DICLOFENAC SODIUM - diclofenac sodium tablet, extended release 
Bryant Ranch Prepack

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Medication Guide forNon-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 medicinesin people who have heart diseaseNSAID 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 symptomsmay cause deathThe chance of a person getting an ulcer or bleeding increases with:taking medicines called “corticosteroids” and “anticoagulants”longer usesmokingdrinking alcohololder agehaving poor healthNSAID medicines should only be used:exactly as prescribedat the lowest dose possible for your treatmentfor the shortest time neededWhat 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:different types of arthritismenstrual cramps and other types of short-term painWho should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)?Do not take an NSAID medicine:if you had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicinefor pain right before or after heart bypass surgeryTell your healthcare provider:about all your medical conditions.about all of the medicines you take. NSAIDs and some other medicines can interact with each other and cause serious side effects. Keep a list of your medicines to show to your healthcare provider and pharmacist.if you are pregnant. NSAID medicines should not be used by pregnant women late in their pregnancy.if you are breastfeeding. Talk to your doctor.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• life-threatening allergic reactionsContinued on reverse sideContinuedSerious side effects include:Other side effects include:• liver problems including liver failure• dizziness• asthma attacks in people who have asthmaGet 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 • weakness in one part or side of your body• or throatStop 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 black and sticky like tar• more tired or weaker than usual• itching•unusual weight gain• your skin or eyes look yellow• skin rash or blisters with fever• stomach pain• swelling of the arms and legs, hands and feet• flu-like symptoms• vomit bloodThese 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 1-800-FDA-1088.Other information about Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)Aspirin is an NSAID medicine but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.Some of these NSAID medicines are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days.NSAID medicines that need a prescriptionGeneric NameTradenameCelecoxibCelebrexDiclofenacCataflam, Voltaren, Arthrotec (combined with misoprostol)DiflunisalDolobidEtodolacLodine, Lodine XLFenoprofenNalfon, Nalfon 200FlurbirofenAnsaidIbuprofenMotrin, Tab-Profen, Vicoprofen* (combined with hydrocodone), Combunox (combined with oxycodone)IndomethacinIndocin, Indocin SR, Indo-Lemmon, IndomethaganKetoprofenOruvailKetorolacToradolMefenamic AcidPonstelMeloxicamMobicNabumetoneRelafenNaproxenNaprosyn, Anaprox, Anaprox DS, EC-Naproxyn, Naprelan, Naprapac (copackaged with lansoprazole)OxaprozinDayproPiroxicamFeldeneSulindacClinorilTolmetinTolectin, Tolectin DS, Tolectin 600* 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 NSAID label warns that long term continuous use may increase the risk of heart attack or stroke.This Medication Guide has been approved by the U.S. Food and Drug Administration.

Revised: 5/2017
Bryant Ranch Prepack