The use of diclofenac is now contraindicated in patients with:
- ischaemic heart disease
- peripheral arterial disease
- cerebrovascular disease
- congestive heart failure
Patients with any of these conditions who are currently receiving diclofenac should be switched to an alternative treatment at their next appointment.
Use with caution when cardiovascular risk factors present
In addition, caution should be used when prescribing diclofenac in patients with significant risk factors for cardiovascular events, such as hypertension, hyperlipidaemia, diabetes mellitus and smoking.
These new contraindications and warnings apply to systemic formulations of diclofenac (tablets, capsules, suppositories and injections) but not topical products (creams and gels).