The prescription of diclofenac, a non-steroidal anti-inflammatory drug, is common in the treatment of various pains, particularly those related to osteoarthritis. While this medication offers significant benefits in terms of pain relief and inflammation, it is not without side effects. Understanding the indications for its use as well as its potential repercussions on health is essential to ensure effective and safe management. Let’s explore the critical aspects of medical prescription and the adverse effects associated with this treatment.
Diclofenac is a non-steroidal anti-inflammatory drug (NSAID) widely used to treat various conditions related to pain and inflammation. Its use is frequent in the treatment of osteoarthritis, muscle pain, as well as certain inflammatory diseases such as chronic rheumatism. However, its effectiveness must be balanced with the potential side effects that may arise.
What is a medical prescription?
A medical prescription is an act by which a doctor recommends a treatment to a patient. It ensures that the treatment is appropriate for the patient’s particular condition and includes essential information such as the name of the medication, dosage, frequency, and duration of treatment. In the case of diclofenac, it is crucial that the prescription be made by a healthcare professional, considering the specifics of use and associated contraindications.
Doctors typically carry out a thorough assessment of the patient before prescribing diclofenac. This includes reviewing the medical history, considering any potential allergies, and evaluating the presence of other diseases that could contraindicate the use of this medication. Diclofenac, being an NSAID, is also generally prescribed avoiding combinations with other NSAIDs or anticoagulant medications, which could increase the risk of adverse effects.
The side effects of diclofenac
Like all medications, diclofenac is not without side effects. These can vary in intensity and frequency, and some may be more serious than others. The most common side effects concern the digestive system. Among these, we can include:
- Nausea: many patients report nausea when using diclofenac, especially when taken on an empty stomach.
- Diarrhea: intestinal disturbances may also occur, leading to recurrent episodes of diarrhea.
- Gastritis: inflammation of the gastric mucosa is another potential complication, especially with prolonged use.
Another risk associated with the use of diclofenac is gastrointestinal ulceration, which can develop in some patients, particularly among the elderly or those with a history of gastric ulcers. An ulcer can cause bleeding or black stools, symptoms that require immediate medical intervention.
Dermatological side effects, although less frequent, deserve mention. Some patients may experience allergic reactions such as itching or skin rashes, which can escalate to rare cases of anaphylactic shock.
Beyond digestive and skin effects, cardiovascular complications may occur, particularly in patients with a history of heart disease. Prolonged use of diclofenac could increase the risk of thrombosis or strokes. Medical monitoring is therefore essential for patients at risk of developing such complications.
Precautionary measures and medical monitoring
Before starting treatment with diclofenac, it is imperative that the patient discusses with their doctor the precautions for use. This includes mentioning any medical history, the use of other medications, as well as lifestyle habits (such as alcohol consumption) that might influence the effectiveness of diclofenac or increase the risk of side effects.
Regular check-ups of renal and gastric function are recommended throughout the treatment to prevent potential serious complications. In case of abdominal pain, unusual fatigue, or any other alarming symptoms, it is crucial to contact a healthcare professional immediately.
Diclofenac is a powerful medication, but its use must be carefully monitored and tailored to the specific needs of each patient. If the prescription is indicated, it is essential to adhere to medical advice and not hesitate to ask questions to fully understand the risks and benefits of this treatment.
FAQ on medical prescription and the side effects of diclofenac
Q : What is diclofenac?
A : Diclofenac is a non-steroidal anti-inflammatory drug (NSAID) used to reduce pain, inflammation, and fever.
Q : In which cases is diclofenac prescribed?
A : It is indicated for the treatment of chronic inflammatory rheumatism and for short-term treatment of acute osteoarthritis pain.
Q : What are the common side effects of diclofenac?
A : The most common side effects are digestive in nature: nausea, vomiting, diarrhea, bloating, constipation, and abdominal pain.
Q : Can diclofenac cause serious side effects?
A : Yes, it can cause severe allergic reactions, gastrointestinal bleeding, or heart problems, especially during prolonged treatment.
Q : Are there contraindications to the use of diclofenac?
A : Yes, it should not be used in case of allergy to aspirin or other NSAIDs, history of ulcers or digestive bleeding, or in case of severe heart failure.
Q : Is a prescription necessary for diclofenac?
A : Yes, diclofenac is a Schedule II medication and requires a medical prescription.
Q : What to do in case of side effects?
A : Consult your doctor promptly if you experience unusual or severe symptoms, such as intense abdominal pain or skin reactions.
Q : Is diclofenac safe during pregnancy?
A : It is not recommended during pregnancy, especially from the 6th month, due to potential risks to the fetus.
Q : How to take diclofenac safely?
A : Follow your doctor’s instructions and take it preferably with meals to reduce digestive effects.
