What is Voltamicin® (diclofenac Na, gentamicin sulfate) used for?
Voltamicin® is a nonsteroidal anti-inflammatory drug (NSAID). It is commonly used to relieve pain, swelling (inflammation), and joint stiffness caused by arthritis.
Reducing these symptoms helps you do more of your normal daily activities.
Voltamicin® may be used for other purposes, ask your doctor for more information.
How should I take Voltamicin® (diclofenac Na, gentamicin sulfate)?
Take this medication by mouth with a full glass of water (8 ounces / 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this drug.
If you experience stomach upset with this medication, you may take it with food, milk, or an antacid. However, this may slow absorption and delay pain relief, especially if you are not taking this medication on a regular schedule.
Swallow this medication whole. Do not crush, chew, or break the tablets. Doing so can destroy the special coating on the tablet and may increase side effects.
For certain conditions (such as arthritis), it may take up to 2 weeks of regular use before the full benefits of this drug take effect.
If you are taking this drug on an “as needed” basis (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.
How do I store Voltamicin® (diclofenac Na, gentamicin sulfate) ?
Voltamicin® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Voltamicin® in the bathroom or the freezer. There may be different brands of Voltamicin® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.
You should not flush Voltamicin® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.
Precautions & warnings
What should I know before using Voltamicin® (diclofenac Na, gentamicin sulfate)?
Before taking Voltamicin®, tell your doctor or pharmacist if:
- You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
- You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
- You have allergy with any of active or inactive ingredients of Voltamicin® or to aspirin or other NSAIDs (such as ibuprofen, naproxen, celecoxib).
- You have any other illnesses, disorders, or medical conditions.
Kidney problems can sometimes occur with the use of NSAID medications, including Voltamicin®. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section). Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have a change in the amount of urine.
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely.
This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Limit alcohol and stop smoking. Consult your doctor or pharmacist for more information.
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear protective clothing when outdoors.
Older adults may be more sensitive to the side effects of this drug, especially stomach/intestinal bleeding, kidney problems, and worsening heart problems.
Is it safe during pregnancy or breastfeeding?
There isn’t enough information about the safety of using this medication during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this medication.
What side effects can occur from Voltamicin® (diclofenac Na, gentamicin sulfate)?
When using this drug, some side effects may occur, such as:
- Upset stomach
- Raise your blood pressure
Tell your doctor right away if any of these unlikely but serious side effects occur:
- Swelling of the hands or feet (edema)
- Sudden or unexplained weight gain
- Hearing changes (such as ringing in the ears)
- Mental/mood changes
- Difficult/painful swallowing
- Unusual tiredness
Get medical help right away if any of these rare but very serious side effects occur:
- Signs of kidney problems (such as change in the amount of urine)
- Unexplained stiff neck
- Dark urine
- Persistent nausea/vomiting/loss of appetite
- Stomach/abdominal pain
- Yellowing eyes or skin
- Itching/swelling (especially of the face/tongue/throat)
- Severe dizziness
- Trouble breathing
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
What drugs may interact with Voltamicin® (diclofenac Na, gentamicin sulfate)?
Voltamicin® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Some products that may interact with this drug include:
- ACE inhibitors (such as captopril, lisinopril)
- Angiotensin II receptor blockers (such as valsartan, losartan)
- Corticosteroids (such as prednisone)
- Water pills (diuretics such as furosemide)
- Anti-platelet drugs such as clopidogrel, “blood thinners” such as dabigatran/enoxaparin/warfarin, among others.
Does food or alcohol interact with Voltamicin® (diclofenac Na, gentamicin sulfate)?
Voltamicin® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
What health conditions may interact with Voltamicin® (diclofenac Na, gentamicin sulfate)?
Voltamicin® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
Especially if you have:
- Asthma (including a history of worsening breathing after taking aspirin or other NSAIDs)
- Bleeding or clotting problems
- Heart disease (such as previous heart attack)
- High blood pressure
- Liver disease
- Growths in the nose (nasal polyps)
- Stomach/intestinal/esophagus problems (such as bleeding, ulcers, recurring heartburn)
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Voltamicin® (diclofenac Na, gentamicin sulfate).
What is the dose of Voltamicin® (diclofenac Na, gentamicin sulfate) for an adult?
For oral dosage form (capsules):
- For acute pain: The recommended dose is 18 or 35 milligrams (mg) three times a day.
- For osteoarthritis: The recommended dose is 35 milligrams (mg) three times a day.
For oral dosage forms (delayed-release tablets, enteric-coated tablets):
- For ankylosing spondylitis: The recommended dose is 25 milligrams (mg) four times a day, with an extra 25 mg dose at bedtime if necessary.
- For osteoarthritis: The recommended dose is 50 milligrams (mg) two or three times a day, or 75 mg two times a day.
- For rheumatoid arthritis: The recommended dose is 50 milligrams (mg) three or four times a day, or 75 mg two times a day.
For oral dosage form (immediate-release tablets):
- For osteoarthritis: The recommended dose is 50 milligrams (mg) two or three times a day.
- For pain or menstrual cramps: The recommended dose is 50 milligrams (mg) three times a day. Your doctor may direct you to take 100 mg for the first dose only.
- For rheumatoid arthritis: The recommended dose is 50 milligrams (mg) three or four times a day.
For oral dosage form (solution):
- For migraine headaches: The recommended dose is One packet (50 milligrams) as a single, one time dose.
What is the dose of Voltamicin® (diclofenac Na, gentamicin sulfate) for a child?
The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.
How is Voltamicin® (diclofenac Na, gentamicin sulfate) available?
Voltamicin® is available in the following dosage forms and strengths:
- Eyedrop 1ml
What should I do in case of an emergency or overdose?
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
What should I do if I miss a dose?
If you miss a dose of Voltamicin®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
Hello Health Group does not provide medical advice, diagnosis or treatment.
Voltamicin®. http://www.mayoclinic.org/drugs-supplements/diclofenac-oral-route/proper-use/drg-20069748. Accessed December 22, 2016
Voltamicin®. http://www.mims.com/vietnam/drug/info/voltamicin. Accessed December 22, 2016
Review Date: April 20, 2017 | Last Modified: April 20, 2017