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Voltaren, Cataflam

( diclofenac )

 

25 mg yellow, triangular, film-coated tablet

50 mg light brown, triangular, film-coated tablet

75 mg white, triangular, film-coated tablet

 

Purpose

To reduce inflammation; to reduce pain.

 

Indications

For anti-inflammatory action and pain relief.

 

Dosage

Usually given as one tablet ( 25 mg, 50 mg, or 75 mg, depending ) two or three times a day. The maximum recommended dosage is 200 mg per day.

 

Side effects

the most frequent side effects are gastrointestinal, as with other drugs of this group; irritation of the stomach lining can cause nausea, heartburn, and indigestion. Occasionally, individuals may note fluid retention. Allergic reactions such as rash or asthma are very rare. Hospitalization for gastrointestinal bleeding probably occurs in about 1% of those taking full doses for one year.

 

Special hints

Voltaren, one of the more recently released nonsteroidal medications in the United States, has had extensive international experience. In fact, it is the most frequently used nonsteroidal medication worldwide. The USFDA was slow in review, in part because of fear of more frequent liver problems. This does not appear to be the case, but periodic blood tests for liver toxicity are recommended by some.

 

Voltaren comes with an enteric coating designed to improve stomach tolerance; this is probably not effective. For irritation of the stomach, decrease the dose or spread the tablets out throughout the day. Absorption will be slightly decreased if you take the drug after meals or after antacids, but greater comfort may result.

 

Voltaren is useful in rheumatoid arthritis, degenerative arthritis, and treatment of local conditions. Certain individuals will prefer Voltaren over other drugs of this group, Cataflam is a derivative drug recently released; its uses are in short-term pain relief and not arthritis treatment.

         
         

     

         

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