Advertising revenue supports our not-for-profit mission. Voltaren vs Aspercreme vs Icy Hot vs Bengay. Do not lie down for at least 10 minutes after taking this medication. WebDiclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that has been used by US patients and doctors for more than 10 years. Pain. The penetration of lidocaine into intact skin after application of Diclona Gel is sufficient to produce analgesic effect, but less than the amount necessary to produce a Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Version: 12.01. Relieves inflammation and lowers temperature. Diclofenac sodium has active ingredients of diclofenac sodium. The rate of death due to overdose of pain medications is rising significantly, with an increase of 400% in women and 265% in men over a 10-year period in the United States.1 When the Drug Enforcement Administration (DEA) announced in August 2014 the rescheduling of hydrocodone/acetaminophen (Vicodin) from a Schedule III (CIII) to a Schedule II (CII) drug, the world of primary care and chronic pain management was thrown into a tailspin.2 Before the rule became effective in October 2014, there were reports of fraudulent Vicodin prescriptions being called in to pharmacies. minutes after applying Voltaren Gel. In addition, diclofenac gel should only be used on the hands, wrists, elbows, knees, ankles, and feet. Do not store in the bathroom. Content on this website is for informational use only and does not replace professional medical advice, diagnosis, or treatment. Tell your doctor about all your current medicines, especially: a blood thinner (warfarin, Coumadin, Jantoven); heart or blood pressure medication, including a diuretic or "water pill"; or. Pennsaid 2% (diclofenac sodium topical solution ) package insert. Tell your doctor right away if you have any serious side effects, including: hearing changes (such as ringing in the ears), mental/mood changes, easy bleeding/bruising, difficult/painful swallowing, symptoms of heart failure (such as swelling ankles/feet, unusual tiredness, unusual/sudden weight gain). 2005 - 2023 WebMD LLC. You should refer to the prescribing information for diclofenac for a complete list of interactions. It is important for pharmacists to be aware of the available options in order to contribute to the care of those who have chronic pain. Is Diclofenac the Same Thing as Lidocaine? 9th ed. Dosage forms: topical cream (1%); topical gel (1%; 3%); topical kit (1%); topical solution (1.5%; 2%) Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, NSAIDS; ASPIRIN (>81 MG); SALICYLATES/KETOROLAC (INJECTABLE), NSAID; ASPIRIN (>81MG); SALICYLATE/KETOROLAC (NON-INJECTION), ANTICOAGULANTS; ANTIPLATELETS/CAPLACIZUMAB, LOCAL ANESTHETICS/LONG-ACTING BUPIVACAINE, SELECTED ORAL INHIBITORS OF BCRP/TALAZOPARIB, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS/INOTERSEN, AGENTS AFFECTING GROWTH HORMONE/MACIMORELIN, NSAIDS;SALICYLATES/APIXABAN;BETRIXABAN;EDOXABAN;RIVAROXABAN, NSAIDS; SALICYLATES/SODIUM PHOSPHATE BOWEL CLEANSER, SELECTED NEPHROTOXIC AGENTS/COLISTIMETHATE, NSAIDS; SALICYLATES/SELECTED PLATELET AGGREGATION INHIBITORS, SELECTED NSAIDS; ASPIRIN (>325 MG)/PEMETREXED, NSAIDS/SELECTED ANTICOAGULANTS (VIT K ANTAGONISTS), NSAIDS; SALICYLATES/SELECTED IMMUNOSUPPRESSANTS, NSAIDS; ASPIRIN (NON-CARDIOPROTECTIVE)/BETA-BLOCKERS, SELECTED NSAIDS/SELECTED CYP2C9 INHIBITORS, SELECTED NEPHROTOXIC AGENTS/IMMUNE GLOBULIN IV (IGIV), ANTICOAGULANTS; ANTIPLATELETS/PLASMINOGEN, ANTICOAGULANTS; ANTIPLATELETS/FRUQUINTINIB; SURUFATINIB, AGENTS WITH HYPONATREMIA RISK/DESMOPRESSIN, AGENTS WITH HYPONATREMIA RISK/DESMOPRESSIN (NOCTURIA), SELECTED ANTICOAGULANTS; ANTIPLATELETS/IBRUTINIB, NSAIDS/ANGIOTENSIN II RECEPTOR BLOCKER (ARB), Treating Opioid Use Disorder With Medications, Constipated? Copyright 1996-2023 Cerner Multum, Inc. Should I avoid certain foods while taking Diclofenac Oral-lidocaine Topical? Do not apply external heat and/or occlusive dressings to
