

In case of severe manifestations of the disease, the use of external agents is combined with the use of oral NSAIDs.

The use of the product does not affect the ability to concentrate attention or the severity of reactions, which is why the cream and gel can be used by those who drive vehicles and work with complex mechanisms.

Analogs

Level 4 ATC code matches:
Voltaren Emulgel

Ultrafastin

Indomethacin

Dicloran

Dicloran Plus

Nise

Ketonal

Ketorol

Febrofeed

Fastum gel

Diclofenac

Finalgel

Bystrumgel

Deep Relief

Butadion

Diklovit

Artrosilene

Olfen

Fanigan Fast

There are some analogues of the drug Dolgit. Ibuprofen as an active ingredient in the following medications for external use: Ibalgin , Ibuprofen , Ibuprofen-Verte , Nurofen .

It seems that all drugs that belong to the NSAID group and are applied externally have an effect on the body. These are the drugs Dorosan , Artrosilene , Diclobene , Indobene , Indovazin , Nimulid and many other drugs.

Efficiency

Indications for the use of Dolgit gel suggest using the composition as a therapeutic agent - it:

  1. Relieves inflammation;
  2. Has an anesthetic effect;
  3. Relieves the feeling of heat at the site of injury;
  4. Eliminates swelling at the site of injury.

The peculiarity and effectiveness of the drug is based on its effect on the group of eicosanoids, which can cause a long-term inflammatory process.

It is these blood components that are also responsible for increasing the volume of fluid in injured tissues, which leads to swelling and increased pain in the damaged area.

During pregnancy and lactation

Both during pregnancy and during breastfeeding, external medications Dolgit should not be used. But if its use is advisable from the point of view of the probable benefit exceeding the possible risk, its use is possible under the strict supervision of a specialist. However, this is only possible in the first and second trimester of pregnancy. If a pregnant patient feels discomfort, rinse off the product and stop using it. A strip of more than 10 cm should not be applied.

Reviews

Those reviews about the Dolgit gel, as well as reviews about the Dolgit cream that users leave online, are in most cases positive, since both the gel and the ointment really quickly and effectively relieve pain. Reviews say that Dolgit improves the condition of both injuries and back pain of various origins.

Moreover, unlike other drugs, the drug does not create unpleasant side effects. What exactly you should choose, ointment or gel, depends on your doctor’s advice. But, according to reviews, both forms are equally effective.

Features of application

The price of Dolgit in yellow packaging remains affordable, and therefore this is the drug that doctors often prescribe to their patients for certain indications. To use the purchased product correctly, you need to pay attention to its composition.

Gel

Intended for local use. To make the product as effective as possible, it is enough to follow these recommendations:

  • Apply only to cleansed skin;
  • Enough for one application of a small amount of product;
  • The gel should be applied carefully, rub in a circular motion without pressing;
  • Do not use under an occlusive dressing;
  • In case of contact with eyes, rinse mucous membranes with water;
  • Before applying the gel, wash your hands thoroughly;
  • Only a doctor can determine the duration of use of the product. Often it does not exceed 2–3 weeks;
  • You can use the gel 3 times a day.

To ensure a therapeutic effect, 100–250 mg of gel should be used (equivalent to a width of 4–10 cm). The maximum dose per day should not exceed 1000 mg.

Cream

The cost of Dolgit in cream form remains affordable. The composition is quite dense, it can be used for massage, which is designed to reduce unpleasant pain. In order for the course of treatment to be as effective as possible, you must adhere to the following recommendations:

  1. Wash your hands and the treated area of ​​skin;
  2. It is forbidden to apply cream to open wounds, cuts, mucous membranes;
  3. Rub a small layer of cream until completely absorbed into the skin, but without pressure or excessive effort;
  4. The exact dosage of ibuprofen when using the cream is determined only by the doctor. The average rate will be 100–250 mg;
  5. Use 3-4 times a day, but for the time specified by the doctor;
  6. You can apply the cream under a bandage, which is especially effective for sprains, bruises, dislocations, etc.

Numerous reviews of Dolgite on forums prove that the cream is as effective as the gel, but takes longer to absorb. If after using the cream there is no improvement in the condition within three days, the patient should consult a doctor.

Dolgita price, where to buy

Both ointment and gel can be freely purchased at any pharmacy. The average price of Dolgit cream is 150 rubles. The average price of Dolgit gel is 100 rubles.

  • Online pharmacies in RussiaRussia
  • Online pharmacies in UkraineUkraine
  • Online pharmacies in KazakhstanKazakhstan

ZdravCity

  • Dolgit body lotion with camphor fl.
    100 mlDr. Theiss Naturwaren GmbH RUB 215 order
  • Dolgit cream 5% 50gDolorgiet

    140 rub. order

  • Dolgit cream 5% 100g Dolorgiet

    RUB 216 order

  • Dolgit gel for external use. approx. 5% 50gDolorgiet GmbH & Co.KG

    145 rub. order

  • Dolgit gel for external use 5% 100g Dolorgiet GmbH & Co.KG (Dolorgiet GmbH & Co.KG)

    RUB 251 order

Pharmacy Dialogue

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Pharmacy24

  • Dolgit 100 g gel Dolorgit GmbH & Co. KG, Nimechchina
    141 UAH.order
  • Dolgit 20 g cream Dolorgit GmbH & Co. KG, Nimečchina

    46 UAH order

  • Dolgit 20 g gel Dolorgit GmbH & Co. KG, Nimecchina

    39 UAH order

  • Dolgit 100 g cream Dolorgit GmbH & Co. KG, Nimečchina

    124 UAH order

  • Dolgit Mountain pine 100 ml solution for skin application Dr. Theiss Naturwaren GmbH, Niemeczina

    96 UAH order

PaniPharmacy

  • Dolgit gel Dolgit gel 5% 100g Germany, DOLORGIET

    153 UAH order

  • Dolgit cream Dolgit cream 5% 100g Germany, DOLORGIET

    129 UAH order

  • Dolgit gel Dolgit gel 5% 20g Germany, DOLORGIET

    46 UAH order

  • Dolgit gel Dolgit gel 5% 50g Germany, DOLORGIET

    113 UAH order

  • Dolgit cream Dolgit cream 5% 20g Germany, DOLORGIET

    55 UAH order

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