Tell the doctor or pharmacist if the patient is taking, had recently taken or might take any other medicines.
The following medicines may, if the patient used concurrently with diclofenac, increase the risk of bleeding or ulcer. If the patient is taking any of these medicines the patient must tell the doctor: Corticosteroids (for relief of inflammation).
Anticoagulants or antiplatelet agents (blood thinners).
Selective serotonin reuptake inhibitors (SSRIs) medicines used to treat some types of depression.
Other NSAIDs, such as aspirin and ibuprofen (used to relieve inflammation/pain). Bleeding from the gastrointestinal tract or the formation of ulcers can be side effects of all NSAIDs, including diclofenac. This problem, which in older people can be more severe, may occur at any time during treatment with or without warning symptoms, or a history of severe problems of the gastrointestinal tract.
The patient should inform the doctor if they used any of the following medicine: Lithium (used, among others, for the treatment of manic depression).
Digoxin (used to treat heart problems).
Diuretics (used to increase the amount of urine).
Antihypertensive drugs such as ACE inhibitors or beta-blockers (used to treat high blood pressure or certain other heart conditions).
Medicines taken orally to treat diabetes (oral anti-diabetic).
Methotrexate (used to treat certain kinds of cancer or arthritis).
Cyclosporine (used to prevent immune reactions following organ transplants).
Quinolones (certain antibiotics), used to treat certain infections.
Sulfinpyrazone (a medicine used to treat gout) or voriconazole (a medicine used to treat fungal infections).
Phenytoin (a medicine used to treat seizures).
Colestipol and cholestyramine that can delay or decrease in absorption of diclofenac. Therefore, it is recommended to take diclofenac at least one hour before or 4 to 6 hours after administration of colestipol/cholestyramine.
Areston with food, drink and alcohol: For maximum efficacy, the tablets should preferably be taken before meals.