DTM 90 SR

Package	Per tablet	Savings	Price
180 tablets	$0.23	$13	$54 $41
150 tablets	$0.23	$10	$45 $35
120 tablets	$0.24	$7	$36 $29
90 tablets	$0.26	$4	$27 $23
60 tablets	$0.27	$2	$18 $16
30 tablets	$0.30	–	$9

What is this medicine?

DTM-90 SR contains Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID). This medicine is used to treat pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and musculoskeletal injuries. It works by reducing substances in the body that cause pain, fever, and inflammation.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Asthma or other breathing problems

• Heart disease, high blood pressure, or history of heart attack or stroke

• Liver or kidney disease

• Stomach ulcers, bleeding disorders, or history of gastrointestinal bleeding

• Smoking or heavy alcohol use

• Retention of fluid or swelling

• Allergic reactions to NSAIDs (like ibuprofen, naproxen, aspirin)

• Anemia or other blood disorders

• If you are taking anticoagulants (blood thinners)

• An unusual or allergic reaction to diclofenac, other NSAIDs, aspirin, or other medications

• Pregnant or trying to get pregnant

• Breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a full glass of water. It is usually taken once daily, preferably after food to minimize stomach upset. Swallow the tablet whole; do not crush or chew the sustained-release tablet.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

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What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

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What may interact with this medicine?

• Aspirin and other NSAIDs

• Corticosteroids (e.g., prednisone)

• Anticoagulants (e.g., warfarin)

• Diuretics (water pills)

• ACE inhibitors or ARBs for high blood pressure (e.g., lisinopril, losartan)

• Lithium

• Methotrexate

• Cyclosporine

• SSRIs or SNRIs (for depression)

• Alcohol (increases the risk of stomach bleeding)

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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What should I watch for while using this medicine?

• Do not use more than the prescribed dose. Prolonged use can increase the risk of serious side effects like stomach bleeding, heart attack, or stroke.

• Inform your doctor if you experience chest pain, shortness of breath, weakness on one side of the body, or slurred speech.

• Avoid alcohol while taking this medicine to reduce the risk of stomach bleeding.

• Inform your dentist or surgeon before having any procedure that you are taking this medicine.

• Check with your doctor if you have persistent stomach pain, black or bloody stools, or vomit that looks like coffee grounds.

• This medicine may affect kidney or liver function with long-term use—regular blood tests may be recommended.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• Allergic reactions (rash, itching, swelling of face/lips/tongue/throat)

• Chest pain or shortness of breath

• Black or tarry stools

• Vomit that looks like coffee grounds

• Yellowing of the skin or eyes (jaundice)

• Unexplained weight gain or swelling

• Vision changes

• Fatigue, nausea, or dark urine (signs of liver issues)

Side effects that usually do not require medical attention (report if bothersome or persistent):

• Nausea

• Heartburn or stomach discomfort

• Diarrhea or constipation

• Headache

• Dizziness

• Fluid retention (mild swelling)

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

• Protect from moisture and heat.

• Do not use after the expiration date.

• Dispose of unused medicine properly.