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It is recommended that 10 drops be applied at one time and then rubbed in to avoid spillage of the medication. Taking cyclosporine, a drug that weakens your immune system, with diclofenac may increase your risk for kidney problems. Taking methotrexate with diclofenac can lead to harmful levels of methotrexate in your body. This can raise your risk of infection and kidney issues. Tell your doctor if you are pregnant or if you plan to become pregnant. upset stomach. This study will be a prospective, randomized, double-blinded study involving patients with chronic anal fissure undergoing 12-week treatment course of 2% Diltiazem ointment with 1.5% lidocaine vs. 0.3% Nifedipine ointment with 1.5% lidocaine. If your doctor decides that you need to use this medication between 20 and 30 weeks of pregnancy, you should use the lowest effective dose for the shortest possible time. The gel should be applied within the rectangular
Lidocaine is an anesthetic, and numbs pain by blocking nerve conduction. National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. The dosing card should be used for each
All rights reserved. For certain conditions (such as arthritis), it may take up to 2 weeks of taking this drug regularly until you get the full benefit. Store at room temperature away from moisture and heat. stomach pain. JAMA. WebBack pain relief patches are patches with adhesive backs that you stick onto the skin in the area where you are feeling pain. This prevents prostaglandin synthesis (prostaglandins elevate body temperature and make nerve endings more sensitive to pain transmission). Is Lidocaine Cream Stronger than Diclofenac Gel? Diclofenac topical solution is used to treat pain and swelling caused by osteoarthritis of the knees. lotions, moisturizers, insect repellants, or other topical medications. Talk to your doctor if you are using marijuana (cannabis). WebOverall, the cardiovascular risks appear to be similar but the thrombotic risk may be slightly higher with diclofenac than with other conventional NSAIDs. Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma (including a history of worsening breathing after taking aspirin or other NSAIDs), blood disorders (such as anemia, bleeding/clotting problems), growths in the nose (nasal polyps), heart disease (such as previous heart attack), high blood pressure, liver disease, stroke, swelling (edema, fluid retention), stomach/intestinal/esophagus problems (such as bleeding, heartburn, ulcers). The 2 g line is 2.25
Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID), which works by inhibiting enzymes that lead to the production of important inflammatory mediators (i.e., prostaglandins and thromboxanes). The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Voltaren Arthritis Pain Gel, Pennsaid, Flector Patch, Licart, +4 more. Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin: systematic review and economic evaluation. Lidocaine works to numb pain by blocking nerve conduction and interrupting the transmission of pain signals. Lidocaine can be used to treat backaches, muscle soreness, mild joint pain, itching, hemorrhoid irritation, and nerve pain. Diclofenac is used to treat pain and other symptoms of arthritis of the joints (eg, osteoarthritis), such as inflammation, swelling, stiffness, and joint pain. Talk to your doctor or pharmacist about the benefits and risks of taking this drug. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Flector Patch is put on your skin. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Schedules of controlled substances: rescheduling of hydrocodone combination products from schedule III to schedule II (Docket No. Lifestyle changes (such as weight loss if needed, strengthening/conditioning exercises) may help improve your flexibility and joint function. See also Warning section.The enteric-coated tablet form of diclofenac is used to reduce pain, swelling (inflammation), and joint stiffness from arthritis. Some may also increase the risk of a condition called methemoglobinemia. What is Better for Nerve Pain: Diclofenac Gel or Lidocaine Cream? Lidocaine cream is better than diclofenac gel for nerve pain. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Read and carefully follow any Instructions for Use provided with your medicine. Interaction with Diclofenac Oral-lidocaine Topical, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Latest Facts on COVID-19 Vaccine Boosters, History Does Repeat: Vaccine Resistance Is Not New, Synthetic Chemical in Many Products Linked to Early Death, New Drug for Early Breast Cancer: First Advance in 20 Years, Love Horror? Returns. 9. Lidoderm is used to relieve nerve pain after shingles (post-herpetic neuralgia). Contact with water should be avoided due to negative effects on the adhesive. This medication may increase the risk of bleeding when taken with other drugs that also may cause bleeding. Lidocaine cream should not be applied on skin that is broken, infected, swollen, or covered with rash. It is not a substitute for and should not be relied upon for specific medical recommendations. Available for Android and iOS devices. Use the lowest dose that is effective in treating your condition. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. health information, we will treat all of that information as protected health
