Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID), this medicine works by reducing substances in the body that cause inflammation, pain, it is prescribed to treat pain or inflammation caused by arthritis or ankylosing spondylitis. Diclofenac Powder is used to treat a migraine attack, do not use this medicine to treat a cluster headache, this will only treat a headache that has already begun, it will not prevent headaches or reduce the number of attacks.
Warnings and Important Information
Do not use diclofenac just before or after coronary bypass surgery.
Diclofenac can cause potentially fatal heart problems or circulation problems such as heart attack or stroke, especially if used long term. Seek emergency medical attention if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.
This medicine may also cause serious effects on the stomach or intestines, including bleeding or perforation. These conditions can be fatal and can occur without warning while you are taking diclofenac, especially in older adults. Call your doctor immediately if you have symptoms of bleeding in your stomach and black stool, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.
You should not use this medication if you are allergic to diclofenac, or if you have a history of allergic reaction to aspirin or other NSAIDs.
To make sure you can safely take diclofenac, tell your doctor if you have any of these other conditions:
a history of heart attack, stroke, or blood clot;
heart disease, congestive heart failure, hypertension,
history of stomach ulcers or bleeding;
liver or kidney,
polyps in your nose;
a bleeding or blood clotting, or
if you smoke.
Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking diclofenac during the last 3 months of pregnancy may harm the unborn baby. Do not take this medicine during pregnancy unless your doctor has told you to. It is not known whether diclofenac passes into breast milk or if it could harm a nursing baby. You should not breastfeed while using Diclofenac.
Do not give this medication to a child younger than 18 years without medical advice.
Ask your doctor or pharmacist before taking any medicine for cold, allergy, or pain. Medicines similar to diclofenac are contained in many combination medicines. Taking certain products together you may accidentally take too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Avoid exposure to sunlight or tanning beds, diclofenac may make you sunburn more easily. Wear protective clothing and use sunscreen when exposed to sunlight.
How to take it
Take diclofenac exactly as directed by your doctor. Do not take in larger or smaller amounts or for longer than recommended.
If you switch brands of diclofenac, your dose needs may changes. Follow your doctor’s instructions about how much medicine to take.
Do not crush, chew, or break an extended-release tablet, swallow it whole. Breaking the pill may cause too much diclofenac pass at one time.
Dissolve the diclofenac powder with 1-2 ounces of water, do not use any other liquid, stir the mixture and drink right away. Diclofenac powder works best if taken on an empty stomach. Call your doctor if your headache does not completely go away after taking diclofenac powder. Do not take a second dose of diclofenac powder without your doctor’s advice.
Do not crush, chew, or break a gastroresistant tablet, swallow the tablet whole. The enteric-coated pill has a special coating to protect your stomach, Breaking the pill could damage this coating.
In long term use of diclofenac your liver function should be monitored by frequent blood tests. Visit your doctor regularly.
Store diclofenac at room temperature away from moisture and heat.
Dosage in Adults
Osteoarthritis: 50 mg orally 2-3 times daily or 75 mg orally twice daily. Higher doses and 150 mg / day are not recommended for osteoarthritis.
Ankylosing spondylitis: 25 mg orally 4 times a day. An additional 25 mg dose may be administered before bedtime, if necessary.
Dysmenorrhea: 50 mg orally 3 times a day. In some patients, initial dose of 100 mg of diclofenac potassium, followed by 50 mg provide better relief. After the first day, the total daily dose should not exceed 150 mg.
Pain: 50 mg orally 3 times a day. In some patients, initial dose of 100 mg of diclofenac potassium, followed by 50 mg, provide better relief. After the first day, the total daily dose should not exceed 150 mg.
Rheumatoid arthritis: 50 mg orally 3-4 times daily or 75 mg orally twice daily. Doses greater than 225 mg / day are not recommended for rheumatoid arthritis.
Migraine: Mix one packet (50 mg) with 1 to 2 ounces (30-60 ml) of water in a cup and drink immediately.
Seek emergency medical help if you have any of these signs of an allergic reaction to diclofenac: hives, difficulty breathing, swelling of the face, lips, tongue, or throat.
Stop using diclofenac and call your doctor right away if you have a serious side effect such as:
chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;
black stools, bloody, or tarry stools;
coughing up blood or vomit that looks like coffee grounds;
weight gain or rapid swelling, urinating less than usual or not at all;
nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
bruising, severe tingling, numbness, pain, muscle weakness;
neck stiffness, chills, increased sensitivity to light spots of purple on the skin, and / or seizure (convulsions), or
severe skin reaction – fever, sore throat, swelling in your face or tongue, burning eyes, skin pain, followed by a red or purple rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Less serious side effects of diclofenac:
upset stomach, mild heartburn or stomach pain, diarrhea, constipation, bloating, gas;
dizziness, headache, nervousness,
itching or rash;
blurred vision, or
ringing in the ears.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
Interactions with other medicines
Ask your doctor before using an antidepressant such as citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, or sertraline. Taking these medicines with an NSAID may cause you to bruise or bleed easily.
Tell your doctor about all other medications you use, especially:
a blood thinner such as warfarin;
a diuretic such as furosemide.
antifungal medications such as fluconazole (Diflucan) or voriconazole;
aspirin or other NSAIDs such as ibuprofen, naproxen, Celebrex and celecoxib, indomethacin, meloxicam, and others;
cholesterol-lowering medications such as fenofibrate, fluvastatin, or lovastatin, or
medications for heart or blood pressure, such as amiodarone, benazepril, enalapril, lisinopril, quinapril, ramipril, and others.
This list is not complete and other drugs may interact with diclofenac. Tell your doctor about all other medications you use, this includes over-the-counter medicines, vitamins, and herbs. Do not start using a new medication without telling your doctor.