Voltaren (Diclofenac) Pain Medicine
Bonnie Brien
This pain medicine makes you drowsy. I still take it--only before I go
to bed (usually after midnight) --to sleep off the side effect.
I took it during the day.......and nearly fell asleep in church Saturday
Unless you want to drink Mountain Dew soda--that'll keep ya from falling
asleep.....lol
Bonnie
Kelly Cobb
for several years and have never the side effect you describe. Are you
taking something else that could be making you drowsy?
Kelly C.
"Bonnie Brien" <scooter...@webtv.net> wrote in message
news:2444-421...@storefull-3157.bay.webtv.net...
Gwen Love
Gwen
"Bonnie Brien" <scooter...@webtv.net> wrote in message
news:2444-421...@storefull-3157.bay.webtv.net...
>
Kelly Cobb
"Bonnie Brien" <guinea...@webtv.net> wrote in message
news:10489-421...@storefull-3158.bay.webtv.net...
> Where are YOU from?? I don't get it.........
I'm from Oregon.
>
> Inflamation IS PAIN--and it hurts!
I agree.
>
> Inflamation isn't supposed to hurt??
I don't believe I said that.
>
> Inflamation DOES HURT!
Once again, you are right.
>
> Pain and inflamation........same thing.......BOTH HURT
Yup.
>
> Voltaren helps relieve it .....it is for the pain AND inflamation
It reduces pain by reducing inflammation. That does not mean it is a pain
med. in the sense of that being its primary function.
>
> I never heard of pain or inflamation...that didn't HURT!
Bonnie, I am sorry you are in pain. I hope you find something that eases it
without making you tired. Jumping me probably won't solve that problem for
you. If you came here to learn something or to share information, then this
is the place to be. If you came here to cause more heat than light, then you
may be disappointed in your experience.
>
> Bonnie
>
Kelly C.
Bonnie Brien
Inflamation IS PAIN--and it hurts!
Inflamation isn't supposed to hurt??
Inflamation DOES HURT!
Pain and inflamation........same thing.......BOTH HURT
Voltaren helps relieve it .....it is for the pain AND inflamation
RoseB
But you can have pain without inflammation, and that is the point.
NSAIDs reduce inflammation which in turn reduces the pain, as oposed
to an analgesic like tylenol or codeine which interfere with pain
perception without affecting inflammation.
Rose @}>->--
Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
Bonnie Brien
It says right on the bottle label--that it can make you drowsy.
Bonnie Brien
The way I see it Kelly......
Re: Voltaren (Diclofenac) Pain Medicine
Where are YOU from?? I don't get it.........
I'm from Oregon
Inflamation IS PAIN--and it hurts!
I agree.
Inflammation isn't supposed to hurt??
I don't believe I said that
Inflamation DOES HURT!
Once again, you are right.
Pain and inflamation........same thing.......BOTH HURT
Yup
Voltaren helps relieve it .....it is for the pain AND inflamation
It reduces pain by reducing inflammation. That does not mean it is a
pain med. in the sense of that being its primary function.
I never heard of pain or inflamation...that didn't HURT!
Simply put.......through my eyes---and those without medical degrees
To me it is ALL the same........it just means the same thing..........no
matter how you explained it.
Pain relief...........anti inflammatory......still mean the same to
me....I'm not that stupid............nor am I child......who needs a
"slap on the wrist" from you...like I've been naughy girl:
Bonnie, I am sorry you are in pain. I hope you find something that eases
it without making you tired. Jumping me probably won't solve that
problem for you. If you came here to learn something or to share
information, then this is the place to be. If you came here to cause
more heat than light, then you may be disappointed in your experience.
Kelly C.
I am just expressing my opinion Kelly......just give me a BREAK!
Just because Voltaren doesn't make YOU sleepy,,,,,doesn't mean that the
same side effect--can't happen to someone else.
Enough already......enough said
Bonnie
Bonnie Brien
Pain and inflammation CAUSE you to hurt---that is what medication is for
Simple as that...........
Bonnie
Bonnie Brien
Mountain Dew gives me tummy ache--if i drink too much--I know it'll keep
you awake though...lol
Bruce
reason.
Bruce
--
I believe in the separation of Church and Hate
"Bonnie Brien" <guinea...@webtv.net> wrote in message
news:10489-421...@storefull-3158.bay.webtv.net...
>
spodosaurus
Bonnie, an example of a pain medication is codeine or morpheine. An
anti-inflamatory drug does not stop pain, it stops the inflamation which
can lead to damage and pain. It's an important distinction, because one
suppresses our ability to feel the damage and the other helps slow or
stop the damage.
Cheers,
Ari
--
spammage trappage: replace fishies_ with yahoo
I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/
Bruce
same. Pain is the result of the inflammation, it is causal ant therefore
different from it. Semantics? Yes, but important in this case.
