The reference site for Diclofenac

Diclofenac, sold under a number of trade names, is a nonsteroidal anti-inflammatory drug (NSAID) taken or applied to reduce inflammation and as an analgesic reducing pain in certain conditions.

What is Diclofenac?

Diclofenac is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). This particular medication works by reducing hormones that cause inflammation and pain in the body.

Diclofenac is used to reduce pain, inflammation and stiffness caused by many conditions, such as osteoarthritis, rheumatoid arthritis, abdominal cramps associated with menstruation, and ankylosing spondylitis.

Diclofenac is marketed as Voltaren®, Voltarol®, Diclon®, Dicloflex® and Cataflam®.

 

Brand Name(s): Cataflam, Voltaren

CAS nº: 15307-86-5

(dye kloe’ fen ak)

Product Info

The sections below will provide you with more specific information and guidelines related to fluoxetine and its correct use. Please read them carefully.

FDA Information

Delayed-release diclofenac (Voltaren®) was approved by the FDA in July 1988 for the treatment of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis and came off patent in 1996. Diclofenac potassium (Cataflam®) was approved January 1994 for treatment of pain or dysmenorrhea. A 3% topical gel (Solaraze™) was FDA-approved for the treatment of actinic keratosis in October 2000. A topical dosage form (Hyanalgese-D®) is under review by the FDA for the treatment of chronic pain associated with osteoarthritis; another product (Pennsaid® lotion) is approved in Europe for this use.

Additionally, diclofenac is marketed in several dosage forms. The rapid-release form of the potassium salt, Cataflam®, is indicated for treating pain and dysmenorrhea. Voltaren® is a delayed-release oral dosage form of the sodium salt of diclofenac. Ophthalmic diclofenac sodium is used to treat ocular inflammation after cataract extraction.

NOTE: In the United Kingdom and the United States, diclofenac may be supplied as either the sodium or potassium salt, while in some other countries only as the potassium salt. Over the counter (OTC) use is approved in some countries for minor aches and pains and fever associated with common infections.

 

Why is this medication prescribed?

Diclofenac is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by reducing hormones that cause inflammation and pain in the body.

Diclofenac is used to reduce pain, inflammation and stiffness caused by many conditions such as osteoarthritis, rheumatoid arthritis, abdominal cramps associated with menstruation, and ankylosing spondylitis.

 

Other uses for this medicine

Diclofenac is also used to treat chronic pain associated with cancer, particular if inflammation is also present. In Europe Combaren® exists, a fixed combination of diclofenac and codeine (50 mg each) for cancer treatment. Combinations with psychoactive drugs such as chlorprothixene and/or amitriptyline have also been investigated and found useful in a number of cancer patients.

Diclofenac may also prevent the development of Alzheimer’s disease if given daily in small doses during many years. All investigations were stopped after it was found that some of the other investigated NSAIDs (naproxen and rofecoxib) caused a higher incidence of death cases due to cardiovascular events and strokes compared to placebo.

It is also used to relieve pain after surgery or childbirth.

However, it is strongly advised that you talk to your doctor about the possible risks of using this drug for your particular condition.

 

Dosage and using this medicine

Diclofenac comes as a tablet (Cataflam®), a delayed-release tablet (Voltaren®), and an extended-release (long-acting) tablet (Voltaren-XR®) to be taken orally.

The regular and delayed-release tablets are usually taken two to four times a day.

The extended-release tablet is usually taken once or twice a day.

Take each dose with a full glass of water, milk, food, or an antacid to lessen stomach upsets.

Do not crush or chew diclofenac tablets. Swallow them whole.

Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the liquid form of diclofenac with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

To help you remember to take diclofenac, take it around the same time every day.

Take diclofenac exactly as directed by your doctor. Do not take more or less of it or take it more often than prescribed by your doctor.

 

What special precautions should I follow?

Tell your doctor if you have an allergy to aspirin or any other NSAIDs, have an ulcer or bleeding in your stomach, drink more than three alcoholic beverages a day, suffer from liver disease, have kidney disease, have a coagulation (bleeding) disorder, have congestive heart failure, have fluid retention, have heart disease, or have high blood pressure.

You may not be able to take diclofenac, or you may require a dosage adjustment or special monitoring during treatment, if you have any of the conditions listed above.

