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Diclofenac

General Information and Indications:

Diclofenac is used to relieve the pain, tenderness, inflammation (swelling), and stiffness caused by osteoarthritis and rheumatoid arthritis and ankylosing spondylitis. Immediate-release (short-acting) diclofenac (Cataflam) is also used to treat painful menstrual periods and pain from other causes. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory medications (NSAIDs). It works by stopping the body's production of a substance that causes pain and inflammation.

Information For Users:

Diclofenac comes as a tablet (Cataflam), a delayed-release tablet (Voltaren), and an extended-release (long-acting) tablet (Voltaren-XR) to take by mouth. The regular and delayed-release tablets are usually taken two to four times a day. The extended-release tablet is usually taken once or twice a day. To help you remember to take diclofenac, take it around the same time every day. Follow the directions on your prescription label, ask your doctor or pharmacist If you have any questions. Take diclofenac exactly as directed. Do not take more or less of it or take it more often than prescribed by your health care provider.
Other uses for this medicine

Diclofenac is also used sometimes to treat pain caused by gout and painful shoulder, bone pain, cancer pain, and pain after surgery or childbirth. Talk to your doctor about the possible risks of using this medication for your condition.

Special precautions:

o Inform your doctor or pharmacist if you have allergy to diclofenac, aspirin or other NSAIDs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn), or any other medications.
o Inform your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin); aspirin; cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); diuretics ('water pills'); insulin and oral medications for diabetes; lithium (Eskalith, Lithobid); methotrexate (Rheumatrex); and phenobarbital (Luminal, Solfoton). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
o Inform your doctor if you smoke or drink large amounts of alcohol and if you have or have ever had stomach problems such as ulcers; asthma; high blood pressure; lupus; porphyria; liver, heart, or kidney disease; or swelling of the hands, feet, ankles, or lower legs (fluid retention).
o Inform your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking diclofenac, call your doctor.
o if you are having surgery, including dental surgery, Inform your doctor or dentist that you are taking diclofenac.
 


Possible Adverse Effects:

Diclofenac may cause adverse effects. Inform your doctor if any of the following symptoms are severe or do not go away:

o stomach pain
o diarrhea
o heartburn
o upset stomach
o constipation
o gas or bloating
o headache
o dizziness

Some adverse effects could be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor without delay:

o black and tarry stools (Melena)
o red blood in stools
o blood in the vomit (Hematemesis)
o vomiting that looks like coffee grounds
o ringing in the ears
o swelling of the hands, feet, ankles, or lower legs
o unexplained weight gain
o extreme tiredness (fatigue)
o lack of energy
o itching
o pain in the upper right part of the stomach
o yellowing of the skin or eyes, jaundice
o flu-like symptoms
o rash
o hives (Urticaria)
o difficulty swallowing or breathing
o pale skin
o fever
o confusion
o blurred vision (Impaired vision)
o changes in color vision

Possible Symptoms of Overdose:

o vomiting
o drowsiness
o loss of consciousness

Brand Name(s):

o Arthrotec®
o Voltaren®
o Voltaren®-XR

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