Voltaren may increase your risk of fatal heart attack or stroke, especially if you use it in the long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors may have a stroke or heart attack while taking this medication.
Do not use Voltaren just before or after cardiac bypass surgery (coronary bypass, or CABG).
You should not use Voltaren if you are allergic to diclofenac, or if you have ever had an asthma attack or a severe allergic reaction after taking aspirin or an NSAID.
To make sure it is safe for you, before you are going to use Voltaren (Diclofenac) tell your doctor if you have:
- Heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;
- A history of heart attack, stroke, or blood clot;
- A history of stomach ulcers or bleeding;
- Hepatic or renal disease;
- Fluid retention.
Taking Voltaren during the last 3 months of pregnancy may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether diclofenac passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using this medicine.
Voltaren is not approved for use by persons under 18 years of age.
Tell your doctor about all of your current medications and any medications you start or stop using if you are going to use Voltaren (Diclofenac), especially:
- Antifungal medicine;
- An anticoagulant (warfarin, Coumadin, Jantoven);
- Medication for heart or blood pressure, including a diuretic or “water pill”;
- Other forms of diclofenac (Flector, Pennsaid, Solaraze, Gel Voltaren);
- Other NSAIDs: aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), indomethacin, meloxicam and others; or
- Steroids (prednisone and others).
This list is not complete. Other drugs can interact with diclofenac, including prescription and over-the-counter medicines, vitamins, and herbal products.
Take Voltaren exactly as your doctor has told you. Follow your doctor’s instructions about how much medicine to take.
Follow all instructions on the recipe label. Your doctor may change your dose from time to time. Do not take Voltaren in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.
Do not crush, chew, or break a Voltaren XR extended-release tablet. Swallow the tablet whole.
If you use Voltaren over the long term, you may need frequent medical tests.