Diclofenac
Check the contraindications for the specific formulation.
Prescription optionsCardiovascular contraindications
Before use, check for heart failure, ischaemic heart disease and cerebrovascular disease. Consult the full contraindications for the formulation concerned.
Pre-use check
Check gastrointestinal, renal and cardiovascular risk, hypersensitivity and interactions. Ask about over-the-counter medicines. Do not combine two systemic NSAIDs.
Prescription options
Draft for your prescribing system. Check patient details, contraindications and medication safety before prescribing.
Diclofenac potassium for toothache
Product-specific example for an adult with toothache. This regimen applies to diclofenac potassium 25 mg coated tablets.
Checks before prescribing
Pay particular attention to cardiovascular contraindications, including NYHA class II–IV heart failure and established arterial vascular disease. KIMO advises against NSAID use after a dental procedure that causes bleeding in patients taking antithrombotics, even if antithrombotic therapy has been temporarily interrupted. Discuss over-the-counter NSAIDs as well. See When taking antithrombotics. Check gastrointestinal, renal and cardiovascular risk factors, pregnancy, hypersensitivity and interactions. Do not combine two NSAIDs. See Frailty, kidney or liver impairment.
R/ Diclofenac potassium 25 mg coated tablet
- Per dose
- 25 mg by mouth (1 tablet)
- Frequency and interval in this example
- Repeat with at least 6 hours between dosing if necessary
- Maximum per 24 hours
- 75 mg (3 tablets)
- Quantity in this draft
- Maximum 6 tablets
Duration in this example: 2 days. Stop earlier if the medicine is no longer needed. Reassess if pain relief is inadequate or pain worsens.
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- Farmacotherapeutisch Kompas · NSAID’s, systemisch · Typerende bijwerkingen, toepasbaarheid en interacties
- Farmacotherapeutisch Kompas · Diclofenac (systemisch) · Advies en cardiovasculaire contra-indicaties
- KIMO · Bloedige ingrepen in de mondzorg bij patiënten die antitrombotica gebruiken · Versie 2025 · uitgangsvraag 5, NSAID-beleid
- CBG · Voltaren K 25 mg, omhulde tabletten · RVG 13244 · SmPC §4.1–4.5, tand- en kiespijn
- KNMG en betrokken beroepsverenigingen · Elektronisch voorschrijven · Artikelen 2 en 3 · medicatiebewaking
