Do not use PENNSAID if you:
• Had asthma or hives, or other allergic reactions to aspirin or other NSAIDs
• Are in the hospital for a heart bypass graft
• Are allergic to diclofenac sodium
Tell your doctor if you have:
• High blood pressure, heart failure, or had any heart surgeries
• A history of ulcers or bleeding in the stomach or intestines
• Kidney or liver problems
The most common side effects of PENNSAID occur where it is put on the skin such as dry skin (32%), red and firm skin rash, skin rash with blisters, and itching. Other common side effects include: upset stomach, stomach pain, gas, diarrhea, and nausea.
Serious reactions can occur even if you never used PENNSAID before. NSAIDs can cause bad skin reactions that can be fatal.
A rise in liver tests can occur with NSAID therapy. Stop PENNSAID if this occurs and does not go away or if it gets worse.
Using NSAIDs for a long time can hurt the kidneys. Use PENNSAID carefully in the elderly, those with damaged kidneys, bad hearts, bad livers, and those taking water pills or ACE inhibitors. Do not take other NSAIDS unless your physician says it is OK.
Do not use PENNSAID if you are pregnant or breast-feeding. Do not use PENNSAID on children.
Avoid exposing treated knee to the sun or tanning lamps. Wash and dry hands before and after use. Avoid contact of PENNSAID with the eyes, the mouth and the nose. Do not apply to open wounds. Do not apply heat or binding items to the treated knee.
Avoid skin-to-skin contact between other people and the knee(s) to which PENNSAID was applied until the knee(s) is completely dry.
You are encouraged to report negative side effects of prescription drugs to the Food and Drug Administration (FDA). Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
For more important risk information about PENNSAID, please read the PENNSAID Medication Guide and Full Prescribing Information and discuss any questions you have with your doctor.