Diclowal Supp Thận trọng

Use with caution in patients with active/progressive peptic ulcer or gastrointestinal bleeding/bleeding.
Diclofenac couldn't be alternative for corticosteroids or for the treatment of corticosteroid deficiency.
The antipyretic and anti-inflammatory pharmacological effects of diclofenac may hide the benefit of diagnostic signs of fever and inflammation in detecting complications of pain and are presumed to be noninfectious.
Patients who have symptoms and/or signs of hepatic function disorders, or patients have abnormal liver function tests should be evaluated for signs of progression of liver reactions during treatment with diclofenac. If clinical signs or symptoms consistent with liver disease develop, or if other manifestations occur (eosinophilia, rash), diclofenac should be discontinued.
Patients on long-term treatment with NSAIDs, including diclofenac, should have their hemoglobin/hemoglobin or hematocrit/solid red blood cell ratio checked if any signs or symptoms of anemia are observed.
Diclofenac should be used with caution in patients who may experience adverse effects from altered platelet function, such as those with coagulopathy or those taking anticoagulants.
Diclofenac should be used with caution in patients with pre-existing asthma.
Like other NSAIDs, diclofenac may mask the signs and symptoms of the infection due to its pharmacodynamic properties.
In patients with systemic lupus erythematosus (SLE) and mixed connective tissue disorders there may be an increased risk of aseptic meningitis.
Appropriate monitoring and counseling is required for patients with a history of hypertension and/or mild to moderate congestive heart failure due to fluid retention and edema associated with NSAIDs treatment including diclofenac.
Patients with a history of visual disturbances, dizziness, somnolence, central nervous system disturbances, drowsiness or fatigue, should not drive or operate machinery while taking NSAIDs.
Effects on Ability to Drive and Use Machines: Can get headache, the patients should be careful when driving or using machines.