WARNING

Cataflam, which contains generic diclofenac, is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation. While generally effective, it carries several risks:

• Gastrointestinal Issues: NSAIDs like Cataflam can cause stomach irritation, ulcers, and bleeding, particularly with long-term use or higher doses.
• Cardiovascular Risks: Prolonged use of diclofenac may increase the risk of heart attack or stroke, especially in those with existing cardiovascular conditions.
• Kidney Damage: NSAIDs can impair kidney function, leading to fluid retention, high blood pressure, and potentially kidney failure, especially in individuals with pre-existing kidney disease.
• Liver Problems: Rarely, diclofenac can cause liver damage, indicated by symptoms such as jaundice (yellowing of skin or eyes), dark urine, or persistent nausea.
• Allergic Reactions: Some individuals may experience allergic reactions to diclofenac, ranging from mild rash to severe anaphylaxis.
• Interaction with Other Medications: Cataflam can interact with other medications, including blood thinners and certain antidepressants, potentially leading to serious side effects.
• Central Nervous System Effects: Diclofenac may cause headaches, dizziness, or drowsiness in some people, affecting their ability to drive or operate machinery safely.

It’s crucial to use Cataflam under medical supervision, at the lowest effective dose for the shortest duration necessary to minimize these risks. Individuals with certain health conditions or those taking other medications should consult their healthcare provider before using Cataflam.

Why is this medication prescribed?

Cataflam, which contains the active ingredient diclofenac, is prescribed for several purposes due to its anti-inflammatory, analgesic (pain-relieving), and antipyretic (fever-reducing) properties. Here are some common reasons why Cataflam may be prescribed:

• Pain Relief: It is used to relieve pain associated with conditions such as arthritis (including rheumatoid arthritis and osteoarthritis), gout, sprains, strains, and other musculoskeletal disorders.
• Inflammatory Conditions: Cataflam helps reduce inflammation in conditions like rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and other inflammatory joint diseases.
• Fever Reduction: It can be used to reduce fever in situations where fever is a symptom of an underlying condition.
• Migraine Relief: In some cases, Cataflam may be prescribed to alleviate migraine headaches.
• Dysmenorrhea: It is sometimes used to relieve pain associated with menstrual cramps (dysmenorrhea).
• Postoperative Pain: Cataflam may be used postoperatively to manage pain following surgical procedures.

Cataflam is typically prescribed when other milder pain relievers (such as acetaminophen) are not sufficient or when there is a need for its specific anti-inflammatory effects. It’s important to use Cataflam under the guidance of a healthcare provider to monitor for potential side effects and to ensure it is appropriate for your specific condition.

How should this medicine be used?

Cataflam (diclofenac) should be used exactly as prescribed by a healthcare provider. Here are general guidelines for its use:

• Dosage: Follow the dosage instructions provided by your doctor. The dosage depends on the condition being treated, your response to the medication, and any other medical conditions you may have. Typically, the initial dose is lower and may be adjusted based on your response.
• Administration: Cataflam is usually taken by mouth with a full glass of water, preferably with food to help reduce stomach upset. Swallow the tablets whole; do not crush, chew, or break them unless your doctor advises otherwise.
• Timing: Take Cataflam at the same time(s) each day to maintain a consistent level of medication in your bloodstream.
• Duration: Use Cataflam for the shortest duration necessary to relieve your symptoms. Long-term use should be avoided unless specifically instructed by your doctor.
• Missed Dose: 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 resume your regular dosing schedule. Do not double the dose to catch up.
• Monitoring: Your doctor may periodically check your response to Cataflam and monitor for side effects. Follow-up appointments are important to ensure the medication is working effectively and safely.
• Special Instructions: If you are prescribed Cataflam for a specific condition or after surgery, follow any additional instructions provided by your doctor regarding its use.
• Avoid Alcohol: Limit alcohol consumption while taking Cataflam, as it can increase the risk of stomach bleeding.
• Interaction with Other Medications: Inform your doctor about all medications, vitamins, and herbal supplements you are taking, as Cataflam can interact with certain drugs.
• Side Effects: Be aware of potential side effects such as stomach pain, heartburn, nausea, dizziness, and rash. Contact your doctor if you experience any concerning symptoms.

It’s crucial to use Cataflam as directed to maximize its benefits while minimizing the risk of side effects and complications. Always consult your healthcare provider if you have any questions or concerns about its use.

Other uses for this medicine

Cataflam (diclofenac) has some off-label uses beyond its primary indications. These may include:

• Migraine Headaches: Cataflam can sometimes be prescribed for the relief of migraine headaches, particularly those associated with inflammation.
• Dysmenorrhea: It may be used to alleviate pain from menstrual cramps.
• Postoperative Pain: Cataflam might be used to manage pain following surgical procedures.

What special precautions should I follow?

When using Cataflam, there are several important precautions to keep in mind:

• Gastrointestinal Effects: NSAIDs like Cataflam can increase the risk of serious gastrointestinal events such as bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. This risk is higher in elderly patients, those with a history of gastrointestinal disease, or those taking other medications that can increase this risk (such as corticosteroids or anticoagulants).
• Cardiovascular Risks: Cataflam may increase the risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use and in patients with cardiovascular disease or risk factors for cardiovascular disease.
• Renal Effects: NSAIDs, including Cataflam, can cause new-onset or worsening of pre-existing hypertension (high blood pressure) and may lead to fluid retention and edema. They can also cause acute renal failure, particularly in patients with pre-existing renal impairment or dehydration.
• Liver Function: Cataflam can cause elevation of liver enzymes, and in rare cases, severe hepatic reactions such as hepatitis and jaundice.
• Hematologic Effects: Cataflam may inhibit platelet aggregation and prolong bleeding time. Use caution in patients with coagulation disorders or those taking anticoagulants.
• Allergic Reactions: Cataflam can cause hypersensitivity reactions, including anaphylactic reactions and serious skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis.
• Pregnancy and Lactation: Avoid Cataflam in late pregnancy as it may cause premature closure of the ductus arteriosus in the fetus. It is not recommended during breastfeeding due to potential adverse effects on the infant.
• Other Conditions: Use Cataflam cautiously in patients with asthma, as it may exacerbate bronchospasm, and in patients with a history of gastrointestinal bleeding or ulceration, as they may have an increased risk of recurrence.

