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Cataflam

Brand names:Voltaren, Cataflam (Diclofenac potassium)

Generic name: Diclofenac Sodium

Why is Cataflam prescribed?

Cataflam is a non steroidal 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). Cataflam-ER, the extended-release form of Cataflam, is used only for long-term treatment. Cataflam is also prescribed for immediate relief of pain and menstrual discomfort.

Most important fact about Cataflam

You should have frequent checkups with your doctor if you take Cataflam regularly. Ulcers or internal bleeding can occur without warning.

How should you take Cataflam?

To minimize stomach upset and related side effects, your doctor may recommend taking Cataflam with food, milk, or an antacid. However, this may delay onset of relief. Take Cataflam 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 Cataflam exactly as prescribed.

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If you miss a dose of Cataflam

If you take Cataflam on a regular schedule, take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

Storage instructions for Cataflam

Store at room temperature. Keep the container tightly closed and protect from moisture.

What side effects when taking Cataflam may occur?

Side effects of Cataflam cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Cataflam.

More common side effects when taking Cataflam may include:

Abdominal pain or cramps, constipation, diarrhea, headache, indigestion, nausea.

Less common side effects when taking Cataflam may include:

Abdominal bleeding, abdominal swelling, dizziness, fluid retention, gas, itching, peptic ulcers, rash, ringing in the ears.

Rare side effects when taking Cataflam may include:

Anaphylaxis (severe allergic reaction), anemia, anxiety, appetite change, asthma, black stools, blood disorders, bloody diarrhea, blurred vision, changes in taste, colitis, congestive heart failure, convulsions, decrease in white blood cells, decreased urine production, depression, double vision, drowsiness, dry mouth and mucous membranes, hair loss, hearing loss, hepatitis, high blood pressure, hives, inability to sleep, inflammation of the colon, inflammation of mouth, inflammation of the pancreas, irritability, kidney failure, liver disease, low blood pressure, nosebleed, red or purple skin discoloration and itching, sensitivity to light, skin eruptions and inflammation, scaling or peeling, sores in the gullet, Stevens-Johnson syndrome (a severe form of skin eruption), swelling of eyelids, lips, and tongue, swelling of the throat due to fluid retention, vague feeling of illness, vision changes, vomiting, yellow eyes and skin.

Why should Cataflam not be prescribed?

If you have an allergic reaction to 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 Cataflam. Make sure your doctor is aware of any drug reactions you have experienced.

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Special warnings about Cataflam

Remember that Cataflam has been known to cause peptic ulcers and bleeding. Contact your doctor immediately if you suspect a problem.

Use Cataflam cautiously if you have kidney problems, heart disease, or high blood pressure. It can cause fluid retention.

Cataflam 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 Cataflam. If symptoms such as fever and coma develop, alert the doctor immediately.

In rare instances, Cataflam may also affect your vision. If you notice any problems, stop taking Cataflam and check with your doctor.

Possible food and drug interactions when taking Cataflam

If Cataflam is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

It is especially important to check with your doctor before combining Cataflam with 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 information if you are pregnant or breastfeeding

Do not take Cataflam late in your pregnancy; it could harm the baby. Check with your doctor before taking Cataflam early in pregnancy; it should be used only if necessary. Cataflam does appear in breast milk and could affect a nursing infant. If Cataflam is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Cataflam is finished.

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Recommended dosages for Cataflam

ADULTS

Osteoarthritis

The usual dose of Cataflam 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 Cataflam a day, divided into smaller doses of 25 milligrams 4 times a day, with another 25 milligrams at bedtime if necessary.

CHILDREN

The safety and effectiveness of Cataflam have not been established in children.

Overdosage with Cataflam

Any medication taken in excess can have serious consequences. If you suspect an overdose of Cataflam , seek medical attention immediately.

The symptoms of Cataflam overdose may include:

Acute kidney failure, drowsiness, loss of consciousness, lung inflammation, vomiting

 

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