The strength of selection is measured by the selective effect, s, of a single gene and the strength of random genetic drift is indicated by (1/2Ne), where the population has effective size, Ne. When s exceeds (1/2Ne), then the evolutionary fate of a gene is determined primarily by Natural Selection.
Voltaren Gel (diclofenac sodium topical gel) is a topical gel nonsteroidal anti-inflammatory drug (NSAID) used to treat pain of osteoarthritis of joints that are amenable to topical treatment, such the hands and knees.
I switch between Voltaren gel and a compunded cream that has ketamine, baclofan, Fentanyl and some other meds. It's sort of bridging a bunch of things together to get enough relief to be able to live your life. If the hydrocodone isn't working anymore, there are lots of other meds they can try.here's also a prescription gel, Voltaren, & Lido derm patches. I was on huge doses of most narcotics but got very little relief from the CRPS/ rsd pain. I've got some relief from nortriptyline. I tried PT & OT & other procedures but no relief from them either.