Voltaren SR

The active ingredient in Voltaren SR is diclofenac sodium SR. This painkiller works by inhibiting the COX enzymes, which in turn reduces the formation of prostaglandins. These prostaglandins are markers of inflammation and can cause symptoms of fever and pain. By decreasing the synthesis of prostaglandins, the symptoms of pain will be reduced.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide, before using Voltaren SR. However, the following is a synopsis of the general guidelines for the use of Voltaren SR:

• This medication is best taken with food to avoid stomach upsets and can be taken once a day. It is best to use the lowest effective dose for pain management.
• If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and only take the next dose. Do not take double or extra doses.

The most common side effects of Voltaren SR include:

• Drowsiness
• Heartburn and gas
• Gastrointestinal/abdominal pain
• Diarrhea
• Nausea
• Constipation

Some individuals may experience serious side effects while using Voltaren SR. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

• Heart failure and high blood pressure: shortness of breath, swelling of the ankles, feet, or hands, blurred vision, sudden weight gain, unusual weakness or fatigue
• Stomach bleeding or perforation: vomiting blood, dark or bloody stools, and severe stomach pain
• Severe kidney problems: fatigue, dry and itchy skin, loss of appetite, urinating less than usual, bloody urine, and muscle cramps
• Stroke: chest pain, shortness of breath, weakness on one side of your body or face, and slurred speech
• Severe liver problems: abdominal swelling, yellowing of your skin or eyes (jaundice), and dark urine
• Severe allergic or skin reactions: skin rash, dermatitis, reddening, peeling, or blisters, trouble breathing

These are not all of the possible side effects of Voltaren SR. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Voltaren SR, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including whether you have:

• Hypersensitivity to Voltaren or other NSAID products
• Cardiovascular disease, including high blood pressure (hypertension), or a previous heart attack or stroke
• Fluid retention or edema
• Gastrointestinal disorders, including ulcers, ulcerative colitis, or Crohn’s disease
• Kidney problems
• Liver disease
• Asthma
• Bleeding problems
• Immune system disorders

Boxed Warning

• There is an increased risk of bleeding in the stomach and an increased risk of a heart attack and stroke, which could be fatal, from the use of NSAIDs such as Voltaren SR.

• If an allergic reaction occurs to Voltaren SR, this can include signs such as hives and difficulty breathing.
• Right before or after a type of open heart surgery called coronary artery bypass graft surgery (CABG).

The medication will begin working within a few hours.

When Voltaren SR is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

• Other topical or oral nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, acetylsalicylic acid, and naproxen
• Blood thinners, including warfarin
• Selective serotonin reuptake inhibitors (SSRIs)
• Diuretics
• Digoxin
• Lithium
• Methotrexate
• Cyclosporine and Tacrolimus
• Corticosteroids
• Anti-hypertensive medications, including beta-blockers and ACE inhibitors
• Phenytoin
• Quinolones

The dosage form and strength for Voltaren SR include a 75 mg and 100 mg sustained-release tablet.

Voltaren SR should be stored at room temperature and out of the reach of children.

The pharmaceutical company that manufactures Voltaren SR is Novartis Pharmaceuticals Inc.

There are lower-cost alternatives for the brand-name Voltaren.

Voltaren SR can be stopped without tapering according to the product information.

This medication can cause toxicity to the unborn baby, especially during the third trimester. Talk to your doctor if you are already pregnant or if you have any plans to become pregnant. They will know or recommend what is best for you.

Diclofenac can pass into the breastmilk. So it is best to avoid it during lactation to prevent it from causing significant harm to your baby. Talk to your doctor if you are already breastfeeding or if you have any plans to breastfeed. They will know or recommend what is best for you.