The name of your medicine is APO-Diclofenac. It contains the active ingredient, diclofenac sodium.
It is used to treat the symptoms of:
Diclofenac belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It also has analgesic (painkilling) and antipyretic (fever reducing) properties.
Diclofenac acts by reducing pain (at rest and on movement), morning stiffness and swelling of the joints associated with rheumatic diseases, as well as improving function.
In addition, it has been shown to relieve period pain (dysmenorrhoea).
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed diclofenac for another reason.
This medicine is available only with a doctor's prescription.
There is no evidence that this medicine is addictive.
There is not enough information to recommend the use of this medicine in children.
Do not take this medicine if you have had an allergic reaction to:
Symptoms of an allergic reaction may include: shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue, throat or other parts of the body; muscle pain or tenderness or joint pain or rash, itching or hives on the skin.
Do not take this medicine if you are intolerant or allergic to lactose.
These tablets contain a small amount of lactose.
Do not take this medicine if you suffer from a stomach or duodenal ulcer and/or bleeding from the stomach or bowel (black, sticky motions).
Do not take this medicine if you suffer from severe heart, liver or kidney problems.
Do not take this medicine if you are in the last 3 months (last trimester) of pregnancy.
Diclofenac may affect your developing baby, and may delay labour and birth, if you take it at this stage of your pregnancy.
Do not take this medicine after the expiry date (EXP) printed on the pack.
If you take this medicine after the expiry date has passed, it may not work as well.
Do not take this medicine if the packaging is torn, shows signs of tampering or if it does not look quite right.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor or pharmacist.
Tell your doctor if:
1. You have allergies to:
2. You have, or have had in the past, any medical conditions, especially the following:
3. You are pregnant or planning to become pregnant
4. You are breast-feeding or planning to breast-feed
5. You get an infection
6. You are about to have, or have just had, an operation.
7. You smoke or drink large amounts of alcohol.
If you have not told your doctor about any of the above, tell them before you start taking this medicine.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and diclofenac may interfere with each other. These include:
These medicines may be affected by diclofenac or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Note especially that the combination of diclofenac, ACE inhibitors and certain diuretics may seriously damage your kidneys.
Your doctor and pharmacist can tell you if you are taking any of these medicines. They may also have more information on medicines to be careful with or avoid while taking diclofenac.
Other interactions not listed above may also occur.
Follow all directions given to you by your doctor or pharmacist carefully.
They may be different to the information in this leaflet.
If you do not understand any written instructions, ask your doctor or pharmacist for help.
Your doctor or pharmacist will tell you how many tablets you will need to take. This depends on your condition and whether or not you are taking any other medicines.
The initial dosage for arthritis and other painful inflammatory conditions is 75 to 150 mg per day.
For long-term treatment, 75 to 100 mg daily may be all that is needed.
The daily dose should generally be divided into two or three doses taken during the day.
For period pain, the daily dosage is generally 50 to 150 mg. The starting dose is normally 50 to 100 mg and, if necessary, can be increased over several months to a maximum of 200 mg/day. Treatment should be started when the period pain starts, and stopped after it goes away.
The tablets should be swallowed whole with liquid.
Do not break, crush or chew the tablets.
Take it at about the same time each day.
Taking your medicine at the same time each day will have the best effect. It will also help you remember when to take it.
You may take it with, or immediately after food in order to reduce the chance of stomach upset.
Continue taking your medicine for as long as your doctor tells you.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you experiencing side effects.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
Immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 for Australia) for advice, or go to the Accident and Emergency department at the nearest hospital, if you think that you or anyone else may have taken too much diclofenac.
Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you take too much diclofenac, you may experience vomiting, diarrhoea, bleeding from the stomach or bowel, dizziness, ringing in the ears and/or convulsions (fits).
Tell any other doctors, dentists, and pharmacists who are treating you that you are taking diclofenac.
Tell your doctor immediately if you become pregnant.
If you are about to have any blood tests, tell your doctor that you are taking this medicine.
If you are about to start taking a new medicine, remind your doctor and pharmacist that you are taking diclofenac.
Go to your doctor regularly for a check-up.
Your doctor may occasionally do tests to make sure the medicine is working and to prevent side effects.
Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
Do not take your medicine to treat any other complaints unless your doctor tells you to.
Do not stop taking your medicine, or change the dosage, without checking with your doctor.
Be careful while driving or operating machinery until you know how diclofenac affects you.
Diclofenac may cause dizziness or light-headedness in some people.
All medicines may have some side effects. Sometimes they are serious, but most of the time, they are not. Your doctor has weighed the risks of using this medicine against the benefits they expect it will have for you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking diclofenac.
Ask your doctor or pharmacist to answer any questions you may have.
Following is a list of possible side effects. Do not be alarmed by this list. You may not experience any of them.
Tell your doctor or pharmacist if you notice any of the following:
The above list includes the more common side effects. Mostly, these are mild.
Tell your doctor as soon as possible if you notice any of the following:
These may be serious side effects. You may need medical attention. Most of these side effects are rare.
If any of the following happen, stop taking your medicine and either tell your doctor immediately or go to Accident and Emergency department at your nearest hospital:
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Other side effects not listed above may occur in some patients.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Keep your medicine in its original packaging until it is time to take them.
If you take the tablets out of their original bottle they may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink.
Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or it has passed its expiry date, ask your pharmacist what to do with any medicine that is left over.
Pharmaceutical companies are not in a position to give people an individual diagnosis or medical advice. Your doctor or pharmacist is the best person to give you advice on the treatment of your condition.
APO-Diclofenac 25 mg Tablets:
Brown yellow film coated tablet, biconvex with an intact surface and uniform colour.
APO-Diclofenac 50 mg Tablets:
Brown yellow film coated tablet, biconvex with facet on both sides, intact surface and uniform colour.
Each tablet 25 or 50 mg of diclofenac as the active ingredient.
In addition the tablets contain the following inactive ingredients:
This medicine is gluten-free, sucrose-free, tartrazine-free and other azo dyes-free.
APO-Diclofenac 25 mg tablets:
Blister packs of 50 tablets.
AUST R 160729.
APO-Diclofenac 50 mg tablets:
Blister packs of 50 tablets.
AUST R 160730.
*Not all strengths, pack types and/or pack sizes may be available.