Voltaren

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Generic Name: Voltaren Brand Name(s): Generics only. No brands available.

Uses

What is Voltaren® (diclofenac sodium) used for?

Voltaren® is a nonsteroidal anti-inflammatory drug (NSAID). Diclofenac works by reducing substances in the body that cause pain and inflammation.

Voltaren® is used to treat mild to moderate pain or signs and symptoms of osteoarthritis or rheumatoid arthritis.

Voltaren® may also be used for purposes not listed in this medication guide.

How should I take Voltaren® (diclofenac sodium)?

Take Voltaren® exactly as prescribed by your doctor. Follow your doctor’s instructions about how much medicine to take.

Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take Voltaren® in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.

Do not crush, chew, or break a Voltaren® XR extended-release tablet. Swallow the tablet whole.

If you use Voltaren® long-term, you may need frequent medical tests.

How do I store Voltaren® (diclofenac sodium)?

Voltaren® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Voltaren® in the bathroom or the freezer. There may be different brands of Voltaren® 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 Voltaren® 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 Voltaren® (diclofenac sodium)?

Before using this drug, tell your doctor 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 Voltaren® or other medications.
  • You have any other illnesses, disorders, or medical conditions.

Voltaren® can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.

Do not use Voltaren® just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

You should not use Voltaren® if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Voltaren® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Voltaren®. Voltaren® is pregnancy risk category D, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Voltaren® (diclofenac sodium)?

Get emergency medical help if you have signs of an allergic reaction to Voltaren: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.

Get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.

Stop using Voltaren® and call your doctor at once if you have:

  • The first sign of any skin rash, no matter how mild
  • Shortness of breath (even with mild exertion)
  • Swelling or rapid weight gain
  • Signs of stomach bleeding – bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds
  • Liver problems – nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
  • Kidney problems – little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath
  • High blood pressure – severe headache, pounding in your neck or ears, nosebleed, anxiety, confusion
  • Low red blood cells (anemia) – pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating
  • Severe skin reaction – fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling

Common side effects may include:

  • Indigestion, gas, stomach pain, nausea, vomiting
  • Diarrhea, constipation
  • Headache, dizziness, drowsiness
  • Stuffy nose
  • Itching, increased sweating
  • Increased blood pressure
  • Swelling or pain in your arms or legs

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.

Interactions

What drugs may interact with Voltaren® (diclofenac sodium)?

Voltaren® 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.

Products that may interact with this drug are:

  • Cyclosporine
  • Lithium
  • Methotrexate
  • Rifampin
  • Antifungal medicine
  • A blood thinner (warfarin, Coumadin, Jantoven)
  • Heart or blood pressure medication, including a diuretic or “water pill”
  • Other forms of diclofenac (Flector, Pennsaid, Solaraze, Voltaren Gel)
  • Other NSAIDs – aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), indomethacin, meloxicam, and others
  • Steroid medicine (prednisone and others)

Does food or alcohol interact with Voltaren® (diclofenac sodium)?

Voltaren® 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 Voltaren® (diclofenac sodium)?

Voltaren® 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.

Health conditions that may interact with this drug are:

  • Heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke
  • A history of heart attack, stroke, or blood clot
  • A history of stomach ulcers or bleeding
  • Asthma
  • Liver or kidney disease
  • Fluid retention

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Voltaren® (diclofenac sodium).

What is the dose of Voltaren® (diclofenac sodium) for an adult?

For the relief of osteoarthritis, the recommended dosage is 100-150 mg/day in divided doses (50 mg b.i.d. or t.i.d., or 75 mg b.i.d.).

For the relief of rheumatoid arthritis, the recommended dosage is 150-200 mg/day in divided doses (50 mg t.i.d. or q.i.d., or 75 mg b.i.d.).

For the relief of ankylosing spondylitis, the recommended dosage is 100-125 mg/day, administered as 25 mg q.i.d., with an extra 25-mg dose at bedtime if necessary.

What is the dose of Voltaren® (diclofenac sodium) 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 Voltaren® (diclofenac sodium) available?

Voltaren® is available in the following dosage forms and strengths:

  • Tablet, delayed release: diclofenac sodium 75mg

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 Voltaren®, 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.

Sources

Review Date: August 4, 2017 | Last Modified: August 4, 2017

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