Always follow your healthcare provider’s instructions and consult them if you have any concerns or experience adverse effects while taking Cataflam.

What special dietary instructions should I follow?

There are no specific dietary restrictions for Cataflam. However, to minimize the risk of gastrointestinal side effects, it is advisable to take Cataflam with food or milk. This can help reduce stomach upset and irritation.

What should I do if I forget a dose?

If you miss a dose of Cataflam, take it as soon as you remember unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

If you are unsure about what to do, or if you miss doses frequently, consult your healthcare provider for guidance. They can provide specific instructions based on your individual circumstances and treatment plan.

What side effects can this medication cause?

Cataflam (diclofenac) can cause a variety of side effects, ranging from mild to severe. It’s important to be aware of these potential side effects and to promptly notify your healthcare provider if you experience any of them. Common side effects of Cataflam include:

Gastrointestinal Effects: This is the most common category of side effects and can include:

• Stomach pain or discomfort
• Heartburn
• Nausea
• Vomiting
• Diarrhea
• Gas or bloating
• Constipation
• Serious gastrointestinal effects can include:
  • Gastrointestinal bleeding
  • Ulcers in the stomach or intestines
  • Perforation of the stomach or intestines (which can be life-threatening)
• Cardiovascular Effects: Cataflam may increase the risk of cardiovascular events such as:
  • Heart attack
  • Stroke
  • High blood pressure
• Renal Effects: NSAIDs like Cataflam can affect kidney function, leading to:
  • Fluid retention
  • Decreased urine output
  • Kidney failure (in severe cases)
• Liver Effects: Cataflam can sometimes cause liver-related side effects, including:
  • Elevated liver enzymes
  • Hepatitis (inflammation of the liver)
  • Jaundice (yellowing of the skin or eyes)
• Hematologic Effects: Cataflam may affect blood clotting and lead to:
  • Increased bleeding time
  • Anemia (low red blood cell count)
• Central Nervous System Effects: Some people may experience:
  • Headache
  • Dizziness
  • Drowsiness
  • Vertigo (feeling of spinning)
• Allergic Reactions: Rarely, Cataflam can cause severe allergic reactions, such as:
  • Rash or hives
  • Itching
  • Swelling of the face, throat, or tongue (which can impair breathing)
  • Severe skin reactions like Stevens-Johnson syndrome or toxic epidermal necrolysis
• Other Effects: Other potential side effects include:
  • Visual disturbances
  • Tinnitus (ringing in the ears)
  • Mental confusion

It’s important to note that these lists of side effects are not exhaustive, and individual responses to Cataflam can vary. Always discuss any concerns or unusual symptoms with your healthcare provider, especially if you have pre-existing medical conditions or are taking other medications that may interact with Cataflam.

What should I know about storage and disposal of this medication?

Storage and Disposal of Cataflam:

• Storage:
  • Store Cataflam tablets at room temperature, away from moisture and heat.
  • Keep it in its original container or packaging, tightly closed.
  • Store away from children and pets.
• Disposal:
  • Dispose of Cataflam tablets properly as per local regulations or guidelines.
  • Do not flush them down the toilet unless instructed to do so.
  • Unused or expired medication can be returned to a pharmacy or medication take-back program for safe disposal.

In case of emergency/overdose

• Emergency: In case of a severe allergic reaction (difficulty breathing, swelling of the face/throat, severe rash), call emergency services immediately. For other emergencies related to side effects or complications, seek medical help promptly.
• Overdose: Symptoms of overdose may include nausea, vomiting, stomach pain, drowsiness, headache, blurred vision, and in severe cases, kidney failure, seizures, or coma. If you suspect an overdose, contact your local poison control center or go to the nearest emergency room immediately.

What other information should I know?

• Monitoring: Regularly monitor for side effects and effectiveness of Cataflam under the guidance of your healthcare provider. Report any new or worsening symptoms promptly.
• Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as Cataflam can interact with other drugs. Avoid alcohol while taking Cataflam, as it can increase the risk of stomach bleeding.
• Special Populations: Use Cataflam cautiously in elderly patients, as they may be more susceptible to side effects such as gastrointestinal bleeding and kidney problems. Avoid Cataflam during the third trimester of pregnancy due to potential risks to the fetus.
• Medical Conditions: Inform your healthcare provider if you have a history of asthma, gastrointestinal disorders, cardiovascular disease, liver or kidney disease, or other chronic conditions.
• Follow-up: Attend follow-up appointments as scheduled to monitor your response to Cataflam and to address any concerns or adjustments to your treatment plan.
• Driving and Activities: Cataflam may cause dizziness or drowsiness in some individuals. Avoid driving or operating machinery until you know how Cataflam affects you.
• Allergic Reactions: Be aware of signs of allergic reactions and seek medical attention if you develop symptoms such as rash, itching, swelling, or difficulty breathing.

Always adhere to your healthcare provider’s instructions regarding the use of Cataflam and consult them for any questions or concerns you may have about its use, side effects, or interactions.