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Application of pregnancy and breastfeeding

The use of Voltaren during pregnancy is possible only in cases where the expected benefit to the mother outweighs the potential risk to the fetus. The drug is prescribed at the lowest effective dose. Just as in the case of other prostaglandin synthetase inhibitors, these recommendations are particularly important in three trimester (possibly suppressing uterine contractility and the premature closure of the ductus arteriosus in fetal).

The use of Voltaren in the form of a solution for intramuscular injection is not recommended during pregnancy.

When receiving Voltaren orally at a dose of 50 mg every 8 hours, diclofenac passes into breast milk, but in such small quantities that there is no reason to expect any adverse effects in a child who is breastfed.If necessary, Voltaren purpose as a solution for i / m administration during lactation should decide the issue of termination of breastfeeding.



During the application of Voltaren requires careful medical supervision for those patients who have complaints indicative of gastrointestinal diseases; information having a history of ulcerative lesions of the stomach or bowel; suffering from ulcerative colitis or Crohn's disease, as well as with impaired liver function.

During the application of Voltaren, like other NSAIDs, may increase the level of one or more liver enzymes. Therefore, long-term treatment Voltaren as a precautionary measure shows monitoring of liver function. If violations of the function of the liver persist or increase, or if there are clinical manifestations of liver diseases or other symptoms (including eosinophilia, rash), Voltaren should be discontinued. It should be borne in mind that hepatitis during treatment with Voltaren may occur without prodromal phenomena.

Caution is needed in the appointment of patients Voltaren hepatic porphyria, since the drug can provoke porphyria attacks.

Since prostaglandins play a major role in maintaining renal blood flow, a special care is required in patients with impaired cardiac or renal function, patients receiving diuretics, as well as patients in whom there is a significant decrease in the volume of blood plasma circulating any etiology, for example, prior to and after massive surgery. In these cases, while using Voltaren is recommended as a precaution, monitoring of renal function. Discontinuation of the drug usually leads to recovery of renal function to baseline.