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Precautions

Do NOT use Diclofenac if:

• you happen to be allergic to the ingredient in Diclofenac or bovine (cow) protein

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• you experienced an intense allergic reaction (eg, severe rash, hives, trouble breathing, growths inside the nose, dizziness) to aspirin or perhaps an NSAID (eg, ibuprofen, celecoxib)

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

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• you might be in the last 3 months of pregnancy.

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

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Some medical conditions may connect to Diclofenac. Tell your medical professional or pharmacist for those who have any medical ailments, particularly when any from the following apply for you:

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• if you might be pregnant, likely to conceive, or are breast-feeding

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• for those who have allergies to medicines, foods, or other substances

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• for those who have a good kidney or liver problems, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)

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

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• for those who have 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

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• if you are taking an antibiotic or perhaps an anti-seizure medicine. The likelihood of liver problems could be increased with a few of these medicines.

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Some medicines may interact with Diclofenac. Tell your doctor if you are taking some other medicines, especially any of the following:

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• 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

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• Acetaminophen because the risk of liver problems might be increased

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• Probenecid as it may increase the risk of Diclofenac's side effects

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• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because the chance of their unwanted side effects could possibly 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 may well not be a total list of all interactions that may occur. Ask your doctor if Diclofenac may interact with other medicines that you just take. Check with your health care provider prior to starting, stop, or alter the dose from a medicine.

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Important safety information:

• Diclofenac could potentially cause dizziness or drowsiness. These effects could be worse if you go on it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks before you know how you answer it.

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• Serious stomach ulcers or bleeding can happen by using Diclofenac. Taking it in high doses, for some time, smoking, or having a drink increases the potential risk of these unwanted side effects. Taking Diclofenac with food will NOT reduce potential risk of these effects. If you've severe stomach or lumbar pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual putting on weight or swelling, contact your doctor or er right away.

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• Do NOT take more than the recommended dose or use for longer than prescribed without checking together with your doctor.

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

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

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• Check together with your doctor or pharmacist before you take acetaminophen while you are taking Diclofenac. The likelihood of liver problems may be increased.

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• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless a medical expert lets you know to. They may well not give you the equivalent amount of medicine for your body.

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• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and hypertension, may be performed when you use Diclofenac. These tests could be used to monitor your condition or check for negative effects. Be sure to keep all doctor and lab appointments.

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• Use Diclofenac with caution inside elderly; they may be more sensitive to its effects, especially stomach bleeding and kidney problems.

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• Diclofenac must be used in combination with extreme caution in youngsters; safety and effectiveness in kids haven't been confirmed.

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• Pregnancy and breast-feeding: Diclofenac may cause harm to the fetus. Do not use it during the final three months of pregnancy. If you think you may be pregnant, speak to your doctor. You will need to discuss the rewards and risks of using Diclofenac while you happen to be pregnant. It is not known if Diclofenac is situated in breast milk. Do not breastfeed while taking Diclofenac.

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