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Two medicines, side by side

Menthol vs diclofenac

Menthol and diclofenac are both labeled for pain. Pharmacies paid $0.0424 per unit (Cough drops 5.8 mg) and $0.0619 per diclofenac sod DR 75 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Only the diclofenac label carries a boxed warning.

Check it at the source: the menthol FDA label on DailyMed (effective April 24, 2024); the diclofenac FDA label on DailyMed (effective February 11, 2025).

Highlights of the menthol record

Menthol · label of April 24, 2024

Used for

From the label: indications

temporarily relieves: cough as may occur with a cold occasional minor irritation and sore throat

On the market

Earliest approval on file
n/a
Generic labelers
none listed
Pharmacy cost
$0.0424 per unit

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the diclofenac record

Diclofenac (Voltaren) · label of February 11, 2025

Used for

From the label: indications

• for the temporary relief of arthritis pain ONLY in the following areas: o hand, wrist, elbow (upper body areas) o foot, ankle, knee (lower body areas) • this product may take up to 7 days to work for arthritis pain; it is not for immediate relief. If no pain relief in 7 days, stop use.

On the market

Earliest approval on file
July 28, 1988
Generic labelers
149 labelers
Pharmacy cost
$0.0619 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
6

Source: FDA drug labels via openFDA (Menthol label of April 24, 2024, Diclofenac label of February 11, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do menthol and diclofenac differ on the record?

Only the diclofenac label carries a boxed warning.

Generics: menthol none approved; diclofenac since 1995 (Drugs@FDA).

MentholDiclofenac
Labeled forPain, Cough and coldPain, Osteoarthritis, Rheumatoid arthritis, Migraine
Pharmacologic classn/aNonsteroidal Anti-inflammatory Drug
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)n/aJuly 28, 1988
First generic approvednoneJune 29, 1995
Generic labelers (NDC)none listed149 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0424 per unit (Cough drops 5.8 mg)$0.0619 per tablet (Diclofenac sod DR 75 mg tablet)
12-month price change+17%-25%
Boxed warningNoYes
Shortage nowNo current entryA presentation being discontinued
Recalls recorded06
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)3,369158,675
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Diclofenac label, drug interactions (prescription label)

The clinical significance of this interaction is not known; however, as with other NSAIDs, concomitant administration of diclofenac and aspirin is not generally recommended because of the potential of increased adverse effects.

Source: FDA drug labels via openFDA

What next?

Alternatives to menthol
every medicine labeled for the same conditions