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Diclofenac Potassium Tablets side effects: what 8,373 FDA adverse event reports show

Diclofenac Potassium Tablets · Diclofenac Sodium · 979 reaction terms · 243,176 drug–reaction co-reports · data 2026-09-14
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Drug class

Nonsteroidal anti-inflammatory drug

FDA label, Indications wording

Brand names

Diclofenac Sodium

openFDA label

Who reports

8,373 reports · 90% serious · 4,116 with death outcome · 88% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Diclofenac sodium topical solution is indicated for the treatment of the pain of osteoarthritis of the knee(s). Diclofenac sodium topical solution is a nonsteroidal anti-inflammatory drug indicated for the treatment of the pain of osteoarthritis of the knee(s). ( 1 )

FDA label, Indications and Usage

What it is

Diclofenac sodium topical solution, USP contains 2% diclofenac sodium USP, a benzeneacetic acid derivative that is a nonsteroidal anti-inflammatory drug, and is available as a clear, colorless to faintly pink or orange solution for topical application.

FDA label, Description section

Boxed warning

RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS Cardiovascular Thrombotic Events Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction, and stroke, which can be fatal.

FDA label
How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled — boxed warning 1Labeled (related wording) 2Lab value / disease marker 7Not in label — unassessed 30
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 939 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Grip strength1343,484.9
2,681.7–4,528.8ROR 3,541.6 · calibrated p 1e-23 ✓
1,196.8 EB05 1,036.1 · IC025 +7.5
3/3 methods agree
Not in label — unassessedserious n=134 · 97% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody3793,344.2
2,869.9–3,896.9ROR 3,502.7 · calibrated p 4e-24 ✓
1,325.4 EB05 1,217.1 · IC025 +8.8
3/3 methods agree
Lab value / disease markerserious n=379 · 95% cliniciannot reported in cached trials
Lupus vulgaris6232,788