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It's important to be aware of the safety information and warnings associated with the use of diclofenac, particularly in its patch form. Below are key points to consider for ensuring safe usage:

• Cardiovascular Risks: Diclofenac may increase the chance of a heart attack or stroke, especially with extended use. This risk is heightened in individuals with heart disease, those who smoke, or have conditions like high blood pressure or diabetes. It is crucial not to use this medication right before or after heart bypass surgery (CABG). Consult with your healthcare provider for alternatives if surgery is planned.

• Gastrointestinal Bleeding: There is a risk of developing serious bleeding in the stomach or intestines, which can occur without warning. Older adults and individuals with a history of ulcers or stomach bleeding are at higher risk. Symptoms such as persistent stomach pain, black or tarry stools, or vomit resembling coffee grounds require immediate medical attention.

• Blood Pressure and Heart Failure: Diclofenac can elevate blood pressure and exacerbate heart failure symptoms, contributing to increased fluid retention and potentially leading to heart attacks or hospitalization. Regular monitoring of blood pressure and heart health is advised for those with a history of these conditions.

• Kidney and Liver Function: This medication can impact kidney and liver health, potentially leading to serious complications. Those with existing kidney or liver conditions should exercise caution. Symptoms like reduced urine output, nausea, fatigue, or yellowing of the skin or eyes should be reported to a healthcare provider promptly.

• Allergic Reactions: Individuals with a history of severe allergic reactions to aspirin or other NSAIDs should avoid diclofenac. Signs of an allergic reaction, such as hives, breathing difficulties, or facial swelling, require immediate medical intervention.

• Skin Reactions: Rarely, diclofenac can cause severe skin reactions, including rashes or blistering. If such symptoms occur, discontinue use and seek medical advice.

• Pregnancy Considerations: Diclofenac is not recommended during pregnancy, particularly after the 20th week, due to potential harm to the unborn baby. Discuss safer alternatives with your provider if you are pregnant or planning to become pregnant.

• Anemia Risk: This medication may increase the risk of anemia due to bleeding. Regular blood tests might be necessary to monitor red blood cell levels, especially if you're using other blood thinners.

• Handling and Storage: Store diclofenac patches securely to prevent accidental exposure to children or pets, which can be life-threatening. Avoid contact with eyes, and rinse immediately if exposure occurs.

• Drug Interactions: Avoid using diclofenac in conjunction with other oral NSAIDs unless directed by a healthcare provider, as this increases the risk of bleeding and kidney issues.

Always consult your healthcare provider to discuss any concerns or if you experience any adverse effects while using diclofenac. These precautions and steps are crucial for your safety and well-being.

When using this medication, you might experience some common side effects, which are generally mild and temporary. These include reactions at the application site such as itching, burning, irritation, redness, or dry skin. Some individuals have also reported digestive issues like nausea, upset stomach, indigestion, changes in taste, vomiting, diarrhea, constipation, or dry mouth. If these effects persist or worsen, it's advisable to consult with your healthcare provider for guidance.

There are other side effects that may occur, including headaches, sleepiness, dizziness, a tingling sensation, or numbness. While these are not as common, you should still seek advice from your healthcare provider if they become bothersome.

On a more serious note, though rare, this medication can lead to severe side effects that require immediate medical attention. Liver problems may manifest as persistent nausea, fatigue, diarrhea, or yellowing of the skin or eyes. Kidney issues could present as an irregular heartbeat, shortness of breath, reduced urine output, confusion, or weakness. Symptoms of heart attack, heart failure, or stroke, such as chest pain, swelling, slurred speech, and loss of balance, also warrant urgent medical care. Additionally, be alert for signs of digestive tract bleeding or severe allergic reactions, which include hives, swelling of the face, tongue, or throat, and difficulty breathing. Serious skin reactions, featuring flu-like symptoms, painful rashes, blisters, or skin peeling, demand prompt attention as well.

These potential side effects highlight the importance of monitoring your health while using this medication. Always seek medical advice if you experience any unexpected or concerning symptoms.