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diclofenac

diclofenac
  • Restricted Medications Non-Formulary
Brand names: Cambia, Voltaren
Form Strength
DELAYED RELEASE TABLET, ORAL
POWDER, ORAL 50 mg
Display Other Nonsteroidal Anti-inflammatory Agents Class: 28080492
Medication comments:
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent Formulary Equivalent
diclofenac (Cambia) 50 mg oral packet for migraines DNS, not stocked, obtain from patient for use while here
diclofenac (Voltaren) 25 mg, 50 mg naproxen (Naprosyn) 375 mg BID
diclofenac (Voltaren) 75 mg naproxen (Naprosyn) 500 mg BID
diclofenac (Voltaren XR) 100 mg naproxen (Naprosyn) 500 mg BID
Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand) Dept. Procedure Type
(hover over entry for examples)		 Stop Medication Prior To Procedure Restart after:
diclofenac
(Voltaren)
(not stocked at IHS)		 Anesthesia High-risk 24 hours Restart after 24 hours
Intermediate-risk No hold Restart after 24 hours
Low-risk No hold Restart after 24 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
Radiology
 Invasive Procedures 24 hours
Paracentesis/Thoracentesis No hold
Surgery High-risk 7 days Restart after 24 hours
Low-risk No Hold Restart after 24 hours
Enteral Drug Administration notes.
Generic
(Brand)		 Comments and Considerations Recommendations for Administration with Enteral Nutrition
diclofenac
(Voltaren)		 Do NOT crush modified-release capsules or tablets If no therapeutic alternative, consider holding tube feeding for 30 minutes prior to administration if used for acute effect.
Last updated: May. 1, 2024
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Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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