FLECTOR - diclofenac epolamine patch 
Physicians Total Care, Inc.


Medication Guide for Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

(See the end of this Medication Guide for a list of prescription NSAID medicines.)

 What is the most important information I should know about medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?
  NSAID medicines may increase the chance of a heart attack or stroke that can lead to death. This chance increases:
●  with longer use of NSAID medicines
●  in people who have heart disease
  NSAID medicines should never be used right before or after a heart surgery called a “coronary artery bypass graft (CABG).”
  NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding:●  can happen without warning symptoms
●  may cause death
  The chance of a person getting an ulcer or bleeding increases with:●  taking medicines called “corticosteroids” and “anticoagulants”
●  longer use
●  smoking
●  drinking alcohol
●  older age
●  having poor health
  NSAID medicines should only be used:●  exactly as prescribed
●  at the lowest dose possible for your treatment
●  for the shortest time needed

What are Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAID medicines are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as:

Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)?

 Do not take an NSAID medicine:

Tell your healthcare provider:

What are the possible side effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?

 Serious side effects include: Other side effects include:
 ●  heart attack ●  stomach pain
 ●  stroke ●  constipation
 ●  high blood pressure ●  diarrhea
 ●  heart failure from body swelling (fluid retention) ●  gas
 ●  kidney problems including kidney failure ●  heartburn
 ●  bleeding and ulcers in the stomach and intestine ●  nausea
 ●  low red blood cells (anemia) ●  vomiting
 ●  life-threatening skin reactions ●  dizziness
 ●  life-threatening allergic reactions 
 ●  liver problems including liver failure 
 ●  asthma attacks in people who have asthma 

Get emergency help right away if you have any of the following symptoms:

Stop your NSAID medicine and call your healthcare provider right away if you have any of the following symptoms:

These are not all the side effects with NSAID medicines. Talk to your healthcare provider or pharmacist for more information about NSAID medicines.

Other information about Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAID medicines that need a prescription

 Generic Name Tradename
 Celecoxib Celebrex
 Diclofenac Flector, Cataflam, Voltaren, Arthrotec (combined with misoprostol)
 Diflunisal Dolobid
 Etodolac Lodine, Lodine XL
 Fenoprofen Nalfon, Nalfon 200
 Flurbirofen Ansaid
 Ibuprofen Motrin, Tab-Profen, Vicoprofen (combined with hydrocodone), Combunox (combined with oxycodone)
 Indomethacin Indocin, Indocin SR, Indo-Lemmon, Indomethagan
 Ketoprofen Oruvail
 Ketorolac Toradol
 Mefenamic Acid Ponstel
 Meloxicam Mobic
 Nabumetone Relafen
 Naproxen Naprosyn, Anaprox, Anaprox DS, EC-Naproxyn, Naprelan, Naprapac (copackaged with lansoprazole)
 Oxaprozin Daypro
 Piroxicam Feldene
 Sulindac Clinoril
 Tolmetin Tolectin, Tolectin DS, Tolectin 600

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Distributed by:  Alpharma Pharmaceuticals LLC
                         One New England Avenue, Piscataway, NJ 08854 USA
                         (Telephone:1-888-840-8884) • www.FlectorPatch.com
Manufactured for:  IBSA Institut Biochimique SA, CH-6903 Lugano, Switzerland
Manufactured by:  Teikoku Seiyaku Co., Ltd., Sanbonmatsu, Kagawa 769-2695 Japan

Version June 2008
Ed II/06.08

Revised: 6/2010
Physicians Total Care, Inc.