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Declofenac gel - mild haemophilia
Hi,
I suffered a back injury two days back and was advised to use declofenac gel in pharmacy. I user it twice a day since last two days. I also have mild haemophilia . I just checked online and it said NSAID could cause internal bleeding. I am scared now. Can someone help.
Answers (12)
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Topical application will not cause bleeding don't worry
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With local diclofenac ointment application, risk of bleeding is extremely low. Check with physiotherapist for pain relief, via compression, massage or exercise, i.e. with no or minimum drugs..
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Using topical Diclofenac gel for a back injury generally carries very minimal systemic absorption, especially when applied on intact skin. Because of this, the risk of internal bleeding is extremely low, even in someone with Hemophilia.
The bleeding concern with NSAIDs mainly applies to oral tablets or injections, which can affect platelet function and increase bleeding risk. Topical gels usually act locally on the muscles and joints with very little entering the bloodstream. Since you have used it only twice daily for two days, it is very unlikely to cause internal bleeding.
Next Steps
• You may stop the diclofenac gel for now if you are feeling anxious about it.
• Instead, use cold compresses for the first 48–72 hours after injury to reduce inflammation.
• After 2–3 days, you can switch to warm compresses and gentle stretching if pain allows.
• If pain is significant, a doctor may recommend safer pain relief options suitable for patients with hemophilia, such as paracetamol-based medicines.
• Seek medical care urgently if you notice unusual bruising, swelling, severe pain, or signs of bleeding.
Health Tips
• Avoid oral NSAIDs unless specifically advised by your doctor due to hemophilia.
• Try rest, proper posture, and gradual movement to support back recovery.
• Avoid heavy lifting or sudden twisting movements for a few days.
• If back pain persists beyond 5–7 days, a clinical examination may be needed to rule out muscle strain or ligament injury.
If you’d like, you can book an online consultation so I can assess your injury and suggest the safest pain-relief plan considering your hemophilia.
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Topical NSAIDs are safe...they didn't cause bleeding disorders..
Consult for better and further management
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Locally application have no effect. U can not engulf.
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Topical diclofenac gel is applied on the skin and very little enters the blood, so it usually does not cause internal bleeding. Using it for a few days for back pain is generally safe even with mild haemophilia if the skin is intact.
If you notice unusual bruising, swelling, or worsening pain, please consult a doctor for proper evaluatio
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NSAID 's could cause bleeding in taken orally not topically so you don't need to worry about internal bleeding because you are using gel topical not orally.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No issues
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.