The safety of diclofenac for the management and treatment of actinic keratoses

Expert Opin Drug Saf. 2008 Mar;7(2):167-72. doi: 10.1517/14740338.7.2.167.

Abstract

Background: Actinic keratoses (AKs), defined as carcinoma in situ of squamous carcinoma, is usually induced by excessive sun exposure. The efficacy of 3% diclofenac in 2.5% hyaluronic acid gel for treatment of AKs has been documented in a few studies.

Objective: Is diclofenac safe and effective for the management and treatment of AKs?

Method: All the papers that were cited in Medline and ISI Web of Science are included in this study.

Results/conclusion: The use of diclofenac is associated with a few side effects, which include pruritus, rashes, dry skin, and scaling. These side effects are usually minimal and tolerable; therefore, this topical medication is suggested as the first line of treatment for AKs.

Publication types

  • Review

MeSH terms

  • Administration, Cutaneous
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Carcinoma in Situ / drug therapy*
  • Diclofenac / administration & dosage
  • Diclofenac / adverse effects*
  • Diclofenac / therapeutic use
  • Gels
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Hyaluronic Acid / therapeutic use
  • Keratosis / drug therapy*
  • Photosensitivity Disorders / drug therapy*
  • Skin Neoplasms / drug therapy*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Gels
  • Diclofenac
  • Hyaluronic Acid