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Feldene gel is piroxicam, a topical NSAID. If you’re looking for a topical alternative, here are common options: - Diclofenac topical gel (Voltaren Gel) – 1% diclofenac. OTC in many regions. Used for OA pain in hands, knees, etc. Typical use is apply to the affected area as directed (often up to 4 times daily; follow the package labeling or your clinician’s instructions). - Diclofenac epolamine patch (Flector Patch) – prescription option. Apply to the painful area (usually 1 patch to one area, daily or twice daily as prescribed) for up to 7 days. - Diclofenac sodium topical solution (Pennsaid) – prescription. 1.5% diclofenac solution for knee OA; apply to the knee area twice daily. - Other topical NSAID options exist in some regions (brand names vary). - Non-NSAID topical options (if you want alternatives to NSAIDs): capsaicin cream, lidocaine patches, menthol-based or other rubs for symptomatic relief. - Non-drug or adjunct options: heat/cold therapy, physical therapy, exercise, weight management as appropriate. Important safety notes: - Do not apply to broken or irritated skin, or on areas with ulcers. - Avoid using multiple NSAID products at the same time. - Tell your doctor if you have a history of stomach ulcers, kidney disease, heart problems, or if you’re pregnant or breastfeeding. - If you have allergies to NSAIDs or experience skin irritation, stop use and check with a clinician. If you tell me your country/region and whether you want OTC or prescription, plus any medical conditions or allergies, I can suggest the most appropriate, real-world alternatives and dosing.
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