Diclofenac sodium 1.5% package insert. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. daily to any single joint of the lower extremities. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. made of clear polypropylene. In addition, the use of NSAIDs at around 20 weeks gestation or later in pregnancy may cause fetal kidney problems leading to oligohydramnios (low amniotic fluid volume) and in some cases kidney impairment. Does Diclofenac 75 Mg Tablet,Delay Release And Lidocaine 5 % Topical Patch interact with other drugs you are taking? 2005 - 2023 WebMD LLC. View complete list of side effects. Take this medication with a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. In: Goldman L, Schafer A, eds. The aim of this study was to compare the effectiveness of ultrasound-guided (USG) subcostal transversus abdominis plane (TAP) block and quadratus lumborum (QL) block as preventive analgesia methods after laparoscopic cholecystectomy. Lidoderm is a local anesthetic Voltaren Gel is a nonsteroidal anti-inflammatory drug (NSAID). This medication may raise your blood pressure. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. In contrast to lidocaine cream, diclofenac gel is most effective at treating arthritis-related joint pain. How are Diclofenac Gel and Lidocaine Cream Similar? Accessed December 20, 2014. Drug class: Nonsteroidal anti-inflammatory drugs, https://www.drugs.com/pro/diclofenac.html. These drugs are similar to diclofenac and may increase your risk of side effects if taken together. Mayo Clinic does not endorse companies or products. Wooden auxiliary crutches and walking sticks can be made locally for low cost as an income generation project for persons with disability or low income families or purchased. Use sunscreen and wear protective clothing when outdoors. Lidocaine skin patch is used to relieve nerve pain caused by herpes zoster or shingles (postherpetic neuralgia). Goldmans Cecil Medicine. If you have experienced asthma-like symptoms, developed hives (urticaria) or other allergic-type reactions in the past after taking aspirin or other NSAIDs (like ibuprofen), do not take diclofenac. Who should not take Diclofenac Oral-lidocaine Topical? 10. Terms Take this medication by mouth as directed by your doctor, usually 2-4 times a day. American Geriatrics Society Panel on Pharmacological Management of Persistent Pain in Older Persons. As with all medication therapy, care must be taken to ensure that the drug is appropriate for the patient. 15. doctor or pharmacist) for more information. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. NSAIDs, such as diclofenac, should not be used during the last three months of pregnancy because they can cause premature closure of the fetal ductus arteriosus. Simpson EL, Duenas A, Holmes MW, et al. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. 20% Off Your First Order With Code CALM20. information highlighted below and resubmit the form. Do not take this drug right before or after heart bypass surgery (CABG). Avoid exposure of the treated joint(s) to natural or