Bruce
--
I believe in the separation of Church and Hate
"Bonnie Brien" <guinea...@webtv.net> wrote in message
news:10489-421...@storefull-3158.bay.webtv.net...
Bruce
Malaise can be a side effect of diclofenac. Though it seems to occur in
less than 3% of patients and often is transitory.
Bruce
--
I believe in the separation of Church and Hate
"Bonnie Brien" <scooter...@webtv.net> wrote in message
news:2444-421...@storefull-3157.bay.webtv.net...
>
Nann Bell
> anti-inflamatory drug does not stop pain, it stops the inflamation which
> can lead to damage and pain. It's an important distinction, because one
> suppresses our ability to feel the damage and the other helps slow or
> stop the damage.
well said, Ari.
Bonnie, it is indeed an important distinction. NSAIDs treat the cause of the
pain, pain killers only knock down the pain. Unfortunately, the popular
press and the phramceutical companies' advertising rarely make this
distinction so the terms have become confused in the public's minds.
However, it is an important distinction to remember when dealing with your
doctors, especially when you have a chronic condition exemplified by
inflammation and pain.
As for Voltaren making you sleepy - we know here that any med has the
potential for a variety of side effects. Some of us have had side effects
that aren't even listed in the literature. So, however sleepy the stuff
makes you, it may not have that effect on anyone else here.
--
Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare
Bonnie Brien
Ok so it causes SOME people to be sleepy etc....
Bonnie
firechief
> It says right on the bottle label--that it can make you drowsy.
That protects your doctor and pharmacy from liability in case
you fall asleep while driving or operating a chain saw.
Have you read the insert you should have received with
Voltaren? Or gone to a web site to read ALL the side
effects of it? Have you discussed your dwowsiness
with your doctor?
What struck me as funny is the list includes insomnia but
no mention of being drowsy.
Voltaren Side Effects, and Drug Interactions - Diclofenac -
Diclofenac
SIDE EFFECTS
Adverse reaction information is derived from blinded,
controlled, and open-label clinical trials, as well as
worldwide marketing experience. In the description below,
rates of more common events represent clinical study
results; rarer events are derived principally from
marketing experience and publications, and accurate rate
estimates are generally not possible.
In 718 patients treated for shorter periods, i.e., 2 weeks
or less, with Cataflam Immediate-Release Tablets, adverse
reactions were reported one-half to one-tenth as
frequently as by patients treated for longer periods. In a
6-month, double-blind trial comparing Cataflam Immediate-
Release Tablets (N=196) versus Voltaren Delayed-Release
Tablets (N=197) versus ibuprofen (N=197), adverse
reactions were similar in nature and frequency. In
controlled clinical trials, the incidence of adverse
reactions for Voltaren Delayed-Release Tablets and
Voltaren-XR Extended-Release Tablets at comparable doses
were similar.
The incidence of common adverse reactions (greater than
1%) is based upon controlled clinical trials in 1,543
patients treated up to 13 weeks with Voltaren Delayed-
Release Tablets. By far the most common adverse effects
were gastrointestinal symptoms, most of them minor,
occurring in about 20%, and leading to discontinuation in
about 3%, of patients. Peptic ulcer or G.I. bleeding
occurred in clinical trials in 0.6% (95% confidence
interval: 0.2% to 1%) of approximately 1,800 patients
during their first 3 months of diclofenac treatment and in
1.6% (95% confidence interval: 0.8% to 2.4%) of
approximately 800 patients followed for 1 year.
Gastrointestinal symptoms were followed in frequency by
central nervous system side effects such as headache (7%)
and dizziness (3%).
Meaningful (exceeding 3 times the Upper Limit of Normal)
elevations of ALT (SGPT) or AST (SGOT) occurred at an
overall rate of approximately 2% during the first 2 months
of Voltaren treatment. Unlike aspirin-related elevations,
which occur more frequently in patients with rheumatoid
arthritis, these elevations were more frequently observed
in patients with osteoarthritis (2.6%) than in patients
with rheumatoid arthritis (0.7%).
Marked elevations (exceeding 8 times the ULN) were seen in
1% of patients treated for 2-6 months (see WARNINGS,
Hepatic Effects).
The following adverse reactions were reported in patients
treated with diclofenac:
Incidence Greater Than 1% Causal Relationship Probable
(All derived from clinical trials.) *Incidence, 3% to 9%
(incidence of unmarked reactions is l%-3%).
Body as a Whole: Abdominal pain or cramps,* headache,*
fluid retention, abdominal distention.
Digestive: Diarrhea,* indigestion,* nausea,*
constipation,* flatulence, liver test abnormalities,* P.B.
i.e., peptic ulcer, with or without bleeding and/or
perforation, or bleeding without ulcer (see above and also
WARNINGS).
