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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Headaches While On Diclofenac?

I've been taking a new medication it's Diclofenac SOD EC 50mg . I've been having muscle pain ,lower calves ,jaw pain and sometimes sever stomach pain . Since beginning the medicine bad headaches ,base of skull sick to stomach ... Don't no what to do for any of these symptoms ... What should I do or take for any of these promblem ??? Worried 3 weeks since headaches began !!! Help ???
Tue, 29 Aug 2017
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General & Family Physician,  's  Response
Hello
I understand your concern.

Chronic headache may be because of migraine /hypertension/opthalmic problem.
Stomach pain may be due to gastritis caused by diclofenac.You need to avoid using NSAIDs.
Stomach pain can be taken care of by anatacids like Ranitidiine or PPIs like omeprazole for 5-7 days.
First the cause of chronic headache needs to be evaluated .
I advise investigations like CT scan Head,BP measurement,blood haemogram and a opthalmic checkup by eye specialist to rule out glaucoma.
Further management will depend on underlying cause.
If all causes are ruled ,migraine becomes the more obvious cause.
It can be treated by analgesics like acetaminophen for acute attack .Drugs like rizatriptan/sumatriptan are needed for prevention of further attack.
Have adequate rest in calm dark room.
Avoid triggering factors like alcohol,caffeine,bright lights,noise,stress.
You need to visit neurologist/internal medicine specialist in all this regard.

Hope I answered your query.
Feel free to ask any more doubt.
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What Causes Chronic Headaches While On Diclofenac?

Hello I understand your concern. Chronic headache may be because of migraine /hypertension/opthalmic problem. Stomach pain may be due to gastritis caused by diclofenac.You need to avoid using NSAIDs. Stomach pain can be taken care of by anatacids like Ranitidiine or PPIs like omeprazole for 5-7 days. First the cause of chronic headache needs to be evaluated . I advise investigations like CT scan Head,BP measurement,blood haemogram and a opthalmic checkup by eye specialist to rule out glaucoma. Further management will depend on underlying cause. If all causes are ruled ,migraine becomes the more obvious cause. It can be treated by analgesics like acetaminophen for acute attack .Drugs like rizatriptan/sumatriptan are needed for prevention of further attack. Have adequate rest in calm dark room. Avoid triggering factors like alcohol,caffeine,bright lights,noise,stress. You need to visit neurologist/internal medicine specialist in all this regard. Hope I answered your query. Feel free to ask any more doubt.