{"id":30981,"date":"2022-11-07T09:37:58","date_gmt":"2022-11-07T09:37:58","guid":{"rendered":"https:\/\/zeepedia.com\/?p=30981"},"modified":"2022-11-08T07:49:15","modified_gmt":"2022-11-08T07:49:15","slug":"voltaren","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/voltaren\/","title":{"rendered":"Voltaren &#8211; Diclofenac sodium uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg, 50 mg&nbsp;enteric tablet&nbsp;er<br>diclofenac sodium<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the Voltaren is and what it is used for<\/h2>\n\n\n\n<p>Voltaren suppresses\u00a0inflammation, relieves pain, and lowers fever.\u00a0Voltaren belongs to a group of medicines called\u00a0NSAIDs\u00a0(non-steroidal anti-inflammatory\/anti-rheumatic drugs).<\/p>\n\n\n\n<p>Voltaren is used to treat pain and swelling associated with rheumatic diseases.\u00a0Voltaren\u00a0enter tablet\u00a0er reduces pain and amount of bleeding in connection with menstruation.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Voltaren<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use the Voltaren<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to\u00a0diclofenac\u00a0or any other ingredient in this medicine<\/li><li>if you have previously had allergic reactions such as swelling of the face, lips, throat, tongue, and\/or arms and legs (signs of\u00a0angioedema\u00a0),\u00a0asthma, chest pain, runny nose, or skin rash when you have taken painkillers containing\u00a0acetylsalicylic acid\u00a0or other medicines for pain\/inflammation within the\u00a0NSAID group<\/li><li>if you have severe liver disease<\/li><li>if you have an increased tendency to bleed<\/li><li>if you have\u00a0porphyria\u00a0(metabolic disease)<\/li><li>if you or have had recurrent\u00a0stomach\u00a0or duodenal ulcers<\/li><li>if you have previously had\u00a0stomach ulcers\u00a0or duodenal ulcers during treatment with\u00a0diclofenac\u00a0or similar preparations<\/li><li>if you have a known heart disease and\/or disease in the blood vessels of the brain, e.g.\u00a0heart attack,\u00a0stroke, &#8220;mini-stroke&#8221; (\u00a0transient\u00a0ischemic attack,\u00a0TIA\u00a0).\u00a0You may also have had narrowings in the blood vessels to the heart or brain, or have had surgery for such narrowings by clearing\u00a0vessels\u00a0or via a\u00a0bypass\u00a0operation<\/li><li>if you have or have had problems with blood circulation (\u00a0peripheral\u00a0vascular disease)<\/li><li>if you have severe kidney disease<\/li><li>during the last 3 months of pregnancy<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p><em>As low a\u00a0dose\u00a0as possible and the shortest possible treatment time should always be sought to reduce the risk of\u00a0side effects.\u00a0In general, a higher\u00a0dose\u00a0than recommended can entail serious risks.\u00a0This also means combining several\u00a0NSAID\u00a0preparations at the same dose should be avoided.<\/em><\/p>\n\n\n\n<p>If you have or have had the following diseases, you should consult a doctor before starting treatment with Voltaren:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diabetes<\/li><li>angina, blood clots, high\u00a0blood pressure<\/li><li>peptic ulcer\u00a0or duodenal ulcer<\/li><li>inflammatory\u00a0bowel disease (\u00a0ulcerative colitis,\u00a0Crohn&#8217;s disease\u00a0)<\/li><li>liver disease<\/li><li>heart or kidney disease<\/li><li>inflammation\u00a0of the mucous membranes of the nasal cavities,\u00a0asthma, COPD (\u00a0chronic obstructive pulmonary disease\u00a0),\u00a0chronic\u00a0infection\u00a0of the respiratory tract, or allergic reactions such as\u00a0hives\u00a0or\u00a0angioedema\u00a0(periodically occurring local swellings)<\/li><li>SLE\u00a0(connective tissue disease)<\/li><li>blood diseases and diseases with an increased tendency to bleed<\/li><li>high\u00a0blood pressure<\/li><\/ul>\n\n\n\n<p>Before receiving\u00a0diclofenac, tell your doctor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you smoke<\/li><li>if you have high&nbsp;cholesterol&nbsp;or triglyceride levels (blood fats)<\/li><\/ul>\n\n\n\n<p>Older people, especially those with low body weight, should be aware of the increased risk of\u00a0side effects\u00a0that exist in older age.