Brand Names: U.S.
Cambia; Cataflam [DSC]; Voltaren-XR; Zipsor; Zorvolex
Brand Names: Canada
Apo-Diclo; Apo-Diclo Rapide; Apo-Diclo SR; Cambia; Diclofenac EC; Diclofenac ECT; Diclofenac K; Diclofenac SR; Diclofenac-SR; Dom-Diclofenac; Dom-Diclofenac SR; PMS-Diclofenac; PMS-Diclofenac K; PMS-Diclofenac-SR; PRO-Diclo-Rapide; Sandoz-Diclofenac; Sandoz-Diclofenac Rapide; Sandoz-Diclofenac SR; Teva-Diclofenac; Teva-Diclofenac EC; Teva-Diclofenac K; Teva-Diclofenac SR; Voltaren; Voltaren Rapide; Voltaren SR
- This drug may raise the chance of very bad and sometimes deadly heart and blood vessel side effects like heart attack and stroke. The risk may be greater if you have heart disease or risks for heart disease. The risk may be greater with long-term use. Do not use this drug right before or after bypass heart surgery.
- This drug may raise the chance of very bad and sometimes deadly stomach or bowel side effects like ulcers or bleeding. The risk may be greater in older people. This may occur without warning signs. Talk with the doctor.
What is this drug used for?
- It is used to ease pain.
- It is used to treat arthritis.
- It is used to ease painful period (menstrual) cycles.
- It is used to treat migraine headaches.
- It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take this drug?
- If you have an allergy to diclofenac or any other part of this drug.
- If you have an allergy to aspirin or NSAIDs.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you are more than 30 weeks pregnant.
- If you are taking any other NSAID.
- If you have any of these health problems or you are at risk for them: Heart disease or blood vessel disease.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
- If you have kidney disease.
What are some things I need to know or do while I take this drug?
- Tell dentists, surgeons, and other doctors that you use this drug.
- Have your blood work checked if you are on this drug for a long time. Talk with your doctor.
- High blood pressure may rarely happen.
- Have your blood pressure checked often. Talk with your doctor.
- Talk with your doctor before you drink alcohol.
- If you smoke, talk with your doctor.
- If you have asthma, talk with your doctor. You may be more sensitive to this drug.
- Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
- Do not take this drug for longer than you were told by your doctor.
- You may bleed more easily. Be careful and avoid injury. Use a soft toothbrush and an electric razor.
- If you are taking aspirin to help prevent a heart attack, talk with your doctor.
- If you are 65 or older, use this drug with care. You could have more side effects.
- This drug may cause harm to the unborn baby if you take it while you are pregnant.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
All oral products:
- Do not switch brands or types of this drug (like tablets, liquid) unless you talk with the doctor. They may not work the same.
- If you have PKU, talk with your doctor. Some products have phenylalanine.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of bleeding like throwing up blood or throw up that looks like coffee grounds; coughing up blood; blood in the urine; black, red, or tarry stools; bleeding from the gums; vaginal bleeding that is not normal; bruises without a reason or that get bigger; or any bleeding that is very bad or that you cannot stop.
- Signs of kidney problems like unable to pass urine, change in the amount of urine passed, blood in the urine, or a big weight gain.
- Shortness of breath, a big weight gain, swelling in the arms or legs.
- Chest pain or pressure or a fast heartbeat.
- Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight.
- Very bad headache.
- Feeling very tired or weak.
- Very bad belly pain.
- Coughing up blood.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Very bad and sometimes deadly liver problems have happened with this drug. Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
What are some other side effects of this drug?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Upset stomach.
- Hard stools (constipation).
All oral products:
- Belly pain or heartburn.
- Throwing up.
- Loose stools (diarrhea).
- Feeling sleepy.
- Sweating a lot.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.
- Pain where the shot was given.
How is this drug best taken?
Use this drug as ordered by your doctor. Read and follow the dosing on the label closely.
Tablets and capsules:
- Take with or without food. Take with food if it causes an upset stomach.
- Take with a full glass of water.
- Swallow whole. Do not chew, break, or crush.
- If you take this drug with food, it may not work as well. Talk with your doctor.
- Empty contents of packet into 2 to 4 tablespoons (30 to 60 mL) of water, mix well, and drink it right away.
- It is given as a shot into a vein.
What do I do if I miss a dose?
- Only 1 dose of this drug is needed. If you miss your dose, take it as soon as you think about it.
All other oral products:
- If you take this drug on a regular basis, take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Many times this drug is taken on an as needed basis. Do not take more often than told by the doctor.
- Call the doctor to find out what to do.
How do I store and/or throw out this drug?
- Store at room temperature.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- This drug will be given to you in a hospital or doctor’s office. You will not store it at home.
All oral products:
- Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
General drug facts
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
- This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Consumer Information Use and Disclaimer
This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
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Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.