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diclofenac vs indomethacin

Side-by-side comparison of diclofenac and indomethacin Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

NSAIDs with short elimination half-lives (e.g., diclofenac, indomethacin) should be avoided for a period of two days before, the day of, and two days following administration of pemetrexed.

Recommendation: Do not take these two medications together unless your healthcare provider specifically tells you to.

Drug Class
diclofenac Nonsteroidal Anti-Inflammatory Drug (NSAID)
indomethacin Nonsteroidal Anti-Inflammatory Drug (NSAID)
Type
diclofenac Over-the-Counter
indomethacin Prescription
Summary
diclofenac

Diclofenac is a gel that helps with arthritis pain in your hands, wrists, elbows, feet, ankles, or knees. It belongs to a class of drugs called NSAIDs.

indomethacin

Indomethacin is a drug that reduces pain and swelling. It belongs to a class of drugs called NSAIDs.

What It Treats
diclofenac

This medicine temporarily relieves arthritis pain. It is only for pain in your hands, wrists, elbows, feet, ankles, or knees. It may take up to 7 days to start working. If you still have pain after 7 days, stop using it.

indomethacin

Indomethacin treats moderate to severe rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It can also help with acute painful shoulder (bursitis or tendinitis) and gouty arthritis. This medicine reduces pain and swelling in your joints.

How It Works
diclofenac

Diclofenac is an NSAID. It reduces pain and swelling by blocking substances in the body that cause inflammation.

indomethacin

Indomethacin works by blocking substances in the body that cause pain and inflammation. These substances are called prostaglandins. By blocking them, indomethacin helps to reduce swelling, pain, and stiffness.

Common Side Effects
diclofenac
  • Pain
  • Headache
indomethacin
  • Headache
  • Dizziness
  • Upset stomach
  • Nausea
FAERS Reports
diclofenac
  • Medicine not working 13,689
  • Pain 12,281
  • Tiredness 11,317
  • Rheumatoid arthritis 9,240
  • Rash 8,747
indomethacin
  • The medicine is not working 1,369
  • Feeling tired 1,102
  • Joint pain 1,002
  • Head pain 990
  • Using the medicine for a different purpose than approved 939
Serious Warnings
diclofenac

There are no boxed warnings in the provided data.

indomethacin

Indomethacin may increase your risk of serious heart problems like heart attack or stroke, which can be fatal. This risk may occur early in treatment and may increase with longer use. You should not take this medicine before or after heart bypass surgery (CABG). Indomethacin can also increase your risk of serious stomach and intestine problems like bleeding, ulcers, and holes, which can be fatal. These problems can happen without warning. Elderly patients and those with a history of ulcers or GI bleeding are at higher risk.

Pregnancy
diclofenac

There is no information about pregnancy or breastfeeding in the provided data.

indomethacin

Using indomethacin during the later stages of pregnancy may harm your unborn baby. Limit use between 20 and 30 weeks of pregnancy, and avoid use after 30 weeks. Talk to your doctor if you are pregnant or plan to become pregnant.

Also Compare — Nearby Drugs

How to Read This diclofenac vs indomethacin Comparison

diclofenac is classified in the Nonsteroidal Anti-Inflammatory Drug (NSAID) drug class, while indomethacin sits within the Nonsteroidal Anti-Inflammatory Drug (NSAID) class. Because both drugs share the same classification, they are often considered interchangeable in theory — but clinical outcomes rarely track that cleanly. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, diclofenac has 55,274 submissions while indomethacin has 5,402. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to these are both nsaid pain relievers that work the same way, and combining them increases the chance of stomach or kidney damage.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between diclofenac and indomethacin — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.