Nervous System: Dizziness.
Skin and Appendages: Rash, pruritus.
Special Senses: Tinnitus.
Incidence Less Than 1% - Causal Relationship Probable
(Adverse reactions reported only in worldwide marketing
experience or in the literature, not seen in clinical
trials, are considered rare and are italicized.)
Body as a Whole: Malaise, swelling of lips and tongue,
photosensitivity, anaphylaxis, anaphylactoid reactions.
Cardiovascular: Hypertension, congestive heart failure.
Digestive: Vomiting, jaundice, melena, esophageal lesions,
aphthous stomatitis, dry mouth and mucous membranes,
bloody diarrhea, hepatitis, hepatic necrosis, cirrhosis,
hepatorenal syndrome, appetite change, pancreatitis with
or without concomitant hepatitis, colitis.
Hemic and Lymphatic: Hemoglobin decrease, leukopenia,
thrombocytopenia, eosinophilia, hemolytic anemia, aplastic
anemia, agranulocytosis, purpura, allergic purpura.
Metabolic and Nutritional Disorders: Azotemia.
Nervous System: Insomnia, drowsiness, depression,
diplopia, anxiety, irritability, aseptic meningitis,
convulsions.
Respiratory: Epistaxis, asthma, laryngeal edema.
Skin and Appendages: Alopecia, urticaria, eczema,
dermatitis, bullous eruption, erythema multiforme major,
angioedema, Stevens-Johnson syndrome.
Special Senses: Blurred vision, taste disorder, reversible
and irreversible hearing loss, scotoma.
Urogenital: Nephrotic syndrome, proteinuria, oliguria,
interstitial nephritis, papillary necrosis, acute renal
failure.
Incidence Less Than 1% - Causal Relationship Unknown
(The following reactions have been reported in patients
taking diclofenac under circumstances that do not permit a
clear attribution of the reaction to diclofenac. These
reactions are being included as alerting information to
physicians. Adverse reactions reported only in worldwide
marketing experience or in the literature, not seen in
clinical trials, are considered rare and are italicized.)
Body as a Whole: Chest pain.
Cadiovascular: Palpitations, flushing, tachycardia,
premature ventricular contractions, myocardial infarction,
hypotension.
Digestive: Intestinal perforation.
Hemic and Lymphatic: Bruising.
Metabolic and Nutritional Disorders: Hypoglycemia,
weight loss.
Nervous System: Paresthesia, memory disturbance,
nightmares, tremor, tic, abnormal coordination,
disorientation, psychotic reaction.
Respiratory: Dyspnea, hyperventilation, edema of pharynx.
Skin and Appendages: Excess perspiration, exfoliative
dermatitis.
Special Senses: Vitreous floaters, night blindness,
amblyopia.
Urogenital: Urinary frequency, nocturia, hematuria,
impotence, vaginal bleeding.
DRUG INTERACTIONS
Aspirin: Concomitant administration of diclofenac and
aspirin is not recommended because diclofenac is displaced
from its binding sites during the concomitant
administration of aspirin, resulting in lower plasma
concentrations, peak plasma levels, and AUC values.
Anticoagulants: While studies have not shown diclofenac to
interact with anticoagulants of the warfarin type, caution
should be exercised, nonetheless, since interactions have
been seen with other NSAIDs. Because prostaglandins play
an important role in hemostasis, and NSAIDs affect
platelet function as well, concurrent therapy with all
NSAIDs, including diclofenac, and warfarin requires close
monitoring of patients to be certain that no change in
their anticoagulant dosage is required.
Digoxin, Methotrexate, Cyclosporine: Diclofenac, like
other NSAIDs, may affect renal prostaglandins and increase
the toxicity of certain drugs.
Ingestion of diclofenac may increase serum concentrations
of digoxin and methotrexate and increase cyclosporine’s
nephrotoxicity. Patients who begin taking diclofenac or
who increase their diclofenac dose or any other NSAID
while taking digoxin, methotrexate, or cyclosporine may
develop toxicity characteristics for these drugs. They
should be observed closely, particularly if renal function
is impaired. In the case of digoxin, serum levels should
be monitored.
Lithium: Diclofenac decreases lithium renal clearance and
increases lithium plasma levels. In patients taking
diclofenac and lithium concomitantly, lithium toxicity may
develop.
Oral Hypoglycemics: Diclofenac does not alter glucose
metabolism in normal subjects nor does it alter the
effects of oral hypoglycemic agents. There are rare
reports, however, from marketing experiences, of changes
in effects of insulin or oral hypoglycemic agents in the
presence of diclofenac that necessitated changes in the
doses of such agents. Both hypo- and hyperglycemic effects
have been reported. A direct causal relationship has not
been established, but physicians should consider the
possibility that diclofenac may alter a diabetic patient's
response to insulin or oral hypoglycemic agents.
