Diclofenac oral solution
CAMBIA
Pronunciation: dye-KLOE-fen-ak
“Dick Loaf Voltron”
“The N said... NSAID”
What it isDiclofenac potassium 50 mg powder for oral solution (CAMBIA, 2009) — buffered solution absorbed faster than tablets, labeled for acute migraine with or without aura in adults.
Why this oneSame molecule and receptor pharmacology as the parent card — the formulation (and its label) is the difference.
What limits itClass warnings of the parent molecule apply unchanged.
FDA-approved for
- acute migraine (2009)
FDA label
Read the full label on DailyMed ↗
| FDA dosing | Population | Start | Target | Max |
|---|---|---|---|---|
| Acute treatment of migraine (with or without aura); not for prophylaxis | Adults >=18 yr | 50 mg (one packet) once, dissolved in 30–60 mL (1–2 oz) water | Single 50 mg dose | Single 50 mg dose (second dose not established) |
Renal Monitor renal function in renal impairment; avoid in advanced renal disease unless benefits outweigh risks
Hepatic Use only if benefits outweigh risks (diclofenac elimination is almost entirely hepatic); monitor for hepatotoxicity
Safety and effectiveness of a second dose have not been established
Instructions
- Empty one packet into 30–60 mL of water only, mix well, and drink immediately
- Take on an empty stomach (food reduces effectiveness)
- Use the lowest effective dose for the shortest duration
Available strengths
- sol 50 mg
- cap 25 mg
- tab 25, 50 mg
- DR tab 25, 50, 75 mg
- ER tab 100 mg
- drops 0.1 %
- gel 1, 3 %
- patch 0.0125 g/g
Contraindications
- History of asthma, urticaria, or allergic-type reactions after aspirin or other NSAIDs
- Setting of coronary artery bypass graft (CABG) surgery
Cautions
- Cardiovascular thrombotic events
- GI bleeding/ulceration/perforation
- Hepatotoxicity
- Hypertension
- Heart failure and edema
- Renal toxicity and hyperkalemia
- Anaphylactic reactions
- Serious skin reactions/DRESS
- Medication overuse headache
- Fetal toxicity (>=20 weeks gestation)
Adverse reactions
- Nausea
- Dizziness
Pregnancy Avoid at ~30 weeks gestation and later (premature closure of fetal ductus arteriosus); limit use 20–30 weeks (risk of oligohydramnios/fetal renal dysfunction).
Lactation Small amounts of diclofenac present in human milk; effects on infant/milk production unknown.
Cost
| Strength | #/mo | generic $/unit | CostPlus | |
|---|---|---|---|---|
| 50 mg | sol | per unit | $10.97/ea | offered |
Other forms: Diclofenac (VOLTAREN) · Diclofenac topical gel (VOLTAREN ARTHRITIS PAIN)
⚠ BOXED WARNINGS
- Cardiovascular thrombotic events
- Gastrointestinal bleeding, ulceration and perforation
Classes and tags
Clinical profile
Legacy pregnancy categoryMultiple / indication-, trimester- or formulation-dependent
Defining liabilityGI bleeding, kidney injury, hypertension and fluid retention; many agents increase lithium concentrations.
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