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What is online pharmacy?
Since about the year 2000, hundreds of pharmacies have begun operating over the internet.
Many such pharmacies are, in some ways, similar to community pharmacies; the primary difference is the method by which the medications are requested and received. Some customers consider this to be more ... more >>
What does the term "generic" mean? Do generic medications produce the same effect as the brand name medicines do?
The difference between a brand name medicine and a generic one is in the name, shape and in the price. A generic drug is usually called by the name of the active ingredient while a manufacturer uses a brand n... more >>
Why are generic medicines so cheap?
Generics are much cheaper than brand-name drugs because generic companies do not have overhead cost such as research and marketing. Most generic drugs are manufactured off-shore and sold online. Since manufacturers do not spend on advertising, research, and creating a physical store, t... more >>
Are generic drugs as reliable as brand name pills?
Generic drugs are tested under the same standards as brand-name drugs. Each generic drug is laboratory tested so that the same amount is absorbed into the body as with brand-name drugs.
The FDA (U.S Food and Drug Administration), regulates the market and protects the... more >>
Generic pills do not look like the brand name medication. The pills have a different name printed on them. Why?
As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the brand pills. However, names and appearance (shape... more >>
Are generic drugs patented?
No, but having a patent does not make it any more reliable.
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Voltaren
Generic name: Diclofenac sodium
Brand names: Cataflam, Voltaren
Why Voltaren is prescribed
Voltaren and Cataflam are nonsteroidal anti-inflammatory drugs used to relieve the inflammation, swelling, stiffness, and joint pain associated with rheumatoid arthritis, osteoarthritis (the most common form of arthritis), and ankylosing spondylitis (arthritis and stiffness of the spine). Voltaren-XR, the extended-release form of Voltaren, is used only for long-term treatment. Cataflam is also prescribed for immediate relief of pain and menstrual discomfort.
The most important facts about Voltaren
You should have frequent checkups with your doctor if you take Voltaren regularly. Ulcers or internal bleeding can occur without warning.
How you should take Voltaren
To minimize stomach upset and related side effects, your doctor may recommend taking this medicine with food, milk, or an antacid. However, this may delay onset of relief.
Take Voltaren with a full glass of water. Also, do not lie down for about 20 minutes after taking it. This will help to prevent irritation in your upper digestive tract.
Take Voltaren exactly as prescribed.
If you miss a dose
If you take this medicine on a regular schedule, take it as soon as you remember. If it is almost time for the next dose, skip the missed one and get back to your regular schedule. Do not take two doses right away.
Storage instructions
Store Voltaren at room temperature. Keep the container tightly closed and protect from moisture.
Side effects may be caused by Voltaren
A drug cannot anticipate producing side effects. If any develop or change in intensity, let your doctor know as soon as possible. Your doctor only can determine whether it is safe for you to continue taking Voltaren.
- More common possible effects include:
Abdominal bleeding, abdominal pain or cramps, abdominal swelling, anemia, blood clotting problems, constipation, diarrhea, dizziness, fluid retention, gas, headache, heartburn, indigestion, itching, nausea, peptic ulcers, rash, ringing in the ears, vomiting
This side effects list is not complete. If you have any questions about side effects you should consult your doctor. Report any new or continuing symptoms to your doctor right away.
When Voltaren should not be prescribed
If you have an allergic reaction to Voltaren or Cataflam, or if you have had asthma attacks, hives, or other allergic reactions caused by aspirin or other nonsteroidal anti-inflammatory drugs, you should not take Voltaren. Make sure your doctor is aware of any drug reactions you have experienced.
Special warnings about Voltaren
Remember that Voltaren has been known to cause peptic ulcers and bleeding. Contact your doctor immediately if you suspect a problem.
Use Voltaren cautiously if you have kidney problems, heart disease, or high blood pressure. It can cause fluid retention.
This medication can also cause liver problems. If you develop signs of liver disease such as nausea, fatigue, lethargy, itching, yellowish eyes and skin, tenderness in the upper right area of your abdomen, or flu-like symptoms, notify your doctor at once.
Rare cases of meningitis (inflammation of the membrane enclosing the brain) have been linked to Voltaren. If symptoms such as fever and coma develop, alert the doctor immediately.
In rare instances, Voltaren may also affect your vision. If you notice any problems, stop taking the drug and check with your doctor.
Food and drugs that may interact with Voltaren
If you take Voltaren or Cataflam with certain other drugs, the effects of either could be increased, decreased, or altered. It is extremely important to check with your doctor before combining Voltaren with any of the following:
Aspirin
Blood thinners such as Coumadin
Cyclosporine (Sandimmune)
Digitalis drugs such as Lanoxin
Diuretics such as Dyazide, Midamor, and Lasix
Insulin or oral antidiabetes medications such as Micronase
Lithium (Eskalith, Lithobid)
Methotrexate
Phenobarbital
Special precautions if you are pregnant or breastfeeding
Do not take Voltaren late in your pregnancy; it could harm the baby. Check with your doctor before taking the drug early in pregnancy; it should be used only if necessary. The drug does appear in breast milk and could affect a nursing infant. If Voltaren is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Voltaren is finished.
Recommended dosage of Voltaren
ADULTS
Osteoarthritis
The usual dose is 100 to 150 milligrams a day, divided into smaller doses of 50 milligrams 2 or 3 times a day (for Voltaren or Cataflam) or 75 milligrams twice a day (for Voltaren). The usual dose of Voltaren-XR (extended-release) is 100 milligrams taken once a day.
Rheumatoid Arthritis
The usual dose is 100 to 200 milligrams a day, divided into smaller doses of 50 milligrams 3 to 4 times a day (for Voltaren or Cataflam), 75 milligrams twice a day (for Voltaren), or 100 milligrams once or twice a day (for Voltaren-XR).
People with rheumatoid arthritis should not take more than 225 milligrams a day.
Ankylosing Spondylitis
The usual dose is 100 to 125 milligrams of Voltaren a day, divided into smaller doses of 25 milligrams 4 times a day, with another 25 milligrams at bedtime if necessary.
Pain and menstrual discomfort
The usual starting dose of Cataflam is 50 milligrams every 8 hours as needed, although to provide better relief on the first day doctors sometimes prescribe a starting dose of 100 milligrams followed by two 50-milligram doses. After the first day, you should not take more than 150 milligrams in a day.
CHILDREN
The safety and effectiveness of Voltaren have not been established in children.
Overdosage
Any drug taken in excess can have serious consequences. If you suspect an overdose, seek medical attention urgently.
- The symptoms of Voltaren overdose may include:
Acute kidney failure, drowsiness, loss of consciousness, lung inflammation nausea, vomiting
Consumer Information (PDR)
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Voltaren Consumer Information MedFacts, Cerner Multum, Micromedex, PDR and Professional Monographs (FDA)