The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet are: PL 14017/0008, PL 14017/0009.
Dicloflex 75 mg SR and Dicloflex Retard 100mg Prolonged-release tablets
DICLOFLEX 75 mg SR and DICLOFLEX RETARD 100 mg
1. What DICLOFLEX is and what it is used for
2. What you need to know before you take DICLOFLEX
3. How to take DICLOFLEX
4. Possible side effects
5. How to store DICLOFLEX
6. Contents of the pack and other information
Diclofenac sodium, the active ingredient in DICLOFLEX tablets, is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs reduce pain and inflammation.
DICLOFLEX tablets are especially formulated to release the diclofenac sodium slowly.
DICLOFLEX tablets relieve pain, reduce swelling and ease inflammation in conditions affecting the joints, muscles and tendons including:
They are also used to treat pain and inflammation associated with dental and minor surgery.
DICLOFLEX tablets are not suitable for children.
Talk to your doctor or pharmacist before taking Diclofenac:
Tell your doctor if you recently had or you are going to have a surgery of the stomach or intestinal tract before taking DICLOFLEX, as DICLOFLEX can sometimes worsen wound healing in your gut after surgery.
Tell your doctor or pharmacist if you have any of these conditions because DICLOFLEX might not be the right medicine for you.
DICLOFLEX tablets are not suitable for children.
Some medicines can interfere with your treatment. Please tell your doctor or pharmacist if you are taking any of the following:
Take this medicine with or after food
Very occasionally people have reported that diclofenac sodium tablets have made them feel dizzy, tired or sleepy. Problems with eyesight have also been reported. If you are affected in this way, you should not drive or operate machinery.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially 'sodium-free'.
The doctor will tell you how many DICLOFLEX tablets to take and when to take them. Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Take the tables with or after food.
Swallow the tablets whole with a glass of water. DO NOT crush or chew the tablets as this will affect the special “slow release” system.
The recommended dose is:
Adults: 100-150mg daily divided into two or three doses. The number of tablets which you take will depend on the strength the doctor has given you.
Your doctor may wish to increase your daily dose if required to 150mg.
Elderly: The lowest effective dose should be used. Your doctor may advise you to take a dose that is lower than the usual adult dose if you are elderly. Close surveillance is advisable.
The doctor may also prescribe another drug to protect the stomach to be taken at the same time, particularly if you have had stomach problems before, or if you are elderly, or taking certain other drugs as well.
If you, or anyone else, accidentally takes too much DICLOFLEX, tell your doctor or go to your nearest hospital casualty department immediately. Take your medicine pack with you so that people can see what you have taken.
Symptoms of an overdose can include: headache, nausea (feeling sick), vomiting, abdominal pain, stomach or intestinal bleeding, rarely diarrhoea, disorientation, excitation, coma, drowsiness, dizziness, ringing in the ears, fainting, or occasionally convulsions (seizures, uncontrolled fits).
It is important that you do not miss a dose. If you forget to take a dose, take one as soon as you remember. If it is nearly time for your next dose, just take the next dose and forget about the one you missed. DO NOT take a double dose to make up for a forgotten tablet. Do not take more than 150 mg in 24 hours. If you have trouble remembering to take the tablets, tell your doctor or pharmacist.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them. Some side effects can be serious
If you notice that you are bruising more easily than usual or have frequent sore throats or infections, tell your doctor.
Tell your doctor immediately if you notice the following:
Common (may affect up to 1 in 10 people):
Uncommon (may affect up to 1 in 100 people):
Rare (may affect up to 1 in 1,000 people):
Very rare (may affect up to 1 in 10,000 people):
Effects on the nervous system:
Inflammation of the lining of the brain (meningitis), tingling or numbness in the fingers, tremor, visual disturbances such as blurred or double vision, taste changes, hearing loss or impairment, tinnitus (ringing in the ears), sleeplessness, nightmares, mood changes, depression, anxiety, irritability, mental disorders, disorientation and loss of memory, fits, headaches together with a dislike of bright lights, fever and a stiff neck.
Effects on the stomach and digestive system:
Constipation, inflammation of the tongue, mouth ulcers, inflammation of the inside of the mouth or lips, lower gut disorders (including inflammation of the colon or worsening of ulcerative colitis or Crohn’s disease), inflammation of the pancreas.
Effects on the chest or blood:
Hypertension (high blood pressure), hypotension (low blood pressure, symptoms of which may include faintness, giddiness or light headedness), inflammation of blood vessels (vasculitis), inflammation of the lung (pneumonitis), blood disorders (including anaemia).
Effects on the liver or kidneys:
Kidney or severe liver disorders including liver failure, presence of blood or protein in the urine
Effects on skin or hair:
Facial swelling, serious skin rashes including Stevens-Johnson syndrome, Lyell’s syndrome and other skin rashes which may be made worse by exposure to sunlight.
Effects on the reproductive system:
Other side effects that have also been reported with unknown frequency include:
Throat disorders, confusion, hallucinations, malaise (general feeling of discomfort), inflammation of the nerves in the eye, disturbances of sensation
Medicines such as diclofenac may be associated with a small increased risk of heart attack or stroke.
Do not be alarmed by this list - most people take Diclofenac Sodium Tablets without any problems.
If any of the side effects becomes serious, or if you notice side effects not listed in this leaflet, please tell your doctor. He/she may want to give you a different medicine.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton after ‘EXP’.
Do not store above 25°C. Keep the tablets in their original pack.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away any medicines you no longer use. These measures will help protect the environment.
The name of your medicine is DICLOFLEX 75 mg SR or DICLOFLEX RETARD 100 mg.
DICLOFLEX 75 mg SR: The active substance is diclofenac sodium. Each prolonged-release tablet contains 75 mg of diclofenac sodium. The other ingredients are: tablet core: cetostearyl alcohol, colloidal anhydrous silica, compressible sugar, talc, povidone and magnesium stearate.
Subcoat: copovidone and sucrose. Tablet film coat: hydroxypropylmethylcellulose, polyethylene glycol, iron oxide red (E172), titanium dioxide (E171) and gum acasia. Polish: carnauba wax.
DICLOFLEX RETARD 100 mg: The active substance is diclofenac sodium. Each prolonged-release tablet contains 100 mg of diclofenac sodium. The other ingredients are: tablet core: cetostearyl alcohol, colloidal anhydrous silica, compressible sugar, talc, povidone, magnesium stearate. Subcoat: copovidone and sucrose. Tablet film coat: hydroxypropylmethylcellulose, polyethylene glycol, iron oxide red (E172), titanium dioxide (E171) and gum acasia. Polish: carnauba wax.
DICLOFLEX 75 mg SR are marked DICL75 on one side and are pink in colour, and are packed in cartons containing 28 tablets or 56 tablets in foil blister strips.
DICLOFLEX RETARD 100 mg are marked DICL100 on one side and are pink in colour, and are packed in cartons containing 28 or 100 tablets in foil blister strips.
Not all pack sizes may be marketed.
.This leaflet was last revised in September 2022