Note: This document contains side effect information about capsaicin / diclofenac topical. Some dosage forms listed on this page may not apply to the brand name Diclotral Pak.
Applies to capsaicin / diclofenac topical: topical kit.
Diclofenac can increase your risk of fatal heart attack or stroke. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Diclofenac may also cause stomach or intestinal bleeding, which can be fatal.
Get emergency medical help if you have signs of an allergic reaction (sneezing, runny or stuffy nose, hives, wheezing or trouble breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).
Serious side effects are unlikely when capsaicin and diclofenac is applied to the skin, but can occur if the medicine is absorbed into your bloodstream.
Get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.
Stop using this medicine and call your doctor at once if you have:
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a skin rash, no matter how mild;
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shortness of breath (even with mild exertion), swelling, rapid weight gain;
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signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
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liver problems--loss of appetite, stomach pain (upper right side), tiredness, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
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kidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath; or
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low red blood cells (anemia)--pale skin, unusual tiredness, feeling light-headed or short of breath, cold hands and feet.
Common side effects may include:
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skin rash, itching, redness, blistering, tingling, or other irritation where the medicine was applied; or
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dryness or hardening of treated skin.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.