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Precautions

Do NOT use Diclofenac if:

• you are allergic to the ingredient in Diclofenac or to bovine (cow) protein
• you have experienced a severe hypersensitivity (eg, severe rash, hives, trouble breathing, growths within the nose, dizziness) to aspirin or an NSAID (eg, ibuprofen, celecoxib)

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• you might have recently had or will likely be having bypass heart surgery

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• you've got severe kidney problems

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• you're within the last 3 months of pregnancy.

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Contact a medical expert or doctor without delay if this applies for your requirements.

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Some health conditions may talk with Diclofenac. Tell your medical professional or pharmacist for those who have any medical ailments, in particular when any from the following apply to you personally:

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• if you happen to be pregnant, likely to get pregnant, or are breast-feeding

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• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or another substances

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• if you have a reputation kidney or liver problems, diabetes, or stomach or bowel irregularity (eg, bleeding, perforation, ulcers)

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• in case you have a reputation swelling or fluid buildup, asthma, growths within the nose (nasal polyps), or mouth inflammation

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• in case you have high blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, heart related illnesses (eg, heart failure), or blood vessel disease, or if you might be vulnerable to all of these diseases
• if you have poor health, dehydration or low fluid volume, or low blood sodium levels, you smoke, are drinking alcohol, or have a very reputation alcohol abuse

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• if you are taking an antibiotic or even an anti-seizure medicine. The risk of liver problems might be increased by incorporating of those medicines.

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Some medicines may communicate with Diclofenac. Tell your medical provider if you happen to be taking every other medicines, especially any with the following:

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• Anticoagulants (eg, warfarin), aspirin, clopidogrel, corticosteroids (eg, prednisone), heparin and also other blood thinners (eg, dalteparin), or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because potential risk of stomach bleeding could be increased

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• Acetaminophen because the potential risk of liver problems could be increased

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• Probenecid because it may increase the potential risk of Diclofenac's unwanted effects

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• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because potential risk of their unwanted side effects could be increased by Diclofenac

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• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) because their effectiveness may be decreased by Diclofenac.

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This might not be a whole report on all interactions which could occur. Ask your doctor if Diclofenac may connect to other medicines that you simply take. Check with your doctor prior to starting, stop, or alter the dose of any medicine.

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Important safety information:

• Diclofenac may cause dizziness or drowsiness. These effects could be worse if you get it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks and soon you know how you respond to it.

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• Serious stomach ulcers or bleeding can occur if you use Diclofenac. Taking it in high doses, for some time, smoking, or alcohol consumption increases the potential risk of these side effects. Taking Diclofenac with food will NOT reduce potential risk of these effects. If you've severe stomach or lower back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual extra weight or swelling, contact your doctor or hospital straight away.

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• Do NOT take greater than the recommended dose or use more than prescribed without checking using your doctor.

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• Diclofenac is an NSAID. Before you start any new medicine, check the label to see whether it has an NSAID (eg, ibuprofen) in it too. If it does or if you're not sure, check together with your doctor or pharmacist.

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• Do not take aspirin while you happen to be using Diclofenac unless your medical professional lets you know to.

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• Check together with your doctor or pharmacist prior to taking acetaminophen while you might be taking Diclofenac. The probability of liver problems might be increased.

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• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your physician informs you to. They may well not provide the equivalent medicine for a body.

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• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure levels, might be performed whilst you use Diclofenac. These tests may be used to monitor your trouble or look for unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Diclofenac with caution inside the elderly; they could be more understanding of its effects, especially stomach bleeding and kidney problems.

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• Diclofenac ought to be combined with careful attention in youngsters; safety and effectiveness in kids weren't confirmed.

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• Pregnancy and breast-feeding: Diclofenac could cause problems for the fetus. Do not use it during the last three months of childbearing. If you think you may be pregnant, get hold of your doctor. You will need to discuss the advantages and perils associated with using Diclofenac while you're pregnant. It is not known if Diclofenac is situated in breast milk. Do not breastfeed while taking Diclofenac.

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