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Additional Information
Why is this medication prescribed
Diclofenac is used to relieve the pain, tenderness, inflammation (swelling), and stiffness caused by osteoarthritis and rheumatoid arthritis and ankylosing spondylitis. Immediate-release (short-acting) diclofenac (Cataflam) is also used to treat painful menstrual periods and pain from other causes. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory medications (NSAIDs). It works by stopping the body's production of a substance that causes pain and inflammation.
Proper Use of This Medicine
Keep using this medicine for the full time of treatment. However, do not use this medicine more often or for a longer time than your doctor ordered. Apply enough medicine each time to cover the entire affected area.
Diclofenac may cause redness, soreness, scaling, and peeling of the affected skin. Do not stop using this medicine without first checking with your doctor. If the reaction is very uncomfortable, check with your doctor.
Apply this medicine very carefully, and avoid getting any in your eyes. Do not apply this medicine to areas with broken skin or open wounds, infection, or severely peeling skin.
Dosing
The dose of diclofenac will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of diclofenac. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of gel that you use depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking diclofenac
- For topical dosage form (gel):
- For actinic keratosis:
- Adults Apply to affected skin 2 times a day
- For actinic keratosis:
Missed dose
If you miss a dose of this medicine, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the amount of medicine you use.
Storage
To store this medicine:
- Keep out of the reach of children
- Keep the medicine from freezing
- Protect from heat
- Do not keep outdated medicine or medicine no longer needed. Ask your health care professional how you should dispose of any medicine you do not use. Be sure that any discarded medicine is out of the reach of children.
Other uses for this medicine
Diclofenac is also used sometimes to treat pain caused by gout and painful shoulder, bone pain, cancer pain, and pain after surgery or childbirth. Talk to your doctor about the possible risks of using this medication for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What other information should I know
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to diclofenac.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For topical diclofenac, the following should be considered:
Allergies Tell your doctor if you have ever had any unusual or allergic reaction to diclofenac. Also tell your doctor and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy Tell your doctor if you are pregnant or if you intend to become pregnant. Diclofenac should not be used late in pregnancy because there is a chance that it could cause birth defects. Be sure that you have discussed this with your doctor before using this medicine.
Breast-feeding It is not known whether diclofenac passes into breast milk. However, diclofenac is not recommended for use during breast-feeding because it may cause unwanted effects in nursing babies.
Children Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of diclofenac on the skin in children with use in other age groups.
Older adults Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of diclofenac on the skin in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults.
Other medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are using diclofenac on the skin, it is especially important that your doctor and pharmacist know if you are taking any of the following:
- Medicines for inflammation and pain (non-narcotic), including aspirin The risk of serious side effects may be increased
- Stomach or intestinal ulcers or bleeding Diclofenac may make these conditions worse
- Kidney disease or
- Liver disease Effects of this medicine may be increased because of slower removal of the medicine from the body
In case of emergency overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Symptoms of overdose may include:
- vomiting
- drowsiness
- loss of consciousness

