Clinical Overview
Diclofenac Sodium Injection (25mg/ml, 75mg/3ml) is a parenteral phenylacetic acid NSAID on the WHO Model List of Essential Medicines. It potently inhibits COX-1 and COX-2 enzymes to block prostaglandin synthesis. Indicated for acute severe pain, renal colic, biliary colic, acute postoperative pain, and severe trauma.
Active Pharmaceutical Ingredients
Verified Clinical References
Usage Guidelines
Administer by deep intragluteal intramuscular (IM) injection only, into the upper outer quadrant of the buttock (75 mg once or twice daily for a maximum of 2 days). Switch to oral therapy as soon as possible. Can also be given by slow IV infusion diluted in 100-500 mL 0.9% NaCl or 5% Dextrose buffered with sodium bicarbonate.
General Administration Advice: Adhere strictly to the prescribed dosage, frequency, and treatment course. For oral medications, swallow with sufficient water. Never stop antibiotics, psychiatric medications, or antihypertensives abruptly without clinical direction.
Possible Side Effects
Common: Injection site pain, induration, nausea, epigastric discomfort. Rare/Severe: Nicolau syndrome (severe tissue necrosis and livedoid dermatitis from accidental intra-arterial or perivascular injection), acute renal failure, and anaphylactoid shock.
*Note: Individual physiological responses vary. While many patients experience few or no side effects, notify your treating physician if adverse reactions persist or if hypersensitivity (angioedema, skin rash, dyspnea) occurs.
Precautions & Warnings
Black Box Warning: For deep IM gluteal injection ONLY; rotate injection sites. Accidental injection near the sciatic nerve or into vessels causes severe Nicolau syndrome and permanent nerve damage. Contraindicated in active GI bleeding, severe heart failure, and CABG surgery. Maximum duration: 2 days.
Medical Disclaimer: Statutory Clinical Disclaimer: The information provided is for educational and price-transparency purposes only and does not constitute medical advice, clinical diagnosis, or analgesic treatment guidance. Always consult a registered physician or orthopedic specialist before taking pain relievers, anti-inflammatory medications, or anti-arthritic therapies.