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Precautions

Do NOT use Diclofenac if:

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

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• you might have recently had or is going to be having bypass heart surgery

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• you might be inside last three months of childbearing.

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Contact a medical expert or health care provider right away if this applies to you personally.

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Some medical conditions may talk with Diclofenac. Tell your doctor or pharmacist if you have any medical conditions, in particular when any in the following apply for you:

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• if you might be pregnant, planning to get pregnant, or are breast-feeding

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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 problems (eg, bleeding, perforation, ulcers)

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

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• in case 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 at risk for these diseases

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• if you have illness, dehydration or low fluid volume, or low blood sodium levels, you smoke, are drinking alcoholic beverages, or use a good reputation for alcohol abuse

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• if you are taking an antibiotic or perhaps an anti-seizure medicine. The chance of liver problems might be increased by incorporating of the medicines.

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Some medicines may connect to Diclofenac. Tell your medical provider if you're taking every other medicines, especially any from 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 chance of stomach bleeding might be increased

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• Acetaminophen because potential risk of liver problems could possibly be increased

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• Probenecid since it may increase potential risk 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 could be increased by Diclofenac

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• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) his or her effectiveness might be decreased by Diclofenac.

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This may not be a whole list of all interactions that will occur. Ask your health care provider if Diclofenac may talk with other medicines that you just take. Check with your doctor before you begin, stop, or alter the dose of the medicine.

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Important safety information:

• Diclofenac might cause dizziness or drowsiness. These effects might 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 understand how you reply to it.

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• Serious stomach ulcers or bleeding may appear with the use of Diclofenac. Taking it in high doses, for a long period, smoking, or alcohol consumption increases the potential risk of these side effects. Taking Diclofenac with food will NOT reduce the potential risk of these effects. If you've severe stomach or lumbar pain; black, tarry stools; vomit seems like blood or coffee grounds; or unusual extra weight or swelling, get hold of your doctor or hospital immediately.

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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 an NSAID. Before you start any new medicine, confirm the label to see when it has an NSAID (eg, ibuprofen) within it too. If it does or if you're not sure, check together with your doctor or pharmacist.

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• Do not take aspirin while you might be using Diclofenac unless your physician informs you to.

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• Check using your doctor or pharmacist before acetaminophen while you're taking Diclofenac. The likelihood of liver problems might be increased.

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• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your medical professional tells you to. They might not give you the equivalent 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 levels, could be performed as you use Diclofenac. These tests might be used to monitor your complaint or check for side effects. Be sure to keep all doctor and lab appointments.

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• Use Diclofenac with caution in the elderly; they could be more understanding of its effects, especially stomach bleeding and kidney problems.

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• Pregnancy and breast-feeding: Diclofenac could potentially cause injury to the fetus. Do not use it during the past a couple of months of childbearing. If you think you could possibly be pregnant, contact your doctor. You will need to discuss the huge benefits and risks of using Diclofenac while you are pregnant. It is not known if Diclofenac can be found in breast milk. Do not breastfeed while taking Diclofenac.

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