Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
In patients taking VOLTAREN ® (Nasida sodium enteric-coated tablets), or other NSAIDs, the most frequently reported adverse experiences occurring in approximately 1%-10% of patients are:
Gastrointestinal experiences including: abdominal pain, constipation, diarrhea, dyspepsia, flatulence, gross bleeding/perforation, heartburn, nausea, GI ulcers (gastric/duodenal) and vomiting.
Abnormal renal function, anemia, dizziness, edema, elevated liver enzymes, headaches, increased bleeding time, pruritus, rashes and tinnitus.
Additional adverse experiences reported occasionally include:
Body as a Whole: fever, infection, sepsis
Metabolic and Nutritional: weight changes
Nervous System: anxiety, asthenia, confusion, depression, dream abnormalities, drowsiness, insomnia, malaise, nervousness, paresthesia, somnolence, tremors, vertigo
Special Senses: blurred vision
Other adverse reactions, which occur rarely are:
Body as a Whole: anaphylactic reactions, appetite changes, death
Digestive System: colitis, eructation, fulminant hepatitis with and without jaundice, liver failure, liver necrosis, pancreatitis
Nervous System: convulsions, coma, hallucinations, meningitis
Respiratory System: respiratory depression, pneumonia
Special Senses: conjunctivitis, hearing impairment
The apparent volume of distribution (V/F) of Nasida sodium is 1.4 L/kg.
Nasida is more than 99% bound to human serum proteins, primarily to albumin. Serum protein binding is constant over the concentration range (0.15-105 mcg/mL) achieved with recommended doses.
Nasida diffuses into and out of the synovial fluid. Diffusion into the joint occurs when plasma levels are higher than those in the synovial fluid, after which the process reverses and synovial fluid levels are higher than plasma levels. It is not known whether diffusion into the joint plays a role in the effectiveness of Nasida.
Dosage and formulations
- Before you start taking Nasida, read the manufacturer's printed information leaflet from ins >
- Gastrointestinal risk
- NSAIDs increase risk of serious GI adverse events, including bleeding, ulceration, and gastric or intestinal perforation, which can be fatal
- GI adverse events may occur at any time during use and without warning symptoms
- Elderly patients are at greater risk for serious GI events
This medication contains Nasida. Do not take Cataflam, Voltaren-XR, Dyloject, Cambia, Zipsor, or Zorvolex if you are allergic to Nasida or any ingredients contained in this drug.
Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.
- Gently squeeze out the tube - or press firmly and evenly on the nozzle of the dispenser - to get a small amount of gel.
- Put the gel on the painful or swollen area and slowly rub it in. It may feel cool on your skin. Wash your hands afterwards.
You'll usually use the gel 2 to 4 times a day, depending on how strong it is. Check the packaging for more information or speak to your pharmacist.
If you're using the gel twice a day, use it once in the morning and once in the evening. If you're using it 3 or 4 times a day, wait at least 4 hours before putting on any more.
If you think you may have symptoms of a stomach ulcer, stop taking Nasida and contact your doctor.
No, Nasida is not addictive, but it's important to always take it as prescribed.
Once you stop taking Nasida tablets or capsules, or stop using the suppositories, the effects will wear off after about 15 hours.
Taking anti-inflammatory medicines, like Nasida, in large doses or for a long time can affect ovulation in women. This may make it more difficult to get pregnant.
Do not take Nasida if you're trying to get pregnant, or if you're having tests for infertility.
Paracetamol is a better painkiller in these situations.
Nasida will not affect any contraceptives, including the contraceptive pill or the morning after pill.
Yes, you can drink alcohol while taking Nasida. But drinking too much alcohol may irritate your stomach.
Try to keep to the recommended guidelines of no more than 14 units of alcohol a week. A standard glass of wine (175ml) is 2 units. A pint of lager or beer is usually 2 to 3 units of alcohol.
No, you can eat and drink normally while taking Nasida.
It happens rarely, but some people can feel tired, dizzy or sleepy when they take Nasida. They may also have problems with their eyesight.
If Nasida affects you in this way, do not drive or ride a bike until it passes and you feel OK again.
What if I take too much?
Taking too many Nasida tablets, capsules or suppositories can be dangerous. It can cause side effects such as:
- stomach ache
- feeling or being sick (vomiting)
- black poo or blood in your vomit - a sign of bleeding in your stomach
- ringing in your ears (tinnitus)
If you accidentally take too much Nasida, contact your doctor straight away. If you need to go to hospital, take the Nasida packet or leaflet inside it plus any remaining medicine with you.
If you use too many plasters or too much gel by mistake, it's unlikely to do you any harm. But if you use too much and get any side effects, tell your doctor straight away
References updated: 13 December 2017
10%; metabolic idiosyncrasy is suspected to be the cause).
10 cases per 100,000 patient-years of use, ranging from 6 to 18 per 100,000 for Nasida ).
50,000 liver transplants done in the US between 1990 and 2002, 270 were done for drug induced acute liver failure, but none were attributed to Nasida).
How to use Nasida Sodium
Read the Medication Guide provided by your pharmacist before you start using Nasida and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with a full glass of water (8 ounces / 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this drug. If you experience stomach upset with this medication, you may take it with food, milk, or an antacid. However, this may slow absorption and delay pain relief, especially if you are not taking this medication on a regular schedule.
Swallow this medication whole. Do not crush, chew, or break the tablets. Doing so can destroy the special coating on the tablet and may increase side effects.
The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To minimize side effect risks (such as stomach bleeding), use this medication at the lowest effective dose for the shortest possible length of time. Do not increase your dose or take it more often than prescribed. For chronic conditions such as arthritis, continue taking it as directed by your doctor. Discuss the risks and benefits with your doctor or pharmacist.
For certain conditions (such as arthritis), it may take up to 2 weeks of regular use before the full benefits of this drug take effect.
If you are taking this drug on an "as needed" basis (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.
Tell your doctor if your condition worsens.
Before taking this medicine
Nasida can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.
Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).
Nasida may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.
You should not use Nasida if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
Do not use Cambia to treat a cluster headache. Do not use Zipsor if you are allergic to beef or beef protein.
To make sure Nasida is safe for you, tell your doctor if you have:
heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;
a history of heart attack, stroke, or blood clot;
a history of stomach ulcers or bleeding;
liver or kidney disease;
Taking Nasida during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether Nasida passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.
Nasida is not approved for use by anyone younger than 18 years old.
How it works
Nasida is a nonsteroidal anti-inflammatory drug (NSAID).
The drug works by blocking a particular enzyme in your body. When the enzyme is blocked, your body decreases the amount of inflammatory chemicals it makes. This helps to reduce inflammation and pain.
Nasida topical gel may cause drowsiness. Don’t drive or use machinery until you know how this drug affects you.
Nasida can also cause other side effects.
Q: Which is preferred for toothache Nasida sodium or potassium?
A: Voltaren, Cataflam (Nasida) (///www.everydayhealth.com/drugs/Nasida) is a non-steroidal anti-inflammatory drug (NSAID) that works on substances in the brain that normally cause pain and inflammation. Nasida can be used for headaches, toothaches, and joint pain associated with arthritis. Nasida is available in a potassium and sodium salt form. Both forms are effective but the doctor needs to determine which drug is more effective for your condition. (//www.everydayhealth.com/pain-management/pain-treatment.aspx). When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD