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Precautions

Do NOT use Diclofenac if:

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

Contact your doctor or health care provider immediately if this applies for you.

Some health concerns may connect to Diclofenac. Tell a medical expert or pharmacist when you have any medical conditions, in particular when any with the following apply to you:

• if you're pregnant, likely to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or another substances
• when you have a good reputation for kidney or liver problems, diabetes, or stomach or bowel irregularity (eg, bleeding, perforation, ulcers)
• when you have a reputation swelling or fluid buildup, asthma, growths in the nose (nasal polyps), or mouth inflammation
• if you have blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, cardiovascular disease (eg, heart failure), or blood vessel disease, or if you might be at risk for some of these diseases
• when you have poor health, dehydration or low fluid volume, or low blood sodium levels, you smoke, are drinking alcoholic beverages, or have a reputation alcohol abuse
• if you are taking an antibiotic or an anti-seizure medicine. The risk of liver problems could possibly be increased by incorporating of the medicines.

Some medicines may connect to Diclofenac. Tell your medical provider if you are taking another medicines, especially any from the following:

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

This may well not be a total list of all interactions that may occur. Ask your health care provider if Diclofenac may interact with other medicines that you take. Check with your doctor before you begin, stop, or change the dose of any medicine.

Important safety information:

• Diclofenac could 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 and soon you recognize how you respond to it.
• Serious stomach ulcers or bleeding can take place with the aid of Diclofenac. Taking it in high doses, for a long period, smoking, or alcohol consumption increases the chance of these negative effects. Taking Diclofenac with food will NOT reduce the potential risk of these effects. If you've severe stomach or lower back pain; black, tarry stools; vomit that appears like blood or coffee grounds; or unusual extra weight or swelling, speak to your doctor or er right away.
• Do NOT take greater than the recommended dose or use for more than prescribed without checking together with your doctor.
• Diclofenac is definitely an NSAID. Before you start any new medicine, look at the label to see when it has an NSAID (eg, ibuprofen) inside it too. If it does or if you're not sure, check with your doctor or pharmacist.
• Do not take aspirin while you happen to be using Diclofenac unless a medical expert tells you to.
• Check along with your doctor or pharmacist before acetaminophen while you're taking Diclofenac. The likelihood of liver problems might be increased.
• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your doctor lets you know to. They may well not give you the equivalent amount of medicine for your body.
• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure, might be performed when you use Diclofenac. These tests could be used to monitor your complaint or search for negative effects. Be sure to keep all doctor and lab appointments.
• Use Diclofenac with caution in the elderly; they could possibly be more sensitive to its effects, especially stomach bleeding and kidney problems.
• Diclofenac ought to be combined with extreme caution in youngsters; safety and effectiveness in children haven't been confirmed.
• Pregnancy and breast-feeding: Diclofenac could potentially cause problems for the fetus. Do not use it during the past three months of childbearing. If you think you might be pregnant, get hold of your doctor. You will need to discuss the rewards and risks of using Diclofenac while you might be pregnant. It is not known if Diclofenac is found in breast milk. Do not breastfeed while taking Diclofenac.