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Precautions

Do NOT use Diclofenac if:

• you're allergic to the ingredient in Diclofenac or bovine (cow) protein
• you have experienced a severe hypersensitive reaction (eg, severe rash, hives, trouble breathing, growths inside the nose, dizziness) to aspirin or perhaps an NSAID (eg, ibuprofen, celecoxib)
• you might have recently had or will be having bypass heart surgery
• you've got severe kidney problems
• you are in the last three months of pregnancy.

Contact your medical professional or physician immediately if this applies for you.

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

• if you happen to be pregnant, about to become pregnant, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances
• in case you have a good kidney or liver problems, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)
• in case you have a reputation swelling or fluid buildup, asthma, growths within the nose (nasal polyps), or mouth inflammation
• when you have hypertension, blood disorders (eg, porphyria), bleeding or clotting problems, cardiovascular disease (eg, heart failure), or circulation disease, or if you might be at risk for these diseases
• if you have bad health, dehydration or low fluid volume, or low blood sodium levels, you smoke, consume alcohol, or have a history of alcohol abuse
• if you might be taking an antibiotic or even an anti-seizure medicine. The likelihood of liver problems could be increased with many of these medicines.

Some medicines may interact with Diclofenac. Tell your doctor if you might be taking every other medicines, especially any in the following:

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

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

Important safety information:

• Diclofenac could cause dizziness or drowsiness. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks until you recognize how you answer it.
• Serious stomach ulcers or bleeding can take place with the aid of Diclofenac. Taking it in high doses, for a long time, smoking, or having a drink increases the risk of these negative effects. Taking Diclofenac with food will NOT reduce the chance of these effects. If you might have severe stomach or lumbar pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual weight gain or swelling, contact your doctor or er without delay.
• Do NOT take a lot more than the recommended dose or use for longer than prescribed without checking together with your doctor.
• Diclofenac is an NSAID. Before you start any new medicine, check the label to see when it has an NSAID (eg, ibuprofen) inside too. If it does or if you happen to be not sure, check together with your doctor or pharmacist.
• Do not take aspirin while you are using Diclofenac unless your physician informs you to.
• Check together with your doctor or pharmacist before you take acetaminophen while you are taking Diclofenac. The risk of liver problems may be increased.
• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your physician notifys you to. They might not supply the equivalent medicine in your body.
• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure level, might be performed while you use Diclofenac. These tests might be used to monitor your problem or look for side effects. Be sure to keep all doctor and lab appointments.
• Use Diclofenac with caution in the elderly; they could possibly be more responsive to its effects, especially stomach bleeding and kidney problems.
• Diclofenac needs to be used with extreme care in children; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: Diclofenac may cause harm to the fetus. Do not use it during the final a couple of months of pregnancy. If you think you could be pregnant, get hold of your doctor. You will need to discuss the benefits and perils associated with using Diclofenac while you might be pregnant. It is not known if Diclofenac is located in breast milk. Do not breastfeed while taking Diclofenac.