\u00a0<\/p>\n\n\n\n<p>Tell your doctor if you have recently had or are going to have surgery on your stomach or intestinal tract before receiving Voltaren, as Voltaren can sometimes impair the healing of wounds in the intestines after surgery.<\/p>\n\n\n\n<p>NSAIDs\u00a0including Voltaren can rarely cause\u00a0stomach ulcers\u00a0which can appear at any time during treatment with or without warning symptoms.\u00a0Patients who experience problems with the gastrointestinal tract, especially elderly patients, should contact a doctor in case of abdominal symptoms.<\/p>\n\n\n\n<p>Like other\u00a0NSAIDs, Voltaren can mask signs or symptoms of\u00a0infection.<\/p>\n\n\n\n<p>In the case of chickenpox, this medicine should not be used.<\/p>\n\n\n\n<p>Use of Voltaren (as well as any drug that inhibits cyclooxygenase\/prostaglandin synthesis) may make it more difficult to become pregnant.\u00a0Consult a doctor if you are planning a pregnancy or if you have problems conceiving.\u00a0The effect is temporary, i.e. it stops when you stop using these types of drugs.<\/p>\n\n\n\n<p>Medicines such as Voltaren may lead to a slightly increased risk of heart attack or\u00a0stroke.\u00a0Such an increase in risk is more likely when using high\u00a0doses\u00a0and during long-term treatment.\u00a0Do not exceed the recommended\u00a0dose\u00a0or duration of treatment.<\/p>\n\n\n\n<p>You should pay attention to signs and symptoms such as\u00a0chest pain, shortness of breath, weakness, and slurred speech that may come without warning.\u00a0If you experience these symptoms, contact your doctor immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Voltaren<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Voltaren can affect or be affected by certain medicines that contain the following active substances:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>anticoagulants (eg\u00a0warfarin, ticlopidine,\u00a0aspirin,\u00a0heparin\u00a0)<\/li><li>medicines for the treatment of\u00a0diabetes, except\u00a0insulin<\/li><li>lithium or selective serotonin reuptake inhibitors (\u00a0SSRIs\u00a0) (used in some types of depression)<\/li><li>digoxin\u00a0(used for heart problems)<\/li><li>tacrolimus (used in transplants and\u00a0eczema\u00a0)<\/li><li>ciclosporin (used in transplants, in severe\u00a0psoriasis,\u00a0and rheumatism)<\/li><li>certain medicines against high\u00a0blood pressure\u00a0(so-called beta-receptor blocking agents,\u00a0angiotensin\u00a0II\u00a0antagonists,\u00a0and\u00a0ACE inhibitors\u00a0)<\/li><li>diuretics\u00a0(water-reducing agents also used for high\u00a0blood pressure\u00a0)<\/li><li>quinolone antibiotics (used for urinary tract infections)<\/li><li>corticosteroids\u00a0(used to treat inflammatory diseases)<\/li><li>colestipol or cholestyramine (used for high blood lipids)<\/li><li>rifampicin (\u00a0antibiotic\u00a0for\u00a0tuberculosis\u00a0)<\/li><li>carbamazepine (used in\u00a0epilepsy\u00a0)<\/li><li>St. John&#8217;s wort<\/li><li>methotrexate (used in\u00a0psoriasis, rheumatism, and some forms of cancer)<\/li><li>sulfinpyrazone (used in\u00a0gout\u00a0)<\/li><li>voriconazole or\u00a0fluconazole\u00a0(used for fungal infections)<\/li><li>phenytoin\u00a0(used in\u00a0epilepsy\u00a0)<\/li><li>amiodarone\u00a0(used for heart rhythm disorders)<\/li><li>trimethoprim (used to prevent or treat urinary tract infections)<\/li><\/ul>\n\n\n\n<p>Concomitant use of other&nbsp;NSAIDs&nbsp;should be avoided as the risk of&nbsp;side effects&nbsp;increases.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Voltaren with food and drink<\/h2>\n\n\n\n<p>The tablets&nbsp;<em>should be<\/em>&nbsp;swallowed whole with liquid.&nbsp;For maximum effect, it is recommended that the tablets are not taken with a meal.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>Taking Voltaren can\u00a0inhibit\u00a0fertility\u00a0in women and should be avoided by women who are trying to conceive or are pregnant.\u00a0Treatment during any part of the pregnancy must only take place after a doctor&#8217;s\u00a0prescription.<\/p>\n\n\n\n<p>Voltaren passes into breast milk.\u00a0Voltaren should not be used during breastfeeding to avoid effects on the child.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>In some people, Voltaren can cause\u00a0side effects\u00a0such as visual disturbances, dizziness, or drowsiness.