Patient was educated on precautions to be exercised while taking Diclofenac Sodium as follows:

  1. Diclofenac Sodium can sometimes result in ringing in the ears and hearing loss, especially, when taken with Lasix. Avoid taking this medication with Lasix to prevent this drug interaction.
  2. Diclofenac Sodium must be avoided or used cautiously in individuals with history heart failure. Reduced renal function, secondary to Diclofenac Sodium intake, can contribute towards compromise in filtration of blood, leading to reduced formation of urine and fluid back up in the body. Fluid accumulation in the body can result in edema and weight gain. This backed up fluid can increase the fluid volume and workload on the heart that is already in failure, thus further worsening the cardiac function. Maintain a close watch for symptoms of worsening fluid retention, such as, edema, exacerbation of shortness of breath, and increased fatigue and report them to your physician.
  3. Diclofenac Sodium must be avoided or used cautiously in individuals with history of hypertension. Reduced renal function, secondary to Diclofenac Sodium intake, can contribute towards compromise in filtration of blood, leading to reduced formation of urine and fluid back up in the body. Backed up fluid in the circulation can increase the fluid volume and lead to increase in the blood pressure. Maintain a close watch on everyday blood pressure readings. Maintaining a log of the blood pressure readings can help for a comparative feedback.
  4. Do not change the dose on Diclofenac Sodium without consulting your doctor.