Warnings


What may interact with Diclofenac?

Do not take this medicine with any of the following medications:

-cidofovir
-ketorolac
-methotrexate
This medicine may also interact with the following medications:

-alcohol
-aspirin and aspirin-like medicines
-cyclosporine
-diuretics
-lithium
-medicines for blood pressure
-medicines for osteoporosis
-medicines that affect platelets
-medicines that treat or prevent blood clots like warfarin
-NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
-pemetrexed
-steroid medicines like prednisone or cortisone

What should I tell my health care provider before I take Diclofenac?

They need to know if you have any of these conditions:

-bleeding disorders
-coronary artery bypass graft (CABG) within the past 2 weeks
-if you often drink alcohol
-heart attack
-heart disease
-heart failure
-high blood pressure
-high levels of potassium in the blood
-kidney disease
-liver disease
-low red blood cell counts
-lung or breathing disease (asthma)
-receiving steroids like dexamethasone or prednisone
-smoke cigarettes
-stomach bleeding
-stomach or intestine problems
-take drugs that treat or prevent blood clots
-an unusual or allergic reaction to diclofenac, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

What should I watch for while using Diclofenac?

Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse.
Do not take other drugs that contain aspirin, ibuprofen, or naproxen with this drug. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many non-prescription drugs contain aspirin, ibuprofen, or naproxen. Always read labels carefully.
This drug can cause serious ulcers and bleeding in the stomach. It can happen with no warning. Smoking, drinking alcohol, older age, and poor health can also increase risks. Call your health care provider right away if you have stomach pain or blood in your vomit or stool.
This drug does not prevent a heart attack or stroke. This drug may increase the chance of a heart attack or stroke. The chance may increase the longer you use this drug or if you have heart disease. If you take aspirin to prevent a heart attack or stroke, talk to your health care provider about using this drug.
Alcohol may interfere with the effect of this drug. Avoid alcoholic drinks.
This drug may cause serious skin reactions. They can happen weeks to months after starting the drug. Contact your health care provider right away if you notice fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. Or, you might notice a red rash with swelling of the face, lips or lymph nodes in your neck or under your arms.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand up or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
Be careful brushing or flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this drug.
This drug may make it more difficult to get pregnant. Talk to your health care provider if you are concerned about your fertility.

Where should I keep my medicine?

Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture. Keep the container tightly closed. Throw away any unused medicine after the expiration date.