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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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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 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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