\u00a0You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with a doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Voltaren contains lactose monohydrate, sodium, and macrogol glycerol hydroxy stearate<\/h2>\n\n\n\n<p>This medicine contains\u00a0lactose monohydrate.\u00a0If you have an intolerance to certain sugars, you should consult your doctor before taking this medicine.\u00a0<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;of sodium&nbsp;per ml, i.e. it is almost &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<p>This medicine contains macrogol glycerol hydroxy stearate, which can cause stomach upset and diarrhea.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use the Voltaren<\/h2>\n\n\n\n<p>Always use this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><em>Rheumatic diseases<\/em><\/p>\n\n\n\n<p><em>The usual<\/em>\u00a0dose\u00a0for adults:\u00a0is 75 &#8211; 150 mg daily, usually morning and evening.<\/p>\n\n\n\n<p><em>The usual<\/em>\u00a0dose\u00a0for children over 6 years:\u00a0is 25 mg morning and evening.\u00a0Children over 50 kg are given the adult dose.<\/p>\n\n\n\n<p><em>Menstrual pain<\/em><\/p>\n\n\n\n<p><em>The usual<\/em>\u00a0dose\u00a0for adults:\u00a0is 50 &#8211; 150 mg divided into 1 &#8211; 3 dosing sessions as needed.\u00a0Initially, 50 &#8211; 100 mg is recommended.\u00a0Treatment begins at the first sign of menstrual pain.\u00a0Maximum 150 mg per day.<\/p>\n\n\n\n<p>The tablets&nbsp;<em>should be swallowed whole<\/em>&nbsp;with liquid.&nbsp;For maximum effect, it is recommended that the tablets are not taken with a meal.&nbsp;The tablets should not be split or chewed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Voltaren:<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Some&nbsp;side effects&nbsp;can be serious.<\/p>\n\n\n\n<p><strong>Stop using Voltaren and tell your doctor immediately if you notice the following:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Chest pain, which may be a sign of a potentially serious\u00a0allergic reaction\u00a0called Kuoni&#8217;s syndrome (reported to occur in an unknown number of users).<\/li><li>Infection\u00a0with symptoms such as fever with the greatly worsened general condition or fever with local infection symptoms such as sore throat\/pharynx\/mouth or vomiting.\u00a0Voltaren can affect the white\u00a0blood cells\u00a0so that the defense against infection deteriorates (very rare).\u00a0A blood test can rule out a lack of\u00a0white blood cells\u00a0(\u00a0agranulocytosis\u00a0).\u00a0You must inform the doctor about your medication when contacting the doctor.<\/li><li>Symptoms such as swelling of e.g.\u00a0face, tongue, and\/or throat and\/or difficulty swallowing or\u00a0hives\u00a0that occur together with breathing difficulties (\u00a0angioedema\u00a0) occur (very rare).<\/li><li>Skin rash or damage to the mucous membranes.\u00a0Severe skin reactions (Steven Johnson&#8217;s syndrome (\u00a0mucosa\u00a0and skin inflammation with blisters and high fever) and\u00a0Lyell&#8217;s syndrome\u00a0(like Steven-Johnson&#8217;s syndrome but also with sudden skin peeling)) with the use of\u00a0NSAIDs\u00a0have been reported (very rare).<\/li><li>Palpitations or sudden chest pain (signs of a heart attack).\u00a0If you become short of breath, have difficulty breathing when you lie down or if your feet or legs swell (signs of\u00a0heart failure\u00a0) (uncommon).<\/li><li>Mild cramping and tenderness in the stomach, which begins shortly after starting treatment with Voltaren and is followed by rectal bleeding or bloody diarrhea, usually within 24 hours of the onset of stomach pain (has been reported to occur in an unknown number of users).<\/li><\/ul>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;have also been reported when using Voltaren:<\/strong><\/p>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people):<\/em>\u00a0Stomach pain, nausea, vomiting, diarrhea, indigestion, decreased appetite, increased flatulence, headache, dizziness, vertigo, skin rash, elevated liver values.<\/p>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people):<\/em>&nbsp;spasm of the trachea,<\/p>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 users):<\/em>\u00a0Fatigue, swelling of the body due to fluid retention,\u00a0hypersensitivity reaction\u00a0(\u00a0hives, allergic shock reaction with drop in blood pressure), gastritis,\u00a0stomach ulcer, stomach bleeding (vomiting blood, blood in the stool, bloody diarrhea),\u00a0impotence\u00a0(uncertain relationship), liver function disorders (inflammation of the liver, jaundice),\u00a0asthma\u00a0(including shortness of breath).