Learn more about usage, cautions, and possible side effects .
Chemical Name: DICLOFENAC (dye-KLOE-fen-ak)
This medicine is nonsteroidal anti-inflammatory drug (NSAID) used to treat pain in certain joints (such as in the knees or hands) caused by osteoarthritis. It may also be used to treat other conditions as determined by your doctor.
WARNING: THIS MEDICINE IS A NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID). IT MAY CAUSE AN INCREASED RISK OF SERIOUS AND SOMETIMES FATAL HEART AND BLOOD VESSEL PROBLEMS (SUCH AS HEART ATTACK, STROKE). THE RISK MAY BE GREATER IF YOU ALREADY HAVE HEART PROBLEMS OR IF YOU USE THIS MEDICINE FOR A LONG TIME. DO NOT USE THIS MEDICINE RIGHT BEFORE OR AFTER BYPASS HEART SURGERY. THIS MEDICINE MAY CAUSE AN INCREASED RISK OF SERIOUS AND SOMETIMES FATAL STOMACH ULCERS AND BLEEDING. ELDERLY PATIENTS MAY BE AT GREATER RISK. THIS MAY OCCUR WITHOUT WARNING SIGNS. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking anticoagulants (such as warfarin), aspirin, corticosteroids (such as prednisone), heparin, selective serotonin reuptake inhibitors (SSRIs) (such as fluoxetine), probenecid, cyclosporine, lithium, methotrexate, oral NSAIDs (such as ibuprofen), quinolones (such as ciprofloxacin), angiotensin-converting enzyme (ACE) inhibitors (such as enalapril), or diuretics (such as furosemide, hydrochlorothiazide). Tell your doctor if you have a history of kidney or liver problems, diabetes, stomach or bowel problems (such as bleeding, perforation, or ulcers), swelling or fluid buildup, asthma, growths in the nose (nasal polyps), or mouth inflammation. Tell your doctor if you have high blood pressure, blood disorders (such as porphyria), bleeding or clotting problems, heart problems (such as heart failure), blood vessel disease, or if you are at risk for any of these diseases. Inform your doctor if you drink alcohol, have a history of alcohol abuse, or if you have any other medical conditions including poor health; dehydration or low fluid volume; low blood sodium levels; any allergies (especially to aspirin or aspirin-like medicines); pregnancy; or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have severe kidney problems, or if you have recently had or will be having bypass heart surgery. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
Follow the directions for using this medicine provided by your doctor. This medicine has a MEDICATION GUIDE approved by the U.S. Food and Drug Administration. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. DO NOT APPLY THIS MEDICINE TO INFECTED SKIN; OPEN WOUNDS; OR RED, SWOLLEN, OR PEELING SKIN. USE THE PROVIDED DOSING CARD TO MEASURE YOUR DOSE OF THIS MEDICINE. Ask your pharmacist if you have any questions about how to use the dosing card or this medicine. Gently massage this medicine into the skin of the affected area. Allow the medicine to dry for at least 10 minutes before you wear clothes or gloves over the treated area. After using the dosing card, fold it in half (with the used side inside) and throw it away out of the reach of children and pets. Wash your hands immediately after using this medicine unless your hands are part of the treated area. Do not wrap, bandage, or apply heat to the treated area. Do not shower, bathe, or wash the treated area for at least 1 hour after you use this medicine. STORE THIS MEDICINE AT ROOM TEMPERATURE between 59 and 86 degrees F (15 and 30 degrees C) away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, skip the missed dose. Go back to your regular dosing schedule. Do not use 2 doses at once.
DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or if you are allergic to any ingredient in this product. DO NOT USE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION (such as severe rash, hives, trouble breathing, growths in the nose, dizziness) to aspirin or an NSAID (such as ibuprofen, celecoxib). This medicine is for external use only. Do not get it in your eyes, nose, or mouth. If you get it in any of these areas, rinse at once with cool water. Serious stomach ulcers or bleeding can occur with the use of this medicine. Using it in high doses, for a long time, smoking, or drinking alcohol increases the risk of these side effects. If you have severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling, contact your doctor or emergency room right away. DO NOT EXCEED THE RECOMMENDED DOSE or use this medicine for longer than prescribed without checking with your doctor. Laboratory and/or medical tests, including kidney function, complete blood counts, and blood pressure may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. This medicine may cause dizziness. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. Do not use sunscreens, lotions, insect repellants, or other topical medicines on the treated areas. Do not expose the treated area to the sun, sunlamps, or tanning booths. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes medicines that contain NSAIDs (such as ibuprofen). Do not take aspirin while you are using this medicine unless your doctor tells you to. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the effects of the medicine, especially stomach bleeding and kidney problems. FOR WOMEN: THIS MEDICINE MAY CAUSE HARM to the human fetus. Do not use it during the last 3 months of pregnancy. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk after topical use. DO NOT BREAST-FEED while using this medicine.
SIDE EFFECTS that may occur while using this medicine include mild irritation at the application site. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience fever, chills, or persistent sore throat; ringing in the ears; severe or persistent irritation at the application site; or unusual tiredness or weakness. CONTACT YOUR DOCTOR IMMEDIATELY if you experience bloody or black, tarry stools; change in the amount of urine produced; chest pain; confusion; dark urine; depression; fainting; fast or irregular heartbeat; mental or mood changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; seizures; severe headache or dizziness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath; sudden or unexplained weight gain; swelling of hands, legs, or feet; unusual bruising or bleeding; unusual joint or muscle pain; vision or speech changes; vomit that looks like coffee grounds; or yellowing of the skin or eyes. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions
If overdose is suspected, contact your local poison control center or emergency room immediately. This medicine may be harmful if swallowed. Symptoms of overdose may include decreased urination, loss of consciousness, seizures, severe dizziness or drowsiness, severe nausea or stomach pain, slow or troubled breathing, tremor, unusual bleeding or bruising, or vomit that looks like coffee grounds.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets.
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