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Precautions

Do NOT use Diclofenac if:

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• you also have a serious hypersensitive reaction (eg, severe rash, hives, trouble breathing, growths within the nose, dizziness) to aspirin or perhaps an NSAID (eg, ibuprofen, celecoxib)

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• you have recently had or will likely be having bypass heart surgery

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• you might have severe kidney problems

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• you happen to be within the last three months of childbearing.

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Contact your doctor or physician immediately if this applies to you.

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

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• if you're pregnant, intending to get pregnant, or are breast-feeding

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• if you might 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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• when you have a good kidney or liver problems, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)

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• when you have a good swelling or fluid buildup, asthma, growths within the nose (nasal polyps), or mouth inflammation

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• when you have blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, heart related illnesses (eg, heart failure), or circulation system disease, or if you are in danger of some of these diseases

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• when you have poor health, dehydration or low fluid volume, or low blood sodium levels, you smoke, consume alcohol, or use a history of alcohol abuse

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• if you happen to be taking an antibiotic or an anti-seizure medicine. The likelihood of liver problems may be increased by incorporating of those medicines.

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

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• 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 chance of stomach bleeding might be increased

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• Acetaminophen because the potential risk of liver problems may be increased

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• Probenecid as it may increase the potential risk of Diclofenac's negative effects

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• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because the potential risk of their unwanted side effects could possibly 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.

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This might not be a total listing of all interactions that will occur. Ask your doctor if Diclofenac may interact with other medicines that you take. Check with your health care provider before you start, stop, or affect the dose of the medicine.

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Important safety information:

• Diclofenac could potentially cause dizziness or drowsiness. These effects may 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 until you recognize how you reply to it.

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• Serious stomach ulcers or bleeding can occur if you use Diclofenac. Taking it in high doses, for a long period, smoking, or having a drink increases potential risk of these side effects. Taking Diclofenac with food will NOT reduce the potential risk of these effects. If you might have severe stomach or lumbar pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual putting on weight or swelling, get hold of your doctor or emergency room right away.

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• Do NOT take over the recommended dose or use more than prescribed without checking along with your doctor.

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• Diclofenac can be an NSAID. Before you start any new medicine, confirm the label to see whether or not this has an NSAID (eg, ibuprofen) in it 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 acetaminophen while you might be 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 notifys you to. They might not exactly supply the same amount of 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, could be performed whilst you use Diclofenac. These tests could possibly be used to monitor your condition or check for unwanted side effects. Be sure to keep all doctor and lab appointments.

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

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• Diclofenac needs to be combined with careful attention in youngsters; safety and effectiveness in youngsters have not been confirmed.

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• Pregnancy and breast-feeding: Diclofenac might cause injury to the fetus. Do not use it during the very last a few months of being pregnant. If you think you could 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 located in breast milk. Do not breastfeed while taking Diclofenac.

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