Date Published

October 12, 2023

Updated For

ALS PCS Version ALS PCS Version 5.2


I have a question regarding the PCP analgesia medical directive. If a patient has been using topical gels for pain relief (such as voltaren gel containing diclofenac), is ibuprofen/ketorolac still contraindicated if it has been used within the last 6 hours?


Voltaren gel which contains diclofenac (an NSAID) use within the last 6 hours would be a contraindication for prehospital Ibuprofen or Toradol administration.



analgesia, Contraindication, Diclofenac, Ibupofen, ketorolac, NSAID, Topical

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