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Precautions

Do NOT use Diclofenac if:

• you are allergic to the ingredient in Diclofenac in order to bovine (cow) protein

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

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

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• you are within the last a couple of months of being pregnant.

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Contact your doctor or physician without delay if this applies for your requirements.

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Some health concerns may communicate with Diclofenac. Tell your physician or pharmacist if you have any health concerns, in particular when any in the following apply to you:

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• if you are pregnant, likely to get 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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• if you have allergies to medicines, foods, or another substances

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

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• if you have a good swelling or fluid buildup, asthma, growths in 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, heart problems (eg, heart failure), or circulation disease, or if you might be at risk for these diseases

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• in case you have illness, dehydration or low fluid volume, or low blood sodium levels, you smoke, drink alcohol, or have a very reputation alcohol abuse
• if you're taking an antibiotic or an anti-seizure medicine. The risk of liver problems might be increased by incorporating of those medicines.

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Some medicines may communicate with Diclofenac. Tell your medical provider if you might be taking every other medicines, especially any in 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 the potential risk of stomach bleeding could be increased
• Acetaminophen because potential risk of liver problems might be increased
• Probenecid because it may increase the risk of Diclofenac's unwanted side effects

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• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because the risk of their unwanted side effects could possibly be increased by Diclofenac
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) as their effectiveness may be decreased by Diclofenac.

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This may well not be a whole set of all interactions which could occur. Ask your medical provider if Diclofenac may talk with other medicines which you take. Check with your doctor prior to starting, stop, or change the dose of the 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 until you understand how you reply to it.

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• Serious stomach ulcers or bleeding can happen if you use Diclofenac. Taking it in high doses, for years, smoking, or having a drink increases the risk of these side effects. Taking Diclofenac with food will NOT reduce the risk of these effects. If you have severe stomach or low back pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual extra weight or swelling, speak to your doctor or hospital straight away.

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

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• Diclofenac is surely 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 along with your doctor or pharmacist.

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• Do not take aspirin while you happen to be using Diclofenac unless your doctor lets you know to.

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

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• Do not switch between many forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your physician lets you know to. They might not supply the equivalent medicine for your 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 be used to monitor your trouble or pay attention to side effects. Be sure to keep all doctor and lab appointments.

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• Use Diclofenac with caution inside the elderly; they could possibly be more responsive to its effects, especially stomach bleeding and kidney problems.

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• Diclofenac must be combined with careful attention in children; safety and effectiveness in children are not confirmed.

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• Pregnancy and breast-feeding: Diclofenac could potentially cause problems for the fetus. Do not use it during the very last 3 months of childbearing. If you think you could be pregnant, get hold of 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 located in breast milk. Do not breastfeed while taking Diclofenac.

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