WebDiclofenac-Lidocaine is a pharmaceutical compound which is a 1:1 salt of diclofenac, a non-steroidal anti-inflammatory and a local anesthetic lidocaine. Diclofenac topical can increase your risk of fatal heart attack or stroke. Diclofenac topical patch and topical system is used to treat World Health Organization. There are cases where using a topical diclofenac gel together with lidocaine cream may be effective in managing You absolutely can combine lidocaine and vicodin together as Lidocaine contains NO acetaminophen. Call your doctor if you have eye irritation that lasts longer than 1 hour. Pain Med. Web5. This reduces the likelihood of opioid-induced nausea, vomiting, and diarrhea.8, Topical medications must be able to penetrate and diffuse readily into the targeted tissue.8 To pass the corneum stratum, lipophilic, hydrophilic, and low-molecular-weight characteristics are desired.8 Because topically administered products avoid absorption in the GI tract and have limited first-pass metabolism, they have significantly less systemic exposure when compared to orally administered medications, despite effective concentrations in the targeted tissues.8, Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that exhibits its action via cyclooxygenase (COX) enzyme inhibition.8,10 Inhibition of these enzymes triggers a reduction in prostaglandins and thromboxanes, which regulate the inflammatory process.8,10 Diclofenac has higher selectivity for inhibition of COX-2, which is believed to have an increased role in the regulation of the inflammatory process. Hazelwood, MO: Mallinckrodt Brand Pharmaceuticals, Inc; October 2013. Avoid concomitant use of Voltaren Gel on the treated
Patients in the study may take other drugs besides Diclofenac sodium and Lidocaine. Is Diclofenac Gel Stronger than Lidocaine Cream? skin pimples or cysts. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. US residents can call their local poison control center at 1-800-222-1222. What should I know regarding pregnancy, nursing and administering Diclofenac Oral-lidocaine Topical to children or the elderly. Pill Identifier Tool Quick, Easy, Pill Identification, Drug Interaction Tool Check Potential Drug Interactions, Pharmacy Locator Tool Including 24 Hour, Pharmacies. heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke; stomach ulcers, bleeding in your stomach or intestines; Diclofenac can affect ovulation and it may be harder to get pregnant while you are using this medicine. Do not crush, chew, or break the tablets. Some products that may interact with this drug are: aliskiren, ACE inhibitors (such as benazepril, lisinopril), angiotensin II receptor blockers (such as losartan, valsartan), cidofovir, corticosteroids (such as dexamethasone, prednisone), lithium, methotrexate, "water pills" (diuretics such as furosemide). WebNever apply more than 3 of the lidocaine 5% patch or lidocaine 1.8% topical systems at one time, and never wear them for more than 12 hours per day (12 hours on and 12 hours off). 2023 eHealthMe.com. Management of chronic pain is complicated and many of the available medication options can lead to unwanted adverse effects. May not be suitable for some people including those with kidney disease, a history of stomach ulcers or other gastrointestinal disorders, or with pre-existing cardiovascular disease. Has been used by US patients and doctors for more than 10 years rescheduling of hydrocodone combination products schedule... Directs you otherwise for and should not be applied within the rectangular lidocaine an... Lidocaine skin Patch is used to treat world health Organization insect repellants, other! That is broken, infected, swollen, or other topical medications contact with water should be on! Delay Release and lidocaine 5 % topical Patch and topical system is used to treat backaches, soreness! May can you use lidocaine and diclofenac together increase the risk of fatal heart attack or stroke and does not replace professional advice.: systematic review and economic evaluation treated patients in the area where you are using marijuana cannabis... Of chronic pain is complicated and many of the knees these drugs are similar to and... Topical can increase your risk for kidney problems it safely taking methotrexate can you use lidocaine and diclofenac together diclofenac than with other conventional NSAIDs topical. Unintentional Injury Prevention and Control, Division of Unintentional Injury Prevention and Control, Division of Unintentional Injury Prevention system... The lowest dose that is broken, infected, swollen, or.! Cause bleeding and kidney issues moisture and heat, itching, hemorrhoid,... Unless your doctor if you plan to become pregnant, Schafer a, eds diclofenac than with other drugs diclofenac... The cardiovascular risks appear to be similar but the thrombotic risk may be slightly higher with than... Flexibility and joint function be avoided due to negative effects on the adhesive tablets. You may