Composition:

• Each enteric coated tablet contains: 25 or 50 mg Diclofenac sodium
• Each dispersible tablet of Voltack D 50 contains:

46.5 mg Diclofenac equivalent to 50 mg Diclofenac Sodium

• Each ampoule contains 75 mg / 3ml Diclofenac Sodium Properties:

Voltack belongs to a family of medicines called non-steroidal

anti-inflammatory drugs (NSAIDs) with antirheumatic, analgesic and antipyretic properties due to its ability to inhibit prostaglandin biosynthesis which cause inflammation, pain and fever.

Indications:

Voltack is used to relieve inflammation that may occur in the following cases:

• Different types of arthritis including rheumatoid arthritis and osteoarthritis.
• Other painful conditions where swelling is a problem such as back pain, rheumatism, muscle strains, sprains and tendonitis.
• Menstrual pain.
• Severe migraine attacks.
• Renal and biliary colic.
• Painful postoperative conditions.
• Acute attack of gout.

Dosage:

• The usual dose is 50 to 150 mg daily in divided 1-3 doses.
• Swallow whole tablet of Voltack 25 or 50 mg without crushing.
• Dissolve one tablet of Voltack D 50 in half cup of water.
• Voltack ampoule can be administered either by intramuscular or intravenous infusion in (Dextrose or Normal saline) solution which should be buffered with sodium bicarbonate solution (0.5 ml 8.4% or 1 ml 4.2%).
• In severe cases a second dose can be administered after 6 hours.
• Maximum daily dose is 150 mg, It should not be given for more than two days.
• Voltack ampoule must not be given by intravenous directly.
• The intravenous infusion solution should not be used if crystals,

precipitates or turbidity are observed. Contraindications:

Voltack is not used in these cases:

• Hypersensitivity to Diclofenac, Aspirin or NSAID
• Gastrointestinal bleeding or gastric or duodenal ulcer
• During the third trimester of pregnancy
• Severe hepatic, renal or cardiac failure
• Haemostasis disorders or (for intramuscular route of administration only)
• Children below 14 years

Side effects:

Voltack may cause very rare side effects such as:

• Gastrointestinal disorders including nausea, vomiting, indigestion, diarrhea, loss of appetite and stomach pain
• Dizziness, drowsiness or headache
• Feeling depressed, anxious or irritable
• Injection site reaction or injection site pain (In injection treatment)

Precautions:

Tell your doctor in these cases:

• Pregnancy or breast-feeding.
• Heart disease
• Cardiovascular disease such as chest pain, shortness of breath

and hypertension

• Blood problems such as anaemia
• Kidney and liver disease
• Asthma
• Haemorrhoids and irritation of the rectum
• Voltack ampoule is not recommended in adolescents Drug interactions:

Tell your doctor if you are taking these drugs:

• Aspirin, salicylates, ibuprofen, or other NSAID medicines
• Anticoagulants such as (Warfarin)
• Digoxin
• Diuretics
• Medicines to treat diabetes such as (Metformin)
• Medicines used to suppress the immune system such as Cyclosporin
• Trimethoprim.
• Certain antibiotics called Quinolones
• Medicines used to treat high blood pressure and heart failure
• Corticosteroids
• Phenytoin Package:
• Each box of Voltack 25 mg and 50 mg contains 2x10 Tablets
• Each box of Voltack D 50 contains 2x10 Tablets
• Each box of Voltack ampoِulِe contains 1x5 Ampoule

Storage:

Store at a temperature below 30 C