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diclofenac Side Effects

Also known as: Voltaren, Cataflam

Analysis of 82,165 adverse event reports submitted to the FDA from 2001 to 2025.

Total Reports

82,165

Death-Related

10,052

12.2% of reports

Hospitalizations

30,047

36.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
13,688
PAIN
12,281
FATIGUE
11,317
RHEUMATOID ARTHRITIS
9,241
RASH
8,747
ARTHRALGIA
8,640
OFF LABEL USE
8,614
ABDOMINAL DISCOMFORT
8,483
ALOPECIA
8,041
SYSTEMIC LUPUS ERYTHEMATOSUS
7,710
JOINT SWELLING
7,709
PEMPHIGUS
7,542
GLOSSODYNIA
7,315
SWELLING
7,266
ARTHROPATHY
7,065
HYPERSENSITIVITY
6,877
HAND DEFORMITY
6,775
NAUSEA
6,715
DRUG INTOLERANCE
6,612
HEADACHE
6,585

Who Reports Side Effects

Gender Distribution

Female 49,189 (68%)
Male 23,059 (32%)
Unknown 186

Age Distribution

0-17 1,369 (3%)
18-44 14,899 (28%)
45-64 19,381 (37%)
65-74 9,509 (18%)
75+ 7,768 (15%)

Reporting Trend by Year

2001 2025

Reactions in Death Reports

Top reactions reported in 10,052 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
OFF LABEL USE 2,418
GENERAL PHYSICAL HEALTH DETERIORATION 2,274
RHEUMATOID ARTHRITIS 2,257
SYSTEMIC LUPUS ERYTHEMATOSUS 2,257
FATIGUE 2,248
GLOSSODYNIA 2,230
RASH 2,226
HYPERTENSION 2,224
JOINT SWELLING 2,208
INFUSION RELATED REACTION 2,194
TYPE 2 DIABETES MELLITUS 2,188
HEPATIC ENZYME INCREASED 2,186
HAND DEFORMITY 2,175
HYPOAESTHESIA 2,170
PSORIATIC ARTHROPATHY 2,128
PAIN 2,121
WOUND 2,104
PEMPHIGUS 2,100
DUODENAL ULCER PERFORATION 2,099
FIBROMYALGIA 2,098

Reactions in Hospitalization Reports

Top reactions in 30,047 reports where hospitalization was an outcome.

Reaction Reports
FATIGUE 4,087
PAIN 3,989
VOMITING 3,727
ARTHRALGIA 3,709
OFF LABEL USE 3,619
DRUG INEFFECTIVE 3,361
NAUSEA 3,349
DYSPNOEA 3,338
ABDOMINAL DISCOMFORT 3,311
RASH 3,263
RHEUMATOID ARTHRITIS 3,234
GENERAL PHYSICAL HEALTH DETERIORATION 3,127
JOINT SWELLING 3,101
DIARRHOEA 3,080
CONDITION AGGRAVATED 3,073
HEADACHE 3,039
PYREXIA 3,039
SWELLING 3,037
SYSTEMIC LUPUS ERYTHEMATOSUS 3,026
ARTHROPATHY 2,950

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What the FAERS Data Reveals About diclofenac Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 82,165 voluntary reports linked to diclofenac and its brand equivalents (Voltaren, Cataflam), spanning 2001 through 2025. Of those, 10,052 (12.2%) listed death as an outcome and 30,047 (36.6%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 68% were female and 32% male; age distribution skews toward 45-64, with 19,381 reports in that bracket. The single most reported reaction is drug ineffective with 13,688 submissions, followed by pain and fatigue.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.