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Precautions

Do NOT use Diclofenac if:

• you are allergic to your ingredient in Diclofenac or to bovine (cow) protein
• you have had a severe hypersensitivity (eg, severe rash, hives, trouble breathing, growths inside nose, dizziness) to aspirin or perhaps an NSAID (eg, ibuprofen, celecoxib)
• you might have recently had or will probably be having bypass heart surgery
• you might have severe kidney problems
• you might be inside the last 3 months of pregnancy.

Contact a medical expert or doctor immediately if this applies for your requirements.

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

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

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

• 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 could be increased
• Acetaminophen because potential risk of liver problems could be increased
• Probenecid because it may increase potential risk of Diclofenac's side effects
• Cyclosporine, lithium, metformin, methotrexate, oral NSAIDs (eg, ibuprofen), or quinolones (eg, ciprofloxacin) because the risk of their unwanted effects might be increased by Diclofenac
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) because their effectiveness could possibly be decreased by Diclofenac.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Diclofenac may talk with other medicines that you simply take. Check with your doctor prior to starting, stop, or alter the dose associated with a medicine.

Important safety information:

• Diclofenac could potentially cause dizziness or drowsiness. These effects may be worse if you go with alcohol or certain medicines. Use Diclofenac with caution. Do not drive or perform other possible unsafe tasks before you recognize how you reply to it.
• Serious stomach ulcers or bleeding can happen by using Diclofenac. Taking it in high doses, for a long period, smoking, or alcohol consumption increases the risk of these unwanted side effects. Taking Diclofenac with food will NOT reduce potential risk of these effects. If you have severe stomach or 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 emergency room immediately.
• Do NOT take a lot more than the recommended dose or use for more than prescribed without checking with your doctor.
• Diclofenac can be an NSAID. Before you start any new medicine, look at the label to see if it has an NSAID (eg, ibuprofen) in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Do not take aspirin while you happen to be using Diclofenac unless your physician tells you to.
• Check with your doctor or pharmacist prior to taking acetaminophen while you happen to be taking Diclofenac. The chance of liver problems could be increased.
• Do not switch between various forms of Diclofenac (eg, enteric-coated tablets, immediate-release tablets, capsules) unless your doctor informs you to. They might not provide you with the equivalent amount of medicine for your body.
• Lab tests, including kidney function, liver function, blood electrolyte levels, complete blood cell counts, and hypertension, may be performed while you use Diclofenac. These tests could possibly be used to monitor your complaint or look for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Diclofenac with caution inside elderly; they might be more understanding of its effects, especially stomach bleeding and kidney problems.
• Diclofenac should be used with warning in youngsters; safety and effectiveness in kids are not confirmed.
• Pregnancy and breast-feeding: Diclofenac could cause harm to the fetus. Do not use it during the last three months of pregnancy. If you think you could possibly be pregnant, get hold of your doctor. You will need to discuss the huge benefits and risks of using Diclofenac while you might be pregnant. It is not known if Diclofenac is situated in breast milk. Do not breastfeed while taking Diclofenac.