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Precautions

Do NOT use Diclofenac if:

• you're allergic to your ingredient in Diclofenac or bovine (cow) protein
• you experienced a severe allergic reaction (eg, severe rash, hives, trouble breathing, growths inside the nose, dizziness) to aspirin or even an NSAID (eg, ibuprofen, celecoxib)
• you might have recently had or will likely be having bypass heart surgery
• you've got severe kidney problems
• you happen to be in the last a couple of months of being pregnant.

Contact your doctor or doctor immediately if this applies to you.

Some medical ailments may communicate with Diclofenac. Tell your medical professional or pharmacist for those who have any health conditions, especially if any from the following apply to you:

• if you happen to be pregnant, about to become pregnant, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• in case you have a good kidney or liver problems, diabetes, or stomach or bowel irregularity (eg, bleeding, perforation, ulcers)
• if you have a good reputation for swelling or fluid buildup, asthma, growths within the nose (nasal polyps), or mouth inflammation
• for those who have high blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, cardiovascular disease (eg, heart failure), or circulatory disease, or if you are in danger of all of these diseases
• for those who have illness, dehydration or low fluid volume, or low blood sodium levels, you smoke, consume alcohol, or possess a good reputation for alcohol abuse
• if you're taking an antibiotic or perhaps an anti-seizure medicine. The likelihood of liver problems might be increased by incorporating of the medicines.

Some medicines may interact with Diclofenac. Tell your medical provider if you might be taking any other medicines, especially any with the following:

• Anticoagulants (eg, warfarin), aspirin, clopidogrel, corticosteroids (eg, prednisone), heparin and other blood thinners (eg, dalteparin), or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because potential risk of stomach bleeding may be increased
• Acetaminophen because the chance of liver problems may be increased
• Probenecid because it may increase the risk of Diclofenac's unwanted side effects
• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because the risk of their negative effects could possibly be increased by Diclofenac
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) his or her effectiveness could be decreased by Diclofenac.

This might not exactly be a total listing of all interactions that will occur. Ask your health care provider if Diclofenac may interact with other medicines that you simply take. Check with your medical provider before you start, stop, or customize the dose of any medicine.

Important safety information:

• Diclofenac could potentially cause dizziness or drowsiness. These effects may be worse if you go with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks until you discover how you answer it.
• Serious stomach ulcers or bleeding may appear if you use Diclofenac. Taking it in high doses, for a long period, smoking, or alcohol consumption increases the potential risk of these unwanted side effects. Taking Diclofenac with food will NOT reduce potential risk of these effects. If you might have severe stomach or lumbar pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual extra weight or swelling, speak to your doctor or emergency room right away.
• Do NOT take greater than the recommended dose or use more than prescribed without checking using your doctor.
• Diclofenac is surely an NSAID. Before you start any new medicine, confirm the label to see whether it has an NSAID (eg, ibuprofen) in it too. If it does or if you're not sure, check along with your doctor or pharmacist.
• Do not take aspirin while you might be using Diclofenac unless your doctor tells you to.
• Check using your doctor or pharmacist before acetaminophen while you might be taking Diclofenac. The risk of liver problems could possibly be increased.
• Do not switch between many forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your doctor lets you know to. They may well not supply the equivalent medicine to your body.
• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure, may be performed when you use Diclofenac. These tests may be used to monitor your trouble or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Diclofenac with caution inside elderly; they could possibly be more understanding of its effects, especially stomach bleeding and kidney problems.
• Diclofenac needs to be used with extreme care in kids; safety and effectiveness in youngsters haven't been confirmed.
• Pregnancy and breast-feeding: Diclofenac might cause harm to the fetus. Do not use it during the last a couple of months of pregnancy. If you think you might be pregnant, get hold of your doctor. You will need to discuss the benefits and risks of using Diclofenac while you might be pregnant. It is not known if Diclofenac can be found in breast milk. Do not breastfeed while taking Diclofenac.