Diclofenac is a nonsteroidal anti-inflammatory drug NSAID effective in treating fever pain and inflammation in the body. As a group NSAIDs are non-narcotic relievers of mild to moderate pain of many causes including injury menstrual cramps arthritis and other musculoskeletal conditions. Since the response to different NSAIDs varies from patient to patient it is not unusual for a doctor to try different NSAIDs for any given condition.

Should be taken with food.

Most patients benefit from diclofenac and other NSAIDs with few side effects. However serious side effects can occur and generally tend to be dose related. Therefore it is often desirable to use the lowest effective dose to minimize side effects. The most common side effects of diclofenac involve the gastrointestinal system. It can cause ulcerations abdominal burning pain cramping nausea gastritis and even serious gastrointestinal bleeding and liver toxicity. Sometimes stomach ulceration and bleeding can occur without any abdominal pain. Black tarry stools weakness and dizziness upon standing may be the only signs of internal bleeding. Rash kidney impairment ringing in the ears and lightheadedness are also seen.

Diclofenac should be avoided by patients with a history of asthma attacks hives or other allergic reactions to aspirin or other NSAIDs. Rare but severe allergic reactions have been reported in such individuals. It should also be avoided by patients with peptic ulcer disease or poor kidney function since this medication can potentially aggravate both conditions. Diclofenac is generally used with caution in patients taking blood thinning medications anticoagulants such as warfarin Coumadin because of increased risk of bleeding. Patients taking lithium can develop toxic blood lithium levels. Safety in children is unknown. Diclofenac is not habit forming. NSAIDs should be discontinued prior to elective surgery because of their mild tendency to interfere with blood clotting. Diclofenac is best discontinued at least two days in advance of the procedure.

Persons who have more than 3 alcoholic beverages per day are at increased risk of developing stomach ulcers when taking diclofenac or other NSAIDs.

Diclofenac is used for the treatment of inflammation and pain caused by arthritis conditions such as rheumatoid arthritis osteoarthritis and ankylosing spondylitis. The medication can also be effective in treating soft tissue inflammations such as tendinitis and bursitis. Voltaren is stomach-coated and is slowly released into the blood. Cataflam is immediately released into the blood and is useful when rapid relief of mild to moderate pain is desired as in treating menstrual cramps.

Store at room temperature and protect from moisture.