GENERIC NAME: DICLOFENAC - RECTAL SUPPOSITORY (dye-KLO-fen-ack)
USES: This medication is a nonsteroidal anti-inflammatory drug which relieves pain and reduces inflammation (swelling). It is used to treat muscle aches, dental pain, and athletic injuries. It is commonly used to treat the pain, swelling and stiffness associated with arthritis.
HOW TO USE: Unwrap the suppository and insert rectally while lying down on your side.
SIDE EFFECTS: Headache, dizziness, lightheadedness, drowsiness, loss of appetite, or local rectal irritation may occur. If these effects persist or become severe, notify your doctor. Inform your doctor promptly if you develop: ringing in the ears/hearing loss, vision changes, rectal bleeding. If you notice any of the following unlikely but very serious side effects, stop taking this drug and consult your doctor or pharmacist immediately: black stools, persistent stomach/ abdominal pain, vomit that looks like coffee grounds. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical history especially of: liver or kidney disease, blood disorders, ulcers, heart disease, alcohol use, high blood pressure, eye disease, rectal bleeding, asthma, nasal polyps, any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib). Use caution when performing tasks requiring alertness. Limit alcohol intake as it may intensify the drowsiness effect of this medication. This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Infrequently, this medication may increase the skin's sensitivity to sunlight. If this happens to you, avoid prolonged sun exposure, wear protective clothing and use a sunscreen. Avoid sunlamps. Caution is advised when this drug is used in the elderly. Tell your doctor if you are pregnant before using this drug. Use of this drug in the last 6 months of pregnancy is not recommended. This drug is excreted into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription drugs you may use, especially of: "blood thinners" such as warfarin, other arthritis medication, water pills, lithium. Do not take aspirin without consulting your doctor. Check the ingredients of any nonprescription medication you may be taking since many cough-and-cold formulas contain aspirin. Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.
NOTES: In arthritis, it may take up to two weeks before the full effects of this medicine are noted. For best results, this medication must be used regularly as directed by your doctor.
MISSED DOSE: If you miss a dose, use it as soon as remembered; do not use if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
STORAGE: Protect from heat.
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