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The most common side effects of diclofenac involve the gastrointestinal system, such as:Sometimes, stomach ulceration and bleeding can occur without any abdominal pain. Black tarry stools, weakness, and dizziness upon standing may be the only signs of internal bleeding. Rash, kidney impairment, ringing in the ears, and lightheadedness are also seen.
People who are allergic to other NSAIDs should not use diclofenac. NSAIDs reduce the flow of blood to the kidneys and impair function of the kidneys. The impairment is most likely to occur in patients with already reduced kidney function or congestive heart failure, and use of NSAIDs in these patients should be done cautiously. Individuals with asthma are more likely to experience allergic reactions to diclofenac and other NSAIDs.
Use the pill identifier tool on RxList. Osteoarthritis OA is a degenerative joint disease affecting both cartilage and bone. What else should I know about diclofenac. Voltaren, Cataflam, Voltaren-XR, Cambia, Zipsor, ZorvolexIs diclofenac available as a generic drug. GENERIC AVAILABLE: YesDo I need a prescription for diclofenac.
It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs including any herbal medicines or supplements or following any treatment or regimen.
Truven Health and GoodRx make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Server Error A server error occured, please refresh the page and try again We apologize for the inconvenienceAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.
Patients with cardiovascular disease or risk factors for it may be at greater risk. These events can occur at any time during use and without warning. Elderly patients are at greater risk.
Mix and give oral powder with 30 to 60 ml of water only. Anticoagulants, antiplatelet agents, cephalosporins, plicamycin, thrombolytics: increased risk of bleedingDigoxin, lithium, methotrexate, phenytoin, theophylline: increased levels of these drugs, greater risk of toxicityDrug-diagnostic tests.
Alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, blood urea nitrogen, creatinine, electrolytes, lactate dehydrogenase, urine uric acid: increased valuesHematocrit, hemoglobin, platelets, serum uric acid, urine electrolytes, white blood cells: decreased valuesDrug-herbs.
Report gain of more than 2 lb in 24 hours. If gel is applied to a hand, advise patient to avoid washing treated hands for at least 1 hour after application.
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You have been added to our email newsletter list. Email Newsletter Sign up and receive promotions and special offers by email sign up Thank you. People who use nonsteroidal anti-inflammatory drugs NSAIDs other than aspirin such as topical diclofenac Pennsaid, Voltaren may have a higher risk of having a heart attack or a stroke than people who do not use these medications. These events may happen without warning and may cause death.
This risk may be higher for people who use NSAIDs for a long time. Do not use an NSAID such as topical diclofenac if you have recently had a heart attack, unless directed to do so by your doctor. Get emergency medical help right away if you experience any of the following symptoms: chest pain, shortness of breath, weakness in one part or side of your body, or slurred speech.
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The dosage is based on your medical condition, response to treatment, and other medications you may be taking.
Be sure to tell your doctor and pharmacist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. To minimize side effect risks such as stomach bleedinguse this medication at the lowest effective dose for the shortest possible length of time.
Do not increase your dose or take it more often than prescribed. For chronic conditions such as arthritis, continue taking it as directed by your doctor. Discuss the risks and benefits with your doctor or pharmacist.
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Updated April 20, 2016If you are a consumer or patient please visit this version. Cardiovascular Thrombotic Events Gastrointestinal Bleeding, Ulceration, and PerforationWarnings and Precautions, Cardiovascular Thrombotic Events 5. Avoid use of NSAIDs in pregnant women starting at 30 weeks gestation 5. Patients should minimize or avoid exposure to natural or artificial sunlight on treated areas because studies in animals indicated topical diclofenac treatment resulted in an earlier onset of ultraviolet light induced skin tumors.
Patients should be advised that if eye contact occurs, they should immediately wash out the eye with water or saline and consult a physician if irritation persists for more than an hour. For additional information about overdosage treatment, contact a poison control center 1-800-222-1222.
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Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
Excretion Diclofenac is eliminated through metabolism and subsequent urinary and biliary excretion of the glucuronide and the sulfate conjugates of the metabolites.
Voltaren UsageBack to TopTake Voltaren exactly as prescribed.
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History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Elimination Metabolism Five diclofenac metabolites have been identified in human plasma and urine. Excretion Diclofenac is eliminated through metabolism and subsequent urinary and biliary excretion of the glucuronide and the sulfate conjugates of the metabolites.
Where can I get more information?
Get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.
More serious and rarer reactions include stroke, high blood pressure, GI bleed, and heart attack.