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Precautions

Do NOT use Diclofenac if:

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

Contact your doctor or doctor right away if this applies for you.

Some health conditions may communicate with Diclofenac. Tell your physician or pharmacist if you have any health conditions, especially if any in the following apply for you:

• if you're pregnant, likely to conceive, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or any other substances
• in case you have a good reputation for kidney or liver problems, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)
• for those who have a history of swelling or fluid buildup, asthma, growths inside the nose (nasal polyps), or mouth inflammation
• if you have high blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, heart disease (eg, heart failure), or circulation system disease, or if you might be vulnerable to some of these diseases
• for those who have bad health, dehydration or low fluid volume, or low blood sodium levels, you smoke, are drinking alcohol, or possess a good reputation for alcohol abuse
• if you might be taking an antibiotic or perhaps an anti-seizure medicine. The probability of liver problems may be increased with some of those medicines.

Some medicines may talk with Diclofenac. Tell your medical provider if you happen to be taking another medicines, especially any with the following:

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

This may not be a total set of all interactions that could occur. Ask your medical provider if Diclofenac may connect to other medicines which you take. Check with your medical provider before you start, stop, or change the dose from a medicine.

Important safety information:

• Diclofenac could potentially cause dizziness or drowsiness. These effects could be worse if you get it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks before you recognize how you reply to it.
• Serious stomach ulcers or bleeding may appear if you use Diclofenac. Taking it in high doses, for a long period, smoking, or alcohol consumption increases the potential risk of these negative effects. Taking Diclofenac with food will NOT reduce the chance of these effects. If you've got severe stomach or low back pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual fat gain or swelling, get hold of your doctor or hospital without delay.
• Do NOT take more than the recommended dose or use for over prescribed without checking along with your doctor.
• Diclofenac can be an NSAID. Before you start any new medicine, check the label to see when it has an NSAID (eg, ibuprofen) inside it too. If it does or if you are not sure, check together with your doctor or pharmacist.
• Do not take aspirin while you're using Diclofenac unless your doctor informs you to.
• Check using your doctor or pharmacist prior to taking acetaminophen while you're taking Diclofenac. The risk of liver problems could be increased.
• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your physician tells you to. They may well not give you the equivalent amount of medicine in your body.
• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure levels, could be performed when you use Diclofenac. These tests could be used to monitor your trouble or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Diclofenac with caution inside elderly; they might be more sensitive to its effects, especially stomach bleeding and kidney problems.
• Diclofenac needs to be combined with extreme caution in kids; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: Diclofenac may cause injury to the fetus. Do not use it during the final 3 months of being pregnant. 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 might be pregnant. It is not known if Diclofenac is found in breast milk. Do not breastfeed while taking Diclofenac.