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It is used to reduce swelling and to treat pain. It may be used to treat osteoarthritis, rheumatoid arthritis, mild to moderate pain, and painful monthly periods. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> <ul> <li>asthma, especially aspirin sensitive asthma </li> <li>coronary artery bypass graft (CABG) surgery within the past 2 weeks </li> <li>drink more than 3 alcohol containing drinks a day </li> <li>heart disease or circulation problems like heart failure or leg edema (fluid retention) </li> <li>high blood pressure </li> <li>kidney disease </li> <li>liver disease </li> <li>stomach bleeding or ulcers </li> <li>an unusual or allergic reaction to diclofenac, aspirin, other NSAIDs, other medicines, foods, dyes, or preservatives </li> <li>pregnant or trying to get pregnant </li> <li>breast-feeding</li> </ul> <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth with food and with a full glass of water. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Long-term, continuous use may increase the risk of heart attack or stroke.</p> <p>A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.</p> <p>Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.</p> <p>Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.</p> <p>Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.</p> <p>Note: This medicine is only for you. Do not share this medicine with others.</p> <h2>What if I miss a dose?</h2> <p>If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> <ul> <li>cidofovir </li> <li>ketorolac </li> <li>methotrexate </li> <li>pemetrexed </li> </ul> <p>This medicine may also interact with the following:</p> <ul> <li>alcohol </li> <li>aspirin and aspirin-like medicines </li> <li>diuretics </li> <li>lithium </li> <li>medicines for high blood pressure </li> <li>medicines that affect platelets </li> <li>medicines that treat or prevent blood clots like warfarin </li> <li>NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen </li> <li>steroid medicines like prednisone or cortisone</li> </ul> <p>This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. 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