Diclofenac is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Diclofenac should not be taken late in pregnancy (the third trimester) because a similar drug is known to affect the baby’s heart. Nevertheless, do not take diclofenac without first talking to your doctor if you are pregnant.

Diclofenac passes into breast milk and may affect a nursing infant. Do not take this medicine without first talking to your doctor if you are breast-feeding a baby.

Additionally, it is recommended that you avoid prolonged exposure to sunlight. Diclofenac may increase the sensitivity of the skin to sunlight, so always use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.

Avoid alcohol or use it with moderation. If you drink more than three alcoholic beverages a day, diclofenac may increase the risk of dangerous stomach bleeding.

 

What should I do if I forget a dose?

If you are taking diclofenac on a regular schedule, take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Never take a double dose.

If you are taking diclofenac as needed, take the missed dose if it is required, then wait the recommended or prescribed amount of time before taking another dose.

 

What side effects can this medication cause?

Side effects from using diclofenac may include:

belly pain
heartburn
cramps
gas
nausea
diarrhea

Tell your doctor if any of these symptoms are severe or do not go away:

stomach pain
diarrhea
heartburn
upset stomach
constipation
gas or bloating
headache
dizziness

If you experience any of the following symptoms, call your doctor immediately:

black and tarry stools
red blood in stools
bloody vomit
vomiting material that looks like coffee grounds
ringing in the ears
swelling of the hands, feet, ankles, or lower legs
unexplained weight gain
excessive tiredness
lack of energy
itching
pain in the upper right part of the stomach
yellowing of the skin or eyes
flu-like symptoms
rash
hives
difficulty breathing or swallowing
pale skin
fever
confusion
blurred vision or changes in color vision

Diclofenac may cause other side effects that are not mentioned above. Call your doctor if you have any unusual problems while taking this medication.

 

What storage conditions are needed for this medicine?

It is recommended that you keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Throw away any medication that is outdated or no longer needed and, if necessary, talk to your pharmacist about the proper disposal of your medication.

 

In case of an emergency/overdose

In the case of an overdose, call your local poison control center on 1-800-222-1222. If the victim has collapsed or is not breathing, call the local emergency services immediately on 911.

Symptoms of overdose may include:

nausea
vomiting
stomach pain
dizziness
drowsiness
headache
ringing in the ears
blurred vision
seizures
sweating
numbness or tingling
little or no urine production
slow breathing

 

Product Images

PICTURES OF DICLOFENAC PILLS

Below you will find images and specific information on the principal types of diclofenac that exist, including their respective brand name(s), strength, inscription codes and manufacturers.

The information below includes general information and guidelines for patients taking this medication and should never be used to substitute professional medical advice that can be provided by a qualified physician or family doctor.

Name: DICLOFENAC
Strength(s): 25 MG
Imprint: 54 140
Manufacturer: ROXANE LABS.

Name: VOLTAREN®
Strength(s): 25 MG
Imprint: VOLTAREN 25
Manufacturer: NOVARTIS

Name: DICLOFENAC
Strength(s): 50 MG
Imprint: 550 | R
Manufacturer: ACTAVIS ELIZABETH

Name: DICLOFENAC
Strength(s): 50 MG
Imprint: GG 738
Manufacturer: GENEVA PHARM.

Name: DICLOFENAC
Strength(s): 50 MG
Imprint: PA | 546
Manufacturer: PLIVA, INC.

Name: DICLOFENAC
Strength(s): 50 MG
Imprint: 54 592
Manufacturer: ROXANE LABS.

Name: DICLOFENAC
Strength(s): 50 MG
Imprint: WATSON 338
Manufacturer: WATSON LABS.

Name: VOLTAREN®
Strength(s): 50 MG
Imprint: VOLTAREN 50
Manufacturer: NOVARTIS

Name: DICLOFENAC
Strength(s): 75 MG
Imprint: 551 | R
Manufacturer: ACTAVIS ELIZABETH

Name: DICLOFENAC
Strength(s): 75 MG
Imprint: GG 739
Manufacturer: GENEVA PHARM.

Name: DICLOFENAC
Strength(s): 75 MG
Imprint: 54 839
Manufacturer: ROXANE LABS.

Name: VOLTAREN®
Strength(s): 75 MG
Imprint: VOLTAREN 75
Manufacturer: NOVARTIS

Name: DICLOFENAC
Strength(s): 100 MG
Imprint: DX41
Manufacturer: WATSON LABS.

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