Zipsor

Generic Name: Diclofenac

  • What is this medication and its most common uses?

    Zipsor is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain.

  • What should I know when beginning and continuing on this medication?

    How does this medication work?

    Zipsor relieves pain by blocking a substance in your body that is involved in causing inflammation and pain.

    What are the beneficial effects of this medication and when should I begin to have results?

    What: Zipsor has been shown to reduce pain intensity.

    When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Zipsor exactly as your healthcare provider has prescribed.

    How do I know it is working?

    You may feel a relief in your pain after you start taking Zipsor. This is a good indicator that the medicine is working. Your healthcare provider may ask you questions to assess how well your symptoms are controlled.

  • What are the possible side effects of this medication?

    The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

    Zipsor may increase the chance of a life-threatening heart attack or stroke. The risk of heart attack or stroke may be increased with longer use and in people who have heart disease. Call your healthcare provider right away if you develop chest pain, shortness of breath, weakness, or slurring of your speech while taking Zipsor.

    Zipsor should never be used right before or after a heart surgery called a coronary artery bypass graft (CABG).

    Zipsor can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding can be life-threatening and may happen without warning symptoms. The chance of a person getting an ulcer or bleeding increases with longer use, smoking, drinking alcohol, older age, having poor health, and if you are taking medicines called corticosteroids (such as prednisone) or blood thinners (such as warfarin). Call your healthcare provider right away if you develop stomach pain, indigestion, bloody or tarry stools, or you vomit blood while taking Zipsor.

    More common side effects may include: stomach pain, constipation, diarrhea, upset stomach, nausea, vomiting, dizziness, headache, drowsiness, itching, increased sweating.

    Less common side effects may include:

    Liver problems with symptoms such as nausea, tiredness, weakness, itchiness, yellowing of your skin or the whites of your eyes, right upper stomach pain, or flu-like symptoms.

    Serious allergic reactions with symptoms such as skin rash, blisters, fever, itching, trouble breathing, or swelling of your face or throat.

    Zipsor may cause high blood pressure, kidney problems, anemia (low red blood cell counts), or unexplained weight gain or swelling.

  • Who should not take this medication?

    Do not take Zipsor if you are allergic to it, any of its ingredients, or to bovine protein.

    Do not take Zipsor if you have had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID (such as ibuprofen or naproxen).

    Do not take Zipsor right before or after a heart bypass surgery.

    Do not take Zipsor during the late stages of your pregnancy.

  • What should I tell my healthcare provider before I take the first dose of this medication?

    Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Zipsor. Also, talk to your healthcare provider about your complete medical history, especially if you have asthma; high blood pressure or heart failure; kidney or liver problems; a history of ulcers or bleeding in your stomach or intestines; or if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

    Adults: The recommended dose is 25 milligrams four times a day.

  • How should I take this medication?

    Take Zipsor exactly as prescribed by your healthcare provider. Do not change your dose without first talking to your healthcare provider.

  • What should I avoid while taking this medication?

    Do not take other NSAIDs or acetaminophen in combination with Zipsor without first talking to your healthcare provider.

  • What are the possible food and drug interactions associated with this medication?

    If Zipsor is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Zipsor with the following: acetaminophen, aspirin, blood pressure/heart medications known as angiotensin-converting enzyme (ACE) inhibitors (such as lisinopril and enalapril), blood thinners (such as warfarin), certain antibiotics, cyclosporine, lithium, methotrexate, seizure medicines (such as carbamazepine), or water pills (such as furosemide or hydrochlorothiazide).

  • May I receive this medication if I am pregnant or breastfeeding?

    Do not take Zipsor if you are in the late stage of your pregnancy (≥30 weeks). The effects of Zipsor during early pregnancy are unknown. Zipsor may be found in your breast milk if you take it while breastfeeding. Do not breastfeed while you are taking Zipsor. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of this medication?

    If you miss a dose of Zipsor, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

  • How should I store this medication?

    Store at room temperature. Protect from moisture.

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