diclofenac

Pronunciation: dye KLOE fen ak

Brand: Cambia, Zipsor, Zorvolex

Diclofenac Potassium

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potassium 50 mg, round, orange, imprinted with 93 948

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Diclofenac Sodium

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sodium 50 mg, round, white, imprinted with 550, R

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Diclofenac Sodium

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sodium 75 mg, round, white, imprinted with 551, R

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Diclofenac Sodium XR

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sodium 100 mg, round, yellow, imprinted with M 355

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Diclofenac Potassium

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potassium 50 mg, round, white, imprinted with M D5

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Diclofenac Sodium

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sodium 50 mg, round, brown, imprinted with G DS 50

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Diclofenac Sodium

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sodium 75 mg, round, pink, imprinted with G-DS-75

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Diclofenac Sodium XR

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sodium 100 mg, round, pink, imprinted with DX41

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Diclofenac Sodium XR

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sodium 100 mg, round, pink, imprinted with GG 904

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Diclofenac Sodium

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sodium 25 mg, round, yellow, imprinted with GG 737

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Diclofenac Sodium

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sodium 50 mg, round, brown, imprinted with GG 738

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Diclofenac Sodium

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sodium 75 mg, round, peach, imprinted with GG 739

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Diclofenac Potassium

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potassium 50 mg, round, white, imprinted with GG 977

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Zipsor

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potassium 25 mg, capsule, yellow, imprinted with X592

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Diclofenac Sodium

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sodium 75 mg, round, brown

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Diclofenac Sodium

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sodium 50 mg, round, brown, imprinted with P 50

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Diclofenac Sodium

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sodium 50 mg, round, white, imprinted with CTI 102

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Diclofenac Sodium

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sodium 75 mg, round, white, imprinted with CTI 103

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Diclofenac Sodium

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sodium 50 mg, round, white, imprinted with CTI 102

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Diclofenac Sodium

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sodium 75 mg, round, white, imprinted with CTI 103

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Diclofenac Sodium

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sodium 75 mg, round, white, imprinted with CTI 103

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Cataflam

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potassium 50 mg, round, beige, imprinted with CATAFLAM, 50

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Diclofenac Sodium XR

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sodium 100 mg, round, pink, imprinted with 93, 1041

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Diclofenac Potassium

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potassium 50 mg, round, brown, imprinted with GG 759

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Diclofenac Sodium

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sodium 75 mg, round, peach, imprinted with GG 739

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Diclofenac Sodium ER

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sodium 100 mg, round, pink, imprinted with DX 41

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Diclofenac Potassium

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potassium 50 mg, round, brown, imprinted with APO, DP 50

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Diclofenac Potassium

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potassium 50 mg, round, white, imprinted with M D5

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Diclofenac Potassium

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potassium 50 mg, round, orange, imprinted with 93 948

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Diclofenac Sodium

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sodium 50 mg, round, white, imprinted with 54 592

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Diclofenac Sodium

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sodium 50 mg, round, white, imprinted with WATSON 338

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Diclofenac Sodium

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sodium 75 mg, round, white, imprinted with WATSON 339

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Voltaren

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sodium 75 mg, triangular, peach, imprinted with Voltaren 75

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Voltaren-XR

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sodium 100 mg, round, pink, imprinted with Voltaren XR, 100

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What is the most important information I should know about diclofenac?

Diclofenac can increase your risk of fatal heart attack or stroke. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Diclofenac may also cause stomach or intestinal bleeding, which can be fatal.

What is diclofenac?

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that is used to treat mild to moderate pain, or signs and symptoms of osteoarthritis.

Diclofenac powder (Cambia) is used to treat a migraine headache attack. Cambia will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Diclofenac may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking diclofenac?

Diclofenac can increase your risk of fatal heart attack or stroke, even if you don't have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Diclofenac may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using diclofenac, especially in older adults.

You should not use diclofenac if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

Do not use Cambia to treat a cluster headache. Do not use Zipsor if you are allergic to beef or beef protein.

Tell your doctor if you have ever had:

  • heart disease, high blood pressure;
  • ulcers or bleeding in your stomach;
  • asthma;
  • liver or kidney disease; or
  • if you smoke.

Taking diclofenac during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

Diclofenac is not approved for use by anyone younger than 18 years old.

How should I take diclofenac?

Different brands of diclofenac contain different amounts of this medicine, and may have different uses. If you switch brands, your dose needs may change. Follow your doctor's instructions about how much medicine to take. Ask your pharmacist if you have any questions about the brand of diclofenac you receive at the pharmacy.

Follow all directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Use the lowest dose that is effective in treating your condition.

Swallow the tablet whole and do not crush, chew, or break it.

Take Zorvolex on an empty stomach, at least 1 hour before or 2 hours after a meal.

Dissolve diclofenac powder (Cambia) with 1 to 2 ounces of water. Do not use any other type of liquid. Stir this mixture and drink all of it right away. Diclofenac powder works best if you take it on an empty stomach.

Call your doctor if your headache does not completely go away after taking Cambia.

If you use diclofenac long-term, you may need frequent medical tests.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking diclofenac?

Avoid drinking alcohol. It may increase your risk of stomach bleeding.

Avoid taking aspirin or other NSAIDs unless your doctor tells you to.

Ask a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They may contain ingredients similar to diclofenac (such as aspirin, ibuprofen, ketoprofen, or naproxen).

What are the possible side effects of diclofenac?

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

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.

Stop using diclofenac and call your doctor at once if you have:

  • the first sign of any skin rash, no matter how mild;
  • flu-like symptoms;
  • heart problems --swelling, rapid weight gain, feeling short of breath;
  • kidney problems --little or no urinating, painful or difficult urination, swelling in your arms or legs, feeling tired or short of breath;
  • liver problems --nausea, diarrhea, stomach pain (upper right side), tiredness, itching, dark urine, jaundice (yellowing of the skin or eyes); or
  • signs of stomach bleeding --bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Common side effects may include:

  • indigestion, gas, nausea, vomiting, stomach pain;
  • diarrhea, constipation;
  • headache, dizziness, drowsiness;
  • abnormal lab tests;
  • itching, sweating;
  • stuffy nose;
  • increased blood pressure; or
  • swelling or pain in your arms or legs.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect diclofenac?

Ask your doctor before using diclofenac if you take an antidepressant. Taking certain antidepressants with an NSAID may cause you to bruise or bleed easily.

Tell your doctor about all your other medicines, especially:

  • heart or blood pressure medication, including a diuretic or "water pill";
  • other forms of diclofenac (Arthrotec, Flector, Pennsaid, Solaraze, Voltaren Gel);
  • a blood thinner --warfarin, Coumadin, Jantoven; or
  • other NSAIDs --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), indomethacin, meloxicam, and others.

This list is not complete. Other drugs may affect diclofenac, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Your pharmacist can provide more information about diclofenac.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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