Diclofenac sodium is a nonsteroidal anti-inflammatory drug (NSAID). Many people with rheumatoid arthritis, osteoarthritis, ankylosing spondylitis and other joint pain take this medication to relieve the stiffness, swelling, inflammation and pain associated with their condition. Individuals with these conditions should consider talking to their doctor to determine if they may benefit from diclofenac sodium.
Types
Several brand-name medications in the U.S. contain diclofenac sodium, including Cambia, Cataflam, Voltaren, Voltaren-XR and Zipsor. All of these medications require a prescription.
Usage
Take diclofenac sodium with a full glass of water and avoid lying down for approximately 20 minutes after taking the medication. This prevents irritation of the upper digestive tract. Some people choose to take this medication with an antacid, food or milk. This minimizes some negative side effects of the medication, including upset stomach and gastrointestinal side effects. However, doing so may make it take longer to feel the effects of the medication.
Contraindications
Individuals with a history of allergic reactions to aspirin or other NSAIDs should not take diclofenac sodium. These individuals should discuss other treatment options with a doctor. Pregnant and breastfeeding women should also avoid using this medication if possible.
Side Effects
Side effects of diclofenac sodium vary depending on individual circumstances, but may include vomiting, ringing in the ears, rash, peptic ulcers, nausea, itching, indigestion, heartburn, headache, gas, fluid retention, dizziness, diarrhea, constipation, blood clotting problems, anemia, abdominal swelling, abdominal pain or cramps or abdominal bleeding, according to Drugs.com. Patients experiencing overly bothersome side effects that don't abate should call a doctor.
Interactions
People who use phenobarbital, methotrexate, lithium, insulin, oral antidiabetes medications, diuretics, digitalis drugs, cyclosporine, blood thinners or aspirin should use caution when taking diclofenac sodium at the same time. The effects of either medication can decrease, increase or be otherwise altered when doing so. Patients should report all current medications and supplements to a pharmacist or doctor before taking diclofenac sodium.
Overdose
Symptoms of a diclofenac sodium overdose include wheezing, reduced urination, unsteadiness, seizures, rash, stomach pain, ringing in the ears, numbness and tingling in extremities, nausea, movement problems, headache, drowsiness, dizziness and diarrhea, according to MedlinePlus. In rare cases, blurred vision, convulsions, breathing problems and coma may also occur. Individuals who take too much of this medication need prompt medical attention.
Warnings
Diclofenac sodium has been associated with cases of peptic ulcers, bleeding, fluid retention, liver problems, meningitis and vision problems. Individuals who notice any of these problems developing should stop taking the medication immediately and talk to a doctor.



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