<\/p>\n\n\n\n<p>Very rare (may affect up to 1 in 10,000 users including isolated reports): Effects on vision (blurred vision, double vision) and hearing (impaired hearing, tinnitus), difficulty falling asleep, nightmares, irritability, anxiety, depression, memory disturbances, confusion, disturbed perception of reality, crawling, tremors, convulsions, loss of sensation, changes in taste, effects on&nbsp;vessels&nbsp;(e.g. high&nbsp;blood pressure&nbsp;, vascular inflammation), blood count effects (reduced number of&nbsp;blood platelets&nbsp;which can cause small bleeding in the skin and mucous membranes, breakdown of&nbsp;red blood cells&nbsp;,&nbsp;anemia&nbsp;, reduced number of&nbsp;white blood cells&nbsp;),&nbsp;eczema&nbsp;,&nbsp;itching, skin redness, hair loss, photosensitivity reactions, effects on the kidneys (e.g. reduced or stopped urine production and blood in the urine), severe liver disease, liver failure,&nbsp;meningitis&nbsp;or&nbsp;pneumonia&nbsp;without a bacterial cause,&nbsp;stroke&nbsp;, intestinal problems (e.g. constipation,&nbsp;inflammation&nbsp;of the intestine with or without bleeding), worsening of&nbsp;Crohn&#8217;s disease&nbsp;and&nbsp;ulcerative colitis&nbsp;,&nbsp;inflammation&nbsp;of the tongue, mouth or esophagus,&nbsp;inflammation&nbsp;of the pancreas.<\/p>\n\n\n\n<p>For NSAIDs, serious skin and soft tissue infections occur in rare cases in connection with chickenpox.<\/p>\n\n\n\n<p>Medicines such as\u00a0diclofenac\u00a0can lead to a slightly increased risk of heart attack or\u00a0stroke, the risk increases with higher\u00a0doses\u00a0and long-term treatment.<\/p>\n\n\n\n<p>Effects on vision such as visual impairment, blurred vision, or double vision are\u00a0side effects\u00a0caused by\u00a0NSAIDs\u00a0and disappear when treatment is stopped.\u00a0With these symptoms, an examination of the eyes should be done to rule out other causes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How the Voltaren should be stored<\/h2>\n\n\n\n<p>Use before the expiry date on the packaging.<\/p>\n\n\n\n<p>Store out of sight and reach of children<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p><strong>Voltaren&nbsp;enteric tablet&nbsp;er 25 mg and 50 mg<\/strong><\/p>\n\n\n\n<p><em>The active substance is diclofenac sodium.&nbsp;<\/em>Each tablet contains 25 mg and 50 mg of diclofenac sodium respectively.<\/p>\n\n\n\n<p><em>Other ingredients<\/em>\u00a0are anhydrous colloidal silica, microcrystalline cellulose, magnesium stearate, corn starch,\u00a0lactose monohydrate\u00a016 and 25 mg respectively, povidone, sodium starch glycolate, methacrylic acid-ethyl acrylate copolymer, macrogol, silicone antifoam\u00a0emulsion, talc, hypromellose, macrogol glycerol hydroxy stearate, titanium dioxide (E 171), iron oxide yellow (E 172) and for 50 mg also iron oxide red (E172).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Voltaren suppresses\u00a0inflammation\u00a0, relieves pain and lowers fever.\u00a0Voltaren belongs to a group of medicines called\u00a0NSAIDs\u00a0(non-steroidal anti-inflammatory\/anti-rheumatic drugs).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22502],"tags":[2897,2900,5574,27739,27743,27742,9980,4718,27740,27741],"class_list":["post-30981","post","type-post","status-publish","format-standard","hentry","category-medicines","category-v","tag-diclofenac-sodium","tag-diclofenac-sodium-side-effects","tag-diclofenac-sodium-tablet","tag-voltaren","tag-voltaren-side-effects","tag-voltaren-tablet","tag-what-diclofenac-sodium-is-used-for","tag-what-is-diclofenac-sodium","tag-what-is-voltaren","tag-what-voltaren-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/30981","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=30981"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/30981\/revisions"}],"predecessor-version":[{"id":31234,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/30981\/revisions\/31234"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=30981"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=30981"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=30981"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}