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Diclofenac

Medication Guide
Brand Names Cambia, Cataflam, Voltaren, Zipsor, Zorvolex
Drug Class NSAID (Non-Steroidal Anti-Inflammatory Drug)
Uses
  • Pain relief (mild to moderate)
  • Osteoarthritis/Rheumatoid arthritis
  • Menstrual cramps (Cataflam)
  • Migraine attacks (Cambia)
Important Warnings
  • Heart Risk: May increase heart attack/stroke risk
  • Bleeding Risk: Can cause stomach/intestinal bleeding
  • Pregnancy Category D: Harmful in last trimester
  • Avoid if allergic to NSAIDs or aspirin
  • Not for CABG surgery patients
Dosage Information
Condition Dose
Osteoarthritis 50-75mg 2-3x daily (max 150mg/day)
Rheumatoid Arthritis 50mg 3-4x daily (max 225mg/day)
Migraine (Cambia) 50mg powder mixed with water
Pain (Zorvolex) 18-35mg 3x daily (empty stomach)
Side Effects

Seek emergency help for:

  • Allergic reactions
  • Chest pain (heart attack signs)
  • Severe stomach pain/bleeding
  • Stroke symptoms

Common side effects:

  • Stomach upset
  • Headache/dizziness
  • Mild swelling
Drug Interactions
  • Blood thinners (warfarin)
  • SSRI antidepressants
  • Diuretics
  • Other NSAIDs
  • Alcohol increases bleeding risk