Diuretics: Diclofenac and other NSAIDs can inhibit the
activity of diuretics. Concomitant treatment with
potassium-sparing diuretics may be associated with
increased serum potassium levels.
Other Drugs: In small groups of patients (7-10/interaction
study), the concomitant administration of azathioprine,
gold, chloroquine, D-penicillamine, prednisolone,
doxycycline, or digitoxin did not significantly affect
the peak levels and AUC values of diclofenac.
Phenobarbital toxicity has been reported to have occurred
in a patient on chronic phenobarbital treatment following
the initiation of diclofenac therapy.
Protein Binding
In vitro, diclofenac interferes minimally or not at all
with the protein binding of salicylic acid (20% decrease
in binding), tolbutamide, prednisolone (10% decrease in
binding), or warfarin. Benzylpenicillin, ampicillin,
oxacillin, chlortetracycline, doxycycline, cephalothin,
erythromycin, and sulfamethoxazole have no influence in
vitro on the protein binding of diclofenac in human serum.
Drug/Laboratory Test Interactions
Effect on Blood Coagulation: Diclofenac increases platelet
aggregation time but does not affect bleeding time, plasma
thrombin clotting time, plasma fibrinogen, or factors V
and VII to XII.
Statistically significant changes in prothrombin and
partial thromboplastin times have been reported in normal
volunteers. The mean changes were observed to be less than
1 second in both instances, however, and are unlikely to
be clinically important. Diclofenac is a prostaglandin
synthetase inhibitor, however, and all drugs that inhibit
prostaglandin synthesis interfere with platelet function
to some degree; therefore, patients who may be adversely
affected by such an action should be carefully observed.
Last Updated 12/08/2004
Nann Bell
> no mention of being drowsy.
but, in all honesty, they only list the side effects with at least a 1%
incidence. and we know that with the quantities of folks who take each
NSAID, 1% cann be a fairly large number. There can still be a number of
folks who get drowsy, just not 1%. I do agree with telling your doc if you
don't adjust to it within a week or two.
Heh, they do protect themselves liability-wise. And I've noticed in the past
that the stickers I get vary somewhat with who filled the prescription.
Lately I've been using our small town pharmacy with only 2 pharmacist so that
is no longer the case. One thing they do that I like is put stickers on
your last refill of a script so you know you need to get a rewrite. WalMart
wasn't doing that down south.
Nicole H
"Nann Bell" <hanbell...@earthlink.net> wrote in message
news:0001HW.BE3F41B0...@News.Individual.NET...
Nicole H
as at the beginning of an illness. (according to the dictionary)
All possible side effects are listed for every medication.... everything
from diarrhea to constipation....ulcers, cramping, headache, you name it.
And despite your argument, there is a big difference between a pain
medication and a NSAID. Can both minimize pain? Sure. but still are very
different and someone taking a medication should at least know what it is
and how it works.
If you had a major source of pain, you sure wouldn't want a NSAID. You'd
want pain medication to stop the pain.
I know you'll argue the point .... doesn't mean you're right.
"Bonnie Brien" <guinea...@webtv.net> wrote in message
news:2444-421...@storefull-3157.bay.webtv.net...
>
Bonnie Brien
I knew that it could make one drowsy---no matter how others may
experience the side effects
Good for you--if you don't have the drowsiness effect
I do....
Others CAN have side effects........
No drug can be so "perfect" that it can or cannot have a adverse side
effects on somebody else--or dont think thar certain side effects will
"never happen to me"
I had a VERY BAD side effect to Toradol, Dilaudid, and Reglan--and spent
time in the ER recovering from it.
I DOES happen.......
Have an open mind
One day......you COULD experience one.
Bonnie
Bruce
Bruce
--
I believe in the separation of Church and Hate
"Nicole H" <crimsonshe...@hotmail.com> wrote in message
news:y7OSd.22944$xX3....@twister.socal.rr.com...
Bruce
transitory. Again, there are always exceptions.
Bruce
--
I believe in the separation of Church and Hate
"Bonnie Brien" <scooter...@webtv.net> wrote in message
news:12605-421...@storefull-3153.bay.webtv.net...
Mary Z
<kelly...@gmail.com> wrote:
>Bonnie, I am sorry you are in pain. I hope you find something that eases it
>without making you tired. Jumping me probably won't solve that problem for
>you
Well said Kelly. I was on Diclofenac for years and it did not make me
sleepy I am sorry it makes Bonnie tired. -- MZ
Visit my website:
http://www.mzuschlag.com
jb
different.ugh??
jb
"Bonnie Brien" <scooter...@webtv.net> wrote in message
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Bonnie Brien
I checked with doctor on a question about the liver and Voltaren
They said with any meds you have to be careful anyway
And that he would be watching liver fuction and this medication
Bonnie