Diclofenac sodium, the active ingredient in Voltic™ Tablets, is one of a group of
medicines called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs reduce pain
and inflammation.
• Voltic™ Tablets relieve pain, reduce swelling and ease inflammation in conditions
affecting the joints, muscles and tendons including:
- Rheumatoid arthritis, osteoarthritis, acute gout, ankylosing spondylitis.
- Backache, sprains and strains, soft tissue sports injuries, frozen shoulder, dislocations
and fractures.
-Tendonitis, tenosynovitis, bursitis.
• They are also used to treat pain and inflammation associated with dental and minor
surgery.
• In children Voltic™ Tablets are used to treat juvenile chronic arthritis.

Some people MUST NOT take Voltic™ Tablets. Talk to your doctor if:
• you think you may be allergic to diclofenac sodium, aspirin, ibuprofen or any other
NSAID, or to any of the other ingredients of Voltic™ Tablets. (These are listed in section
6 of the leaflet.) Signs of a hypersensitivity reaction include swelling of the face and
mouth (angioedema), breathing problems, runny nose, skin rash or any other allergic
type reaction.
• you have now, or have ever had, a stomach (gastric) or duodenal (peptic) ulcer, or
bleeding in the digestive tract (this can include blood in vomit, bleeding when emptying
bowels, fresh blood in faeces or black, tarry faeces).
• you have had stomach or bowel problems after you have taken other NSAIDs.
• you have severe heart, kidney or liver failure.
• if you have established heart disease and/or cerebrovascular disease e.g. if you have
had a heart attack, stroke, mini-stroke TIA) or blockages to blood vessels to the heart or
brain or an operation to clear bypass blockages.
• if you have or have had problems with your blood circulation (peripheral arterial
disease)
• you are more than six months pregnant.

You should also ask yourself these questions before taking Voltic™ Tablets:
• Do you suffer from any stomach or bowel disorders including ulcerative colitis or
Crohn's disease?
• Do you have kidney or liver problems, or are you elderly?
• Do you have a condition called porphyria?
• Do you suffer from any blood or bleeding disorder? If you do, your doctor may ask you
to go for regular check-ups while you are taking these tablets.
• Have you ever had asthma?
• Are you breast-feeding?
• Do you have angina, blood clots, high blood pressure, raised cholesterol or raised
triglycerides?
• Do you have heart problems, or have you had a stroke, or do you think you might be at
risk of these conditions (for example, if you have high blood pressure, diabetes or high
cholesterol or are a smoker)?
• Do you have diabetes?
• Do you have Lupus (SLE) or any similar condition?
• Do you have an inherited intolerance to some sugars such as lactose? (Voltic™ Tablets
contain a small amount of lactose.)
If the answer to any of these questions is YES, discuss your treatment with your
doctor or pharmacist because Voltic™ Tablets might not be the right medicine for
you.
Are you taking other medicines?
Some medicines can interfere with your treatment. Tell your doctor or pharmacist if you
are taking any of the following:
• Medicines to treat diabetes
• Anticoagulants (blood thinning tablets like warfarin)
• Diuretics (water tablets)
• Lithium (used to treat some mental problems)
• Methotrexate (for some inflammatory diseases and some cancers)
• Ciclosporin and tacrolimus (used to treat some inflammatory diseases and after
transplants)
• Trimethoprim (a medicine used to prevent or treat urinary tract infections)
• Quinolone antibiotics (for infections)
• Any other NSAID or COX-2 (cyclo-oxgenase-2) inhibitor, for example aspirin or
ibuprofen
• Mifepristone (a medicine used to terminate pregnancy)
• Cardiac glycosides (for example digoxin), used to treat heart problems
• Medicines known as SSRIs used to treat depression
• Oral steroids (an anti-inflammatory drug)
• Medicines used to treat heart conditions or high blood pressure, for example
beta-blockers or ACE inhibitors
• Voriconazole (a medicine used to treat fungal infections)
• Phenytoin (a medicine used to treat seizures)
• Colestipol/cholestyramine (used to lower cholesterol).
Always tell your doctor or pharmacist about all the medicines you are taking. This
means medicines you have bought yourself as well as medicines on prescription from
your doctor.
Pregnancy
• Are you pregnant or planning to become pregnant? Although not common,
abnormalities have been reported in babies whose mothers have taken NSAIDs during
pregnancy. You should not take Voltic™ Tablets during the last 3 months of pregnancy as
it may affect the baby’s circulation.
• Are you trying for a baby? Taking Voltic™ Tablets may make it more difficult to
conceive. You should talk to your doctor if you are planning to become pregnant, or if
you have problems getting pregnant.
Lactation
Like other NSAIDs, diclofenac passes into breast milk in small amounts. Therefore
diclofenac should not be administered during breastfeeding in order to avoid undesirable
effects in the infant.
Will there be any problems with driving or using machinery?
Very occasionally people have reported that VolticTM Tablets have made them feel dizzy,
tired or sleepy. Problems with eyesight have also been reported. If you are affected in
this way, you should not drive or operate machinery.
Other special warnings
• You should take the lowest dose of Voltic™ for the shortest possible time, particularly if
you are underweight or elderly.
• There is a small increased risk of heart attack or stroke when you are taking any
medicine like Voltic™. The risk is higher if you are taking high doses for a long time.
Always follow the doctor’s instructions on how much to take and how long to take it for.
• Whilst you are taking these medicines your doctor may want to give you a check-up
from time to time.
• If you have a history of stomach problems when you are taking NSAIDs, particularly if
you are elderly, you must tell your doctor straight away if you notice any unusual
symptoms.
• Because it is an anti-inflammatory medicine, Voltic™ may reduce the symptoms of
infection, for example, headache and high temperature. If you feel unwell and need to
see a doctor, remember to tell him or her that you are taking VolticTM.
• The 50 mg tablets are not suitable for children aged under 12.