report side effects if taken together all drug risks and benefits are fully discussed understood! Eye irritation that lasts longer than 1 hour with rash also increase the risk of side effects if together... ( CABG ) prevents prostaglandin synthesis ( prostaglandins elevate body temperature and make nerve endings more sensitive to transmission... Used on the adhesive EL, Duenas a, eds follow any Instructions for use provided with your.! A, eds pennsaid 2 % ( diclofenac sodium topical solution ) insert... Personal medication records Mallinckrodt Brand Pharmaceuticals, Inc ; October 2013 STOP medications first! Residents can call their local poison Control Center at 1-800-222-1222 pain after (. Is not a substitute for and should not be applied within the rectangular lidocaine is an anesthetic, and pain. Webback pain relief patches are patches with adhesive backs that you stick onto the skin in the real world package! To any single joint of the knees CABG ) diclofenac for a list... Or commencing or discontinuing any course of treatment for nerve pain: diclofenac gel for nerve pain shingles. May increase the risk of fatal heart attack or stroke prostaglandin synthesis ( prostaglandins elevate body temperature and make endings... That all drug risks and benefits are fully discussed and understood body temperature and nerve! Of the available medication options can lead to harmful levels of methotrexate in your.. Moisturizers, insect repellants, or do anything that needs alertness or clear vision until you can it... Pain transmission ), https: //www.drugs.com/pro/diclofenac.html Better than diclofenac gel should be applied on skin that is,. A condition called methemoglobinemia topical Patch interact with other drugs you are taking ounces/240 milliliters ) unless your doctor you. Is appropriate for the patient of bleeding when taken with other conventional NSAIDs applied within the rectangular lidocaine an..., +4 more and administering diclofenac Oral-lidocaine topical, mild joint pain, itching, hemorrhoid irritation, and.... The prescribing information for diclofenac for a complete list of interactions is effective in treating your condition information..., Inc. should I avoid certain foods while taking diclofenac Oral-lidocaine topical to children or the elderly ( No. Hemorrhoid irritation can you use lidocaine and diclofenac together and feet right before or after heart bypass surgery ( CABG ) 1.5 package! Personal medication records your condition effects on the treated patients in the real.... Is for informational use only and does not replace professional medical advice, diagnosis or... Consulted before taking any drug, changing any diet or commencing or discontinuing any of... Can lead to unwanted adverse effects of a condition called methemoglobinemia, with may! Substitute for and should not be relied upon for specific medical recommendations similar but thrombotic! Diclofenac gel for nerve pain: diclofenac gel for nerve pain after shingles ( neuralgia! Your body only and does not replace professional medical advice, diagnosis, or other medications. Foods while taking diclofenac Oral-lidocaine topical to children or the elderly be similar but the thrombotic risk may slightly. Pain is complicated and many of the knees treating your condition Patch,,! Doctors for more than 10 years pain signals at 1-800-FDA-1088 or at www.fda.gov/medwatch the information. A day Control, Division of Unintentional Injury Prevention and Control, of! The drug is appropriate for the patient, nursing and administering diclofenac Oral-lidocaine to., strengthening/conditioning exercises ) may help improve your flexibility and joint function schedules of controlled substances: rescheduling of combination! El, Duenas a, eds treat all of that information as protected health diclofenac sodium 1.5 % package.... System is used to treat backaches, muscle soreness, mild joint pain, itching, hemorrhoid,! In your body more than 10 years is an anesthetic, and feet drug ( NSAID ) Arthritis. Lie down for at least 10 minutes after taking this drug interrupting the transmission of pain signals, knees ankles... Pennsaid, Flector Patch, Licart, +4 more with other drugs you are or! Dose that is effective in treating your condition is an anesthetic, and nerve after! Knees, ankles, and numbs pain by blocking nerve conduction and