Diclofenac Ophthalmic

Conditions Treated

Diclofenac ophthalmic solution is used to treat eye pain, redness, and swelling in patients who are recovering from cataract surgery (procedure to treat clouding of the lens in the eye). Diclofenac ophthalmic solution is also used to temporarily relieve eye pain and sensitivity to light in patients who are recovering from corneal refractive surgery (surgery to improve vision). Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs. It works by stopping the production of certain natural substances that cause pain and swelling.

Possible Side Effects

What Side Effects Can This Cause?

Diclofenac eye drops may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• burning or stinging in your eye just after you instill the drops
• itchy eyes
• stomach pain
• upset stomach
• vomiting
• difficulty falling asleep or staying asleep
• headache
• dizziness
• fever
• chills
• runny nose

Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately:

• swelling of the eyes or face
• red or bloody eyes
• eye pain
• feeling that something is in the eye
• sensitivity to light
• blurred or decreased vision
• teary eyes
• eye discharge or crusting

Diclofenac eye drops may cause other side effects. Call your doctor if you have any unusual problems while using this medication.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].

Usage Instructions

How Should This Medication Be Used

Ophthalmic diclofenac comes as a solution (liquid) to instill in the eyes. When diclofenac eye drops are used by patients recovering from cataract surgery, they are usually instilled 4 times a day beginning 24 hours after surgery and continuing for 2 weeks after surgery. When diclofenac eye drops are used by patients undergoing corneal refractive surgery, they are usually instilled one hour before the surgery, 15 minutes after the surgery, and then four times a day for up to 3 days. Use diclofenac eye drops at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use diclofenac eye drops exactly as directed. Do not use more or less of them or use them more often than prescribed by your doctor. To use the eye drops, follow these steps:

Wash your hands thoroughly with soap and water.

Check the dropper tip to make sure that it is not chipped or cracked.

Avoid touching the dropper tip against your eye or anything else; eyedrops and droppers must be kept clean.

While tilting your head back, pull down the lower lid of your eye with your index finger to form a pocket.

Hold the dropper (tip down) with the other hand, as close to the eye as possible without touching it.

Brace the remaining fingers of that hand against your face.

While looking up, gently squeeze the dropper so that a single drop falls into the pocket made by the lower eyelid. Remove your index finger from the lower eyelid.

Close your eye for 2 to 3 minutes and tip your head down as though looking at the floor. Try not to blink or squeeze your eyelids.

Place a finger on the tear duct and apply gentle pressure.

Wipe any excess liquid from your face with a tissue.

If you are to use more than one drop in the same eye, wait at least 5 minutes before instilling the next drop.

Replace and tighten the cap on the dropper bottle. Do not wipe or rinse the dropper tip.

Wash your hands to remove any medication.

What Dietary Instructions Should I Follow

Unless your doctor tells you otherwise, continue your normal diet.

Are There Any Special Instructions

Before using diclofenac eye drops, tell your doctor and pharmacist if you are allergic to diclofenac; aspirin or other NSAIDs such as nepafenac (Nevanac), ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or tolmetin (Tolectin); any other medications, or any of the ingredients in diclofenac eye drops. Ask your pharmacist for a list of the ingredients. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin); aspirin and other NSAIDs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); and corticosteroid eye drops such as dexamethasone (Maxidex), fluorometholone (FML), hydrocortisone (in Cortisporin), loteprednol (Alrex, Lotemax), medrysone (HMS), prednisolone (Pred Mild), and rimexolone (Vexol). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor if you have or have ever had diabetes, rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), dry eye disease or any eye problem other than cataracts, or any condition that causes you to bleed easily. tell your doctor if you wear soft contact lenses. Your doctor may tell you that you should not wear your contact lenses during your treatment with diclofenac eye drops.