diclofenac
Brand names: Voltaren, Cataflam
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.
Drug Pricing (NADAC)
Generic Price
$1.44/unit
Generic Available
Yes (55 manufacturers)
Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →
What it does
This medicine temporarily relieves arthritis pain.
Common side effects
Pain, Headache
Key warnings
There are no boxed warnings in the provided data.
How It Works
Diclofenac is an NSAID. It reduces pain and swelling by blocking substances in the body that cause inflammation.
How to Take It
Use this medicine up to 21 days, unless your doctor tells you otherwise. Do not use it for strains, sprains, bruises, or sports injuries. Apply the gel 4 times a day, every day. Use the dosing card to measure the correct amount. For upper body areas (hand, wrist, elbow) use 2.25 inches (2 grams). For lower body areas (foot, ankle, knee) use 4.5 inches (4 grams). Apply to clean, dry skin without cuts, wounds, infections, or rashes. Do not use with heat or bandages.
Pregnancy & Breastfeeding
There is no information about pregnancy or breastfeeding in the provided data.
Missed Dose
Apply the gel as soon as you remember. Do not apply extra gel to make up for the missed dose.
Storage
Store at room temperature (68-77°F). Do not freeze.
Side Effects (from patient reports)
Based on 96,761 FDA adverse event reports.
FDA Adverse Event Report Analysis
Detailed analysis of 82,165 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2001–2025.
Total Reports
82,165
Death-Related Reports
10,052
Hospitalization Reports
30,047
Top Indication
Product Used For Unknown Indication
Gender Distribution
Age Distribution
Most Reported Adverse Reactions (FAERS)
| # | Reaction | Reports |
|---|---|---|
| 1 | DRUG INEFFECTIVE | 13,688 |
| 2 | PAIN | 12,281 |
| 3 | FATIGUE | 11,317 |
| 4 | RHEUMATOID ARTHRITIS | 9,241 |
| 5 | RASH | 8,747 |
| 6 | ARTHRALGIA | 8,640 |
| 7 | OFF LABEL USE | 8,614 |
| 8 | ABDOMINAL DISCOMFORT | 8,483 |
| 9 | ALOPECIA | 8,041 |
| 10 | SYSTEMIC LUPUS ERYTHEMATOSUS | 7,710 |
| 11 | JOINT SWELLING | 7,709 |
| 12 | PEMPHIGUS | 7,542 |
| 13 | GLOSSODYNIA | 7,315 |
| 14 | SWELLING | 7,266 |
| 15 | ARTHROPATHY | 7,065 |
Reactions in Death Reports
Reactions in Hospitalization Reports
Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation
Serious Warnings
There are no boxed warnings in the provided data.
Known Drug Interactions
7 DRUG INTERACTIONS See Table 1 for clinically significant drug interactions with diclofenac and misoprostol. Table 1: Clinically Significant Drug Interactions with Diclofenac and Misoprostol Drugs That Interfere with Hemostasis Clinical Impact: Diclofenac and anticoagulants such as warfarin have a synergistic effect on bleeding. The concomitant use of diclofenac and anticoagulants have an increased risk of serious bleeding compared to the use of either drug alone.
Mechanism: Diclofenac can increase the risk of serious bleeding in the stomach. Misoprostol is used with it to help protect the lining of the stomach and reduce this risk.
What to do: Take this combination exactly as your doctor tells you to help prevent stomach ulcers and bleeding.
Table 3: Drugs that Can Increase the Risk of Bleeding Drug Class Specific Drugs Anticoagulants argatroban, dabigatran, bivalirudin, desirudin, heparin, lepirudin Antiplatelet Agents aspirin, cilostazol, clopidogrel, dipyridamole, prasugrel, ticlopidine Non-steroidal Anti-Inflammatory Agents celecoxib, diclofenac, diflunisal, fenoprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, mefenamic acid, naproxen, oxaprozin, piroxicam, sulindac Serotonin Reuptake Inhibitors citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, fluvoxamine, milnacipran, paroxetine, sertraline, venlafa...
Mechanism: Diclofenac is an anti-inflammatory medicine that can increase the risk of bleeding when used with warfarin. This combination makes it harder for your blood to clot properly.
What to do: Avoid using these medications together unless your doctor specifically tells you to. If you must take both, watch closely for any signs of bleeding or bruising.
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.
Mechanism: Taking two different NSAID pain relievers at the same time increases the chance of serious side effects like stomach ulcers or kidney issues.
What to do: You should generally avoid using these two medications at the same time.
Conivaptan 33% 43% Diltiazem 20% NA Indomethacin 40% NA Mirabegron 29% 27% Nefazodone 27% 15% Nifedipine 45% NA Propantheline 24% 24% Quinine NA 33% Rabeprazole 29% 19% Saquinavir 27% 49% Spironolactone 25% NA Telmisartan 20 to 49% NA Tricagrelor 31% 28% Tolvaptan 30% 20% Trimethoprim 22 to 28% NA Digoxin concentrations increased, but magnitude is unclear Alprazolam, azithromycin, cyclosporine, diclofenac, diphenoxylate, epoprostenol, esomeprazole, ibuprofen, ketoconazole, lansoprazole, metformin, omeprazole Measure serum digoxin concentrations before initiating concomitant drugs.
Mechanism: Diclofenac may cause the amount of digoxin in your body to increase. It is not clear exactly how much the levels will change when these drugs are used together.
What to do: Your doctor should measure your digoxin blood levels before you start taking diclofenac.
Although not specifically studied, fluconazole has the potential to increase the systemic exposure of other non-steroidal anti-inflammatory drugs (NSAIDs) that are metabolized by CYP2C9 (e.g., naproxen, lornoxicam, meloxicam, diclofenac).
Mechanism: Fluconazole blocks the liver protein that normally clears diclofenac, causing the pain medicine to build up in your system.
What to do: Your doctor may need to lower your dose of diclofenac to prevent side effects.
Common Questions
How long should I use this medicine?
Can I use it for a sports injury?
How often should I apply the gel?
How much gel should I use?
Where should I apply the gel?
Can I use a heating pad with this gel?
Can I cover the treated area with a bandage?
What should I do if it doesn't work after 7 days?
How should I store the dosing card?
Can I use this on more than two areas at once?
What are the common side effects of diclofenac?
Does diclofenac interact with other medications?
What drug class is diclofenac?
Is diclofenac safe during pregnancy?
Has diclofenac been recalled?
Active Recalls
Failed PH Specifications
Cipla USA, Inc.
Related Medications in Nonsteroidal Anti-Inflammatory Drug (NSAID)
Other drugs grouped near diclofenac — same-class peers and common alternatives.
abatacept
Orencia
Orencia is a medicine that helps to reduce inflammation.
Compare with diclofenac →
acetaminophen
Tylenol
Acetaminophen (Tylenol) is a medicine that can relieve pain and reduce fever.
Compare with diclofenac →
acetaminophen/hydrocodone
Vicodin, Norco
This medicine contains acetaminophen and hydrocodone.
Compare with diclofenac →
acetaminophen/oxycodone
Percocet
Percocet is a strong pain medicine.
Compare with diclofenac →
adalimumab
Humira
Idacio is a medicine that blocks a protein called TNF.
Compare with diclofenac →
Medication Guides
Understanding Drug Interactions
How CYP450 enzymes, inhibitors, and inducers affect your medications
Generic vs Brand Name Drugs
FDA requirements, cost savings, and when the difference matters
Pain Relievers Compared
NSAIDs vs acetaminophen — which OTC pain reliever to use
Narrow Therapeutic Index Drugs
Why some drugs demand precise dosing and monitoring
Common Drug Interactions
Dangerous medication combinations and how to protect yourself
Related Health & Safety Data
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What the FDA Data Shows for diclofenac
The FDA label for diclofenac (sold under brand names such as Voltaren, Cataflam) classifies it as an over-the-counter product in the Nonsteroidal Anti-Inflammatory Drug (NSAID) class. This medicine temporarily relieves arthritis pain. Official labeling lists 2 commonly reported side effects, including Pain, Headache.
Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 96,761 voluntary reports. The database also lists 11 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $1.44.
Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.
Data Sources
Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).
FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.
Last updated: July 29, 2024
Read our methodology — how this data is sourced, computed, and verified.
All federal data sources used on this page
- FDA Orange Book — approved drug products with therapeutic equivalence. accessdata.fda.gov/cder/ob
- FDA DailyMed — NIH-hosted drug labeling for FDA-approved meds. dailymed.nlm.nih.gov
- FDA Adverse Event Reporting System (FAERS) — post-marketing safety surveillance. fda.gov/drugs/faers
- NLM RxNorm — standardized clinical drug nomenclature. nlm.nih.gov/research/umls/rxnorm
- CMS Medicare Part B Drug Average Sales Price Files — federal drug pricing data. cms.gov/medicare/part-b-drugs/asp
- FDA Drug Shortages Database — current and resolved drug shortage tracking. accessdata.fda.gov/drugshortages