DICLOFENAC SODIUM- diclofenac sodium tablet, delayed release 
NCS HealthCare of KY, Inc dba Vangard Labs


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:

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:

The chance of a person getting an ulcer or bleeding increases with:

NSAID medicines should only be used:

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:

 ·shortness of breath or trouble breathing  ·slurred speech
 ·chest pain  ·swelling of the face or throat
 ·weakness in one part or side of your body  

Stop your NSAID medicine and call your healthcare provider right away if you have any

of the following symptoms:

 ·nausea  ·there is blood in your bowel movement or it is
 ·more tired or weaker than usual  black and sticky like tar
 ·itching  ·skin rash or blisters with fever
 ·your skin or eyes look yellow  ·unusual weight gain
 ·stomach pain  ·swelling of the arms and legs, hands and feet
 ·flu-like symptoms  
 ·vomit blood  

These are not all the side effects with NSAID medicines. Talk to your healthcare provider or

pharmacist for more information about NSAID medicines.

Call your doctor for medical advice about side effects.  You may report side effects to FDA at

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

NSAID medicines that need a prescription

 Generic Name  Tradename
 *Vicoprofen contains the same dose of ibuprofen as over-the-counter (OTC) NSAIDs, and is usually used for less than 10 days to treat pain.  The OTC label warns that long term continuous use may increase the risk of heart attack or stroke.
 Celecoxib  Celebrex
 Diclofenac  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.

Revised: 2/2013
NCS HealthCare of KY, Inc dba Vangard Labs