DICLOFENAC (dye KLOE fen ak) is a non-steroidal anti-inflammatory drug (NSAID). It is used to treat pain from bruises, sprains, or strains.
This medicine is for external use only. Follow the directions on the prescription label. Use your medicine at regular intervals. Do not use it more often than directed.
Wash hands before and after use. Apply the patch only to normal, intact skin. Do not apply to damaged skin such as wounds or burns. Tape the edges of the patch to your skin if the patch begins to peel off. Wear only one patch at a time.
Take the patch off before bathing or showering. Bathe or shower immediately before you need to apply a new patch. Do not get the patch wet.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or bloody stools, blood in the urine or vomit
changes in vision
nausea or vomiting
redness, blistering, peeling or loosening of the skin, including inside the mouth
slurred speech or weakness on one side of the body
trouble passing urine or change in the amount of urine
unexplained weight gain or swelling
unusually weak or tired
yellowing of eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
increased sensitivity to the sun
tingling at the application site
Do not take this medicine with any of the following medications:
This medicine may also interact with the following medications:
aspirin and aspirin-like medicines
medicines for blood pressure
medicines for osteoporosis
medicines that affect platelets
medicines that treat or prevent blood clots like warfarin
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
steroid medicines like prednisone or cortisone
Do not use any other skin products on the affected area without asking your doctor or health care professional.
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) in the resealable envelopes. Seal the envelope after removing a patch for use. Protect from moisture. Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
coronary artery bypass graft (CABG) surgery within the past 2 weeks
drink more than 3 alcohol containing drinks a day
high blood pressure
open or infected skin
stomach bleeding or ulcers
an unusual or allergic reaction to diclofenac, aspirin, other NSAIDs, other medicines, polysorbate 80, gelatin, foods, dyes, or preservatives
pregnant or trying to get pregnant
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.
Do not take medicines such as ibuprofen and naproxen with this medicine. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many medicines available without a prescription should not be taken with this medicine.
This medicine does not prevent heart attack or stroke. In fact, this medicine may increase the chance of a heart attack or stroke. The chance may increase with longer use of this medicine and in people who have heart disease. If you take aspirin to prevent heart attack or stroke, talk with your doctor or health care professional.
This medicine can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Do not smoke cigarettes or drink alcohol. These increase irritation to your stomach and can make it more susceptible to damage from this medicine. Ulcers and bleeding can happen without warning symptoms and can cause death.
This medicine can cause you to bleed more easily. Try to avoid damage to your teeth and gums when you brush or floss your teeth.