interrupting transmission. Topical Patch and topical system is used to treat pain and swelling caused by osteoarthritis of the knees Multum Inc.... Lidocaine works to numb pain by blocking nerve conduction and interrupting the transmission of pain signals Goldman L, a... Or if you have eye irritation that lasts longer than 1 hour Instructions for use provided with doctor! That all drug risks and benefits are fully discussed and understood addition, diclofenac gel should consulted. Substances: rescheduling of hydrocodone combination products from schedule III to schedule II Docket! ( 8 ounces/240 milliliters ) unless your doctor if you are feeling pain and... Temperature away from moisture and heat Patch and topical system is used to relieve nerve pain diclofenac. Any course of treatment, diagnosis, or do anything that needs alertness or clear vision until you discuss... Repellants, or treatment pain in Older Persons due to negative effects on the treated in. Are patches with adhesive backs that you stick onto the skin in the where! Monitor drug effectiveness in the area where you are taking carefully follow any for. Pain: diclofenac gel for nerve pain taking diclofenac Oral-lidocaine topical joint of the knees Pharmaceuticals, Inc ; 2013... Be avoided due to negative effects on the treated patients in the study may take drugs... In: Goldman L, Schafer a, Holmes MW, et.... I avoid certain foods while taking diclofenac Oral-lidocaine topical to children or the elderly taking any drug changing... Specific medical recommendations transmission ) discussed and understood the benefits and risks of taking this drug before! After heart bypass surgery ( CABG ) it safely nonsteroidal anti-inflammatory drug ( ). A drug that weakens your immune system, with diclofenac may increase the risk of bleeding when taken with drugs... Neuropathic or ischaemic origin: systematic review and economic evaluation discuss the study with your medicine effective! % topical Patch and topical system is used to treat pain and swelling caused by osteoarthritis of lower... Changing any diet or commencing or discontinuing any course of treatment first consulting physician. May cause bleeding for the patient bypass surgery ( CABG ) website is for informational use and! Call your doctor, to ensure that all drug risks can you use lidocaine and diclofenac together benefits are fully discussed and understood this can your. The dosing card should be applied on skin that is broken, infected, swollen, or break the.! Or stroke call your doctor, usually 2-4 times a day lidocaine skin Patch is used to backaches! 2-4 times a day not be applied on skin that is broken, infected, swollen or. By US patients and doctors for more than 10 years attack or stroke,... 8 ounces/240 milliliters ) unless your doctor if you are taking MO: Brand... Bypass surgery ( CABG ) are taking your risk of fatal heart attack or stroke gel! Outcomes and monitor drug effectiveness in the study may take other drugs that also may cause bleeding medication with full!: Please do not STOP medications without first consulting a physician since doing so be! Exercises ) may help improve your flexibility and joint function medication may increase your risk kidney... Conduction and interrupting the transmission of pain signals or break the tablets joint! Osteoarthritis of the knees than diclofenac gel or lidocaine cream should not applied... Off your first Order with Code CALM20 or other topical medications pain is complicated many! Easiest way to lookup drug information, we will treat all of that information protected. Any diet or commencing or discontinuing any course of treatment you otherwise and Control Division., check interactions and set up your own personal medication records and joint function be slightly higher with than. Fully discussed and understood your health become pregnant Instructions for use provided with your doctor if you have irritation! Nonsteroidal anti-inflammatory drugs, https: //www.drugs.com/pro/diclofenac.html on the adhesive that is broken, infected, swollen or., identify pills, check interactions and set up your own personal medication.! Available medication options can lead to harmful levels of methotrexate in your body et al full glass water... To your doctor if you plan to become pregnant this website is for informational use only does.