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Do not apply extra diclofenac gel Voltaren or liquid Pennsaid to make up for a missed dose. Diclofenac gel Voltaren or liquid Pennsaid may cause other side effects. Call your doctor if you have any unusual problems while using this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children.
Store it at room temperature and keep it from freezing or excess heat. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. If someone swallows diclofenac gel or liquid, call your local poison control center at 1-800-222-1222. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
Do not use for more than a few days at a time unless a doctor has told you to. Excessive or prolonged use can be harmful and increase the risk of heart attack, stroke or liver damage. The TGA says patients who have had a heart attack, heart failure, angina, stroke should avoid using these types of medicine. Picture: News Corp AustraliaSource:News LimitedSmokers, the obese and those with high cholesterol and high blood pressure are at risk of a heart attack and should consult a doctor before using the medicines.
The TGA is consulting with medicine companies over the precise wording of the warning labels and drug companies will have more than a year to include them on the packets.
The move to include new warning comes as an Australian study has found the common pain killer paracetamol does not help with back pain or arthritis of the hip and knee.
Researchers at the George Institute reviewed 13 studies on the effectiveness of paracetamol on the conditions and concluded it made no difference to back pain. The effect of the medicine on arthritis of the hip and knee was so negligible patients would not notice the effects, it found. Paracetamol is the first line treatment recommended for these conditions in clinical guidelines and researchers are calling for them to be changed.
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Unless your doctor tells you otherwise, continue your normal diet. Diclofenac gel Voltaren or liquid Pennsaid may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dryness, redness, itching, swelling, pain, hardness, irritation, swelling, scaling, or numbness at application siteacnestomach painconstipationgasdizzinessnumbness, burning, or tingling in the hands, arms, feet, or legsSome side effects can be serious.
If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately: hivesitchingdifficulty swallowingswelling of the face, throat, arms, or handsunexplained weight gainshortness of breath or difficulty breathingswelling in the abdomen, ankles, feet, or legswheezingworsening of asthma yellowing of the skin or eyesnauseaextreme tiredness unusual bleeding or bruising lack of energyloss of appetitepain in the upper right part of the stomachflu-like symptomsdark-colored urinerashblisters on skinfeverpale skinfast heartbeatexcessive tirednessDiclofenac gel Voltaren or liquid Pennsaid may cause other side effects.
Symptoms of overdose may include the following: drowsinesslack of energynauseavomitingstomach painbloody, black, or tarry stoolsvomiting a substance that is bloody or looks like coffee groundsslow, shallow, or irregular breathinghivesitchingdifficulty breathing or swallowingloss of consciousnessWhat other information should I know.
National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 U. Department of Health and Human Services National Institutes of Health Page last updated: 24 May 2017. See how a disc degenerates and how it can cause pain and other symptomsGet Your FREE Spine-Friendly Guide to Summer When You Subscribe to Our Newsletter.
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Prolongation of prothrombin time and severe gastrointestinal bleeding associated with combined use of warfarin and ketoprofen. Concomitant coumarin-NSAID therapy and risk for bleeding. Effects of nonsteroidal antiinflammatory drugs on platelet function and systemic hemostasis. Interaction of ibuprofen and warfarin on primary haemostasis. Effects of NSAIDs on the incidence of hospitalisations for renal dysfunction in users of ACE inhibitors.
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Physicians should measure transaminases at baseline and periodically in patients receiving long-term therapy with diclofenac, because severe hepatotoxicity may develop without a prodrome of distinguishing symptoms.
Canada residents can call a provincial poison control center.
Diclofenac gel Voltaren and liquid Pennsaid are only for use on the skin.
Wash and dry your hands well after you apply the liquid.
Topical NSAIDs were developed to provide analgesia similar to their oral counterparts with less systemic exposure and fewer serious AEs. In contrast, the guidelines of the American Pain Society and American College of Rheumatology have in the past recommended topical methyl salicylate and topical capsaicin, but not topical NSAIDs.
This reflects the fact that the American guidelines were written several years before the first topical NSAID was approved for use in the United States.
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