Valerie in Edmonton asks: My doctor prescribed diclofenac and I have been taking it for 3 weeks. It sometimes gives me indigestion.  Is it alright to continue taking it?  I have had a past history of stomach problems and recently started pantoprazole once a day.

Diclofenac is an example of an NSAID (anti-inflammatory).  Similar medications include naproxen (Aleve), ibuprofen (Advil, Motrin) or celecoxib (Celebrex).  There are many potential side effects of NSAIDs, including irritation/inflammation to the stomach lining.   Ultimately, this can lead to a stomach ulcer in some individuals.  Medications called proton pump inhibitors (PPIs), like pantoprazole, can help reduce the risk of this happening.  However, one should consider stopping the NSAID if the stomach discomfort continues despite being on a PPI.  Everyone’s individual risk from NSAIDs is different and should be strongly considered when starting a NSAID.  A conversation with your doctor to balance the benefits and risks is always a good idea.

Posted: August 28, 2016

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