The doctor will tell you how many Voltic™ Tablets to take and when to take them.
Always follow his/her instructions carefully. The dose will be on the pharmacist’s label.
Check the label carefully. If you are not sure, ask your doctor or pharmacist. Keep
taking your tablets for as long as you have been told, unless you have any problems. In
that case, check with your doctor.
Take the tablets before or with food. Swallow the tablets whole with a drink of water.
Do not crush or chew the tablets.
The usual doses are:
Adults and children over 12
75 mg to 150 mg daily divided into two or three doses. The number of tablets which you
take will depend on the strength the doctor has given you.
Elderly
Your doctor may advise you to take a dose that is lower than the usual adult dose if you
are elderly. Your doctor may also want to check closely that the Voltic™ Tablets are not
affecting your stomach.
Children aged 1-12 years
Doses vary with the age and weight of the child. The usual dose is 1 mg to 3 mg per
kilogram of body weight a day. This is usually divided into two or three separate doses.
The doctor may also prescribe another drug to protect the stomach to be taken at the
same time, particularly if you have had stomach problems before, or if you are elderly, or
taking certain other drugs as well.

What if you forget to take a dose?
If you forget to take a dose, take one as soon as you remember. If it is nearly time for
your next dose, though, just take the next dose and forget about the one you missed. Do
not double up on the next dose to make up for the one missed. Do not take more than 150
mg (three 50 mg tablets or six 25 mg tablets) in 24 hours.
What if you take too many tablets?
If you, or anyone else, accidentally takes too much, tell your doctor or your nearest
hospital casualty department. Take your medicine pack with you so that people can see
what you have taken.

Do not be alarmed by this list- most people take Voltic™ Tablets without problems.
Voltic™ Tablets are suitable for most people, but, like all medicines, they can sometimes
cause side effects. Side effects may be minimised by using the lowest effective dose for
the shortest duration necessary.
Some side effects can be serious
Stop taking Voltic™ Tablets and tell your doctor straight away if you notice:
• Stomach pain, indigestion, heartburn, wind, nausea (feeling sick) or vomiting (being
sick).
• Any sign of bleeding in the stomach or intestine, for example, when emptying your
bowels, blood in vomit or black, tarry faeces.
• Allergic reactions which can include skin rash, itching, bruising, painful red areas,
peeling or blistering.
• Wheezing or shortness of breath (bronchospasm).
• Swollen face, lips, hands or fingers.
• Yellowing of your skin or the whites of your eyes.
• Persistent sore throat or high temperature.
• An unexpected change in the amount of urine produced and/or its appearance.
If you notice that you are bruising more easily than usual or have frequent sore throats or
infections, tell your doctor.
The side effects listed below have also been reported.
Common side effects (These may affect between 1 and 10 in every 100 patients):
• Stomach pain, heartburn, nausea, vomiting, diarrhoea, indigestion, wind, loss of
appetite. • Headache, dizziness, vertigo.
• Skin rash or spots. • Raised levels of liver enzymes in the blood.
Rare side effects (These may affect between 1 in every 1000 to 1 in every 10,000
patients):
• Stomach ulcers or bleeding (there have been very rare reported cases resulting in death,
particularly in the elderly).
• Gastritis (inflammation, irritation or swelling of the stomach lining).
• Vomiting blood.
• Diarrhoea with blood in it or bleeding from the back passage.
• Black, tarry faeces or stools.
• Drowsiness, tiredness.
• Hypotension (low blood pressure, symptoms of which may include faintness, giddiness
or light headedness).
• Skin rash and itching.
• Fluid retention, symptoms of which include swollen ankles.
• Liver function disorders, including hepatitis and jaundice.
Very rare side effects (These may affect less than 1 in every 10,000 patients):
Effects on the nervous system: Tingling or numbness in the fingers, tremor, visual
disturbances such as blurred vision, blurred or double vision, hearing loss or impairment,
tinnitus (ringing in the ears), sleeplessness, nightmares, mood changes, depression,
anxiety, mental disorders, disorientation and loss of memory, fits, headaches together
with a dislike of bright lights, fever and a stiff neck, disturbances in sensation.
Effects on the stomach and digestive system: Constipation, inflammation of the tongue,
mouth ulcers, inflammation of the inside of the mouth or lips, taste changes, lower gut
disorders (including inflammation of the colon or worsening of ulcerative colitis or
Crohn’s disease).
Effects on the heart, chest or blood: Palpitations (fast or irregular heart beat),
chest pain, hypertension (high blood pressure), inflammation of blood vessels
(vasculitis), inflammation of the lung (pneumonitis) heart disorders, including congestive
heart failure or heart attack, blood disorders (including anaemia).
Effects on the liver or kidneys: Kidney or severe liver disorders including liver failure,
presence of blood or protein in the urine.
Effects on skin or hair:
- Serious skin rashes including Stevens-Johnson syndrome and Lyell’s syndrome and
other skin rashes which may be made worse by exposure to sunlight.
- Hair loss.
Other side effects that have also been reported include:
Inflammation of the pancreas, impotence. Facial swelling, inflammation of the lining of
the brain (meningitis), stroke, throat disorders, confusion, hallucinations, malaise
(general feeling of discomfort), inflammation of the nerves of the eye.
Do not be alarmed by this list - most people take Voltic™ Tablets without any
problems.
If any of the symptoms become troublesome, or if you notice anything else not
mentioned here, please go and see your doctor. He/she may want to give you a
different medicine.
 

• Keep out of the reach and sight of children.
• Do not store above 30 ºC, protect from moisture.
• Keep the tablets in their original pack.
• Do not take Voltic™ tablets after the expiry date which is printed on the outside of
the pack.
• Medicines should not be disposed of via waste water or household waste. Ask your
pharmacist how to dispose of medicines no longer required. This will help protect the
environment.