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Diclofenac
Nonsteroidal anti-inflammatory
Diclofenac (generic Voltaren) is a nonsteroidal anti-inflammatory drug (NSAID) used to treat minor aches and pains associated with the common cold, headache, muscle aches, backache, and arthritis. It may also be used to reduce fever. This medicine works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain, swelling, and fever.
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Diclofenac UsesDiclofenac is a nonsteroidal anti-inflammatory drug used to relieve the inflammation, swelling, stiffness, and joint pain associated with rheumatoid arthritis, osteoarthritis (the most common form of arthritis), and ankylosing spondylitis (arthritis and stiffness of the spine).
Diclofenac How To TakeTo minimize stomach upset and related side effects, your doctor may recommend taking Diclofenac with food, milk, or an antacid. However, this may delay onset of relief. Take this drug with a full glass of water. Also, do not lie down for about 20 minutes after taking it. This will help to prevent irritation in your upper digestive tract. Take this medication exactly as prescribed.
Diclofenac Side EffectsSide effects cannot be anticipated. If any develop or change in intensity, let your doctor know as soon as possible. Only your doctor can determine if it is safe for you to keep taking Diclofenac.
More common side effects may include:
Abdominal pain or cramps, diarrhea, constipation, headache, indigestion, nausea
Less common side effects may include:
Abdominal bleeding, abdominal swelling, itching, dizziness, fluid retention, gas, peptic ulcers, rash, ringing in the ears
Rare side effects may include:
Anaphylaxis (severe allergic reaction), anemia, anxiety, asthma, appetite change, black stools, blood disorders, bloody diarrhea, blurred vision, changes in taste, colitis, congestive heart failure, convulsions, decrease in white blood cells, decreased urine production, depression, double vision, drowsiness, dry mouth and mucous membranes, hair loss, hearing loss, hepatitis, high blood pressure, hives, inability to sleep, inflammation of the colon, inflammation of mouth, inflammation of the pancreas, irritability, kidney failure, liver disease, low blood pressure, nosebleed, red or purple skin discoloration and itching, sensitivity to light, skin eruptions and inflammation, scaling or peeling, sores in the gullet, Stevens-Johnson syndrome (a severe form of skin eruption), swelling of eyelids, lips, and tongue, swelling of the throat due to fluid retention, vague feeling of illness, vision changes, vomiting, yellow eyes and skin
Diclofenac Medical PrecautionsIf you have an allergic reaction to diclofenac, or if you have had asthma attacks, hives, or other allergic reactions caused by aspirin or other nonsteroidal anti-inflammatory drugs, you should not take this medication. Make sure your doctor is aware of any drug reactions you have experienced. Remember that this medication has been known to cause peptic ulcers and bleeding. Contact your doctor immediately if you suspect a problem.
Use this drug cautiously if you have kidney problems, heart disease, or high blood pressure. It can cause fluid retention. This medication can also cause liver problems. If you develop signs of liver disease such as nausea, fatigue, lethargy, itching, yellowish eyes and skin, tenderness in the upper right area of your abdomen, or flu-like symptoms, notify your doctor at once. Rare cases of meningitis (inflammation of the membrane enclosing the brain) have been linked to this medication. If symptoms such as fever and coma develop, alert the doctor immediately. In rare instances, this drug may also affect your vision. If you notice any problems, stop taking the drug and check with your doctor.
Diclofenac Drug InteractionsIf Voltaren or Cataflam is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Voltaren with the following:
Aspirin
Blood thinners such as Coumadin
Cyclosporine (Sandimmune)
Digitalis drugs such as Lanoxin
Diuretics such as Dyazide, Midamor, and Lasix
Insulin or oral antidiabetes medications such as Micronase
Lithium (Eskalith, Lithobid)
Methotrexate
Phenobarbital
Diclofenac Medical NotesDo not take this drug late in your pregnancy; it could harm the baby. Check with your doctor before taking the drug early in pregnancy; it should be used only if necessary. The drug does appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Voltaren is finished.
Diclofenac Missed DosagesIf you miss a dose and if you take this medicine on a regular schedule, take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.
Diclofenac StorageStore at room temperature. Keep the container tightly closed and protect from moisture.
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