Prescription medication · Nonsteroidal Anti-Inflammatory Drug (NSAID)

diflunisal

Also sold as Dolobid. Diflunisal can help with mild to moderate pain.

Data updated 2026-05-15

799
FDA reportsRarely reported
17
InteractionsSeveral interactions
$0.95
Generic price (NADAC)

What the data shows

diflunisal (Dolobid) is a prescription Nonsteroidal Anti-Inflammatory Drug (NSAID), among the least-reported drugs the FDA tracks (799 FDA reports), with 17 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

diflunisal (Dolobid) is a prescription Nonsteroidal Anti-Inflammatory Drug (NSAID). Diflunisal can help with mild to moderate pain.

Diflunisal is a medicine that can help with pain and swelling. It belongs to a class of drugs called NSAIDs.

Drug Pricing (NADAC)

Generic Price

$0.95/unit

Generic Available

Yes (3 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Diflunisal can help with mild to moderate pain.

Common side effects

Nausea, Vomiting, Upset stomach

Key warnings

NSAIDs like diflunisal can increase your risk of heart problems like heart attack and stroke, which can be deadly.

The sections below are summarized in plain English from diflunisal's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Diflunisal reduces pain and swelling by blocking the production of certain chemicals in your body. These chemicals cause inflammation and pain. By blocking them, diflunisal helps to relieve your symptoms.

Side Effects (from patient reports)

Based on 799 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for diflunisal, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for diflunisal each year to the FDA Adverse Event Reporting System (FAERS).

020406080 20042007201020132016201920222025 24

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where diflunisal sits

diflunisal has more FDA adverse-event reports than 5% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is diflunisal; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 799 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

799

Reports Mentioning Death

66

8.3% of reports — not proof of cause

Hospitalization Reports

236

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 470 (69%)
Male 206 (30%)

Age Distribution

0–17 4
18–44 69
45–64 186
65–74 121
75+ 87

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 66
2 FATIGUE 57
3 PAIN 50
4 DRUG HYPERSENSITIVITY 47
5 HEADACHE 45
7 ARTHRALGIA 43
8 DIARRHOEA 43
9 FALL 34
10 DIZZINESS 32
11 MALAISE 31
12 PLATELET COUNT DECREASED 31
13 VOMITING 28
14 ANXIETY 26
15 CHRONIC KIDNEY DISEASE 26
16 INJECTION SITE PAIN 26

Reactions in Death Reports

COMPLETED SUICIDE 25
DEATH 13
CARDIAC ARREST 10
CARDIO-RESPIRATORY ARREST 7
RESPIRATORY ARREST 7
TOXICITY TO VARIOUS AGENTS 5
CARDIAC FAILURE 4
EYE DISORDER 4
PNEUMONIA 4
RASH 4

Reactions in Hospitalization Reports

FALL 21
NAUSEA 20
PNEUMONIA 19
DIARRHOEA 18
PAIN 18
VOMITING 16
CHEST PAIN 15
FATIGUE 14
MALAISE 14
HEADACHE 13

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

NSAIDs like diflunisal can increase your risk of heart problems like heart attack and stroke, which can be deadly. This risk is higher if you take it for a long time. You should not take diflunisal if you are having heart bypass surgery. NSAIDs also raise your risk of serious stomach problems like bleeding and ulcers, which can also be deadly. Older adults are at higher risk for these stomach problems.

Known Drug Interactions

Methotrexate NSAIDs have been reported to competitively inhibit methotrexate accumulation in rabbit kidney slices. This may indicate that they could enhance the toxicity of methotrexate. Caution should be used when NSAIDs are administered concomitantly with methotrexate.

Mechanism: Diflunisal can prevent your kidneys from clearing methotrexate out of your system, which can lead to toxic levels of the drug in your blood. This makes the side effects of methotrexate much more dangerous.

Cyclosporine Administration of non-steroidal anti-inflammatory drugs concomitantly with cyclosporine has been associated with an increase in cyclosporine-induced toxicity, possibly due to decreased synthesis of renal prostacyclin. NSAIDs should be used with caution in patients taking cyclosporine, and renal function should be carefully monitored.

Mechanism: Diflunisal may reduce protective substances in the kidneys, which can increase the risk of harmful side effects from cyclosporine. This happens because the kidneys cannot process the drugs as safely.

moderate celecoxib

NSAIDs and Salicylates Clinical Impact: Concomitant use of Celecoxib with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy [ see Warnings and Precautions (5.2) ] .

Mechanism: Both drugs are similar types of pain relievers that can harm the stomach lining. Taking them together increases the risk of stomach problems without helping your pain any more than one drug alone.

NSAIDs and Salicylates Clinical Impact: Concomitant use of indomethacin with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy [ see Warnings and Precautions ( 5.2 ) ] . Combined use with diflunisal may be particularly hazardous because diflunisal causes significantly higher plasma levels of indomethacin [ see Clinical Pharmacology ( 12.3 ) ]. In some patients, combined use of indomethacin and diflunisal has been associated with fatal gastrointestinal hemorrhage.

Mechanism: Diflunisal causes the body to have much higher levels of indomethacin in the blood. This increases the risk of serious stomach bleeding without making the medicine work any better.

NSAIDs and Salicylates Clinical Impact: Concomitant use of mefenamic acid with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy (see Warnings ; Gastrointestinal Bleeding, Ulceration and Perforation ).

Mechanism: Taking these two drugs together increases the risk of stomach bleeding and ulcers without providing extra relief. Both drugs are similar and can irritate the lining of your digestive system.

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This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I take diflunisal with other pain relievers?
Talk to your doctor before taking diflunisal with other pain relievers, especially acetaminophen or aspirin.
Can I drink alcohol while taking diflunisal?
It is best to avoid alcohol while taking diflunisal, as it can increase the risk of stomach problems.
How long does it take for diflunisal to work?
Diflunisal usually starts to work within an hour to relieve pain.
Can diflunisal affect my blood pressure?
Yes, diflunisal can raise your blood pressure. Your doctor may want to monitor your blood pressure while you are taking it.
Can diflunisal cause kidney problems?
Yes, diflunisal can sometimes cause kidney problems, especially if you already have kidney disease.
Can I take diflunisal if I am allergic to aspirin?
You should not take diflunisal if you are allergic to aspirin or other NSAIDs.
Does diflunisal interact with any other medications?
Yes, diflunisal can interact with several medications, including blood pressure medicines, diuretics, and cyclosporine. Tell your doctor about all the medicines you take.
Can diflunisal cause skin reactions?
Yes, diflunisal can cause skin reactions, including rash and itching. Rarely, it can cause severe skin reactions.
What should I do if I experience side effects from diflunisal?
If you experience any side effects, talk to your doctor. They may be able to adjust your dose or recommend other treatments.
Can I drive or operate machinery while taking diflunisal?
Diflunisal can cause dizziness or drowsiness, so be careful when driving or operating machinery.
What are the common side effects of diflunisal?
The registry lists Nausea, Vomiting, Upset stomach, Stomach pain, Diarrhea among the most-reported FAERS reaction terms for diflunisal. The compiled record contains 799 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does diflunisal interact with other medications?
The registry has 17 documented interaction rows for diflunisal. Notable source-record pairings include methotrexate, cyclosporine, celecoxib. These rows are not a complete medication review.
What drug class is diflunisal?
diflunisal belongs to the Nonsteroidal Anti-Inflammatory Drug (NSAID) drug class. It requires a prescription (Rx). Diflunisal can help with mild to moderate pain.
What pregnancy or breastfeeding source fields are listed for diflunisal?
The FDA label for diflunisal contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near diflunisal - same-class peers and common alternatives.

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Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for diflunisal: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

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What the FDA Data Shows for diflunisal

The FDA label for diflunisal (sold under brand names such as Dolobid) classifies it as a prescription-only medication in the Nonsteroidal Anti-Inflammatory Drug (NSAID) class. Diflunisal can help with mild to moderate pain. Official labeling lists 14 commonly reported side effects, including Nausea, Vomiting, Upset stomach.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 799 voluntary reports. The database also lists 17 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 $0.95.

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, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

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. This registry does not provide medication decisions.

Last updated: October 10, 2024

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page