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Precautions

Do NOT use Diclofenac if:

• you are allergic to any ingredient in Diclofenac or bovine (cow) protein

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• you experienced a serious hypersensitivity (eg, severe rash, hives, trouble breathing, growths inside nose, dizziness) to aspirin or an NSAID (eg, ibuprofen, celecoxib)

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• you've got recently had or will likely be having bypass heart surgery

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• you might have severe kidney problems
• you might be in the last a few months of pregnancy.

Contact a medical expert or health care provider without delay if this applies to you personally.

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Some health conditions may interact with Diclofenac. Tell your physician or pharmacist if you have any health conditions, particularly when any in the following apply for your requirements:

• if you happen to be pregnant, planning to become pregnant, or are breast-feeding

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• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or any 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)
• if you have a good reputation for swelling or fluid buildup, asthma, growths inside nose (nasal polyps), or mouth inflammation
• if you have hypertension, blood disorders (eg, porphyria), bleeding or clotting problems, heart problems (eg, heart failure), or circulation system disease, or if you happen to be in danger of any of these diseases

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• for those who have poor health, dehydration or low fluid volume, or low blood sodium levels, you smoke, are drinking alcohol, or use a good alcohol abuse

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• if you're taking an antibiotic or perhaps an anti-seizure medicine. The probability of liver problems could be increased with many of such medicines.

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Some medicines may interact with Diclofenac. Tell your doctor if you're taking another medicines, especially any in the following:

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• 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 may be increased
• Acetaminophen because the chance of liver problems might be increased

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• Probenecid given it may increase the chance of Diclofenac's unwanted side effects

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• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because potential risk of their unwanted side effects may be increased by Diclofenac

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• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) as their effectiveness may be decreased by Diclofenac.

This might not exactly be a complete listing of all interactions that will occur. Ask your medical provider if Diclofenac may communicate with other medicines that you just take. Check with your health care provider prior to starting, stop, or change the dose of the medicine.

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Important safety information:

• Diclofenac may cause dizziness or drowsiness. These effects might be worse if you get it with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks until you understand how you answer it.

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• Serious stomach ulcers or bleeding may appear by using Diclofenac. Taking it in high doses, for a long period, smoking, or drinking alcohol increases the chance of these unwanted effects. Taking Diclofenac with food will NOT reduce the potential risk of these effects. If you have severe stomach or low back pain; black, tarry stools; vomit that appears like blood or coffee grounds; or unusual extra weight or swelling, get hold of your doctor or er right away.

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

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• Diclofenac can be an NSAID. Before you start any new medicine, confirm the label to see when it has an NSAID (eg, ibuprofen) in it too. If it does or if you're not sure, check using your doctor or pharmacist.

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• Do not take aspirin while you happen to be using Diclofenac unless a medical expert tells you to.

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• Check together with your doctor or pharmacist prior to taking acetaminophen while you are taking Diclofenac. The risk of liver problems may be increased.

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• Do not switch between variations of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your medical professional tells you to. They may not give you the same amount of medicine for a body.

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• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and blood pressure level, might be performed as you use Diclofenac. These tests could possibly be used to monitor your trouble or check 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 care in children; safety and effectiveness in children are not confirmed.

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• Pregnancy and breast-feeding: Diclofenac might cause injury to the fetus. Do not use it during the final a few months of being pregnant. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and perils associated with using Diclofenac while you happen to be pregnant. It is not known if Diclofenac can be found in breast milk. Do not breastfeed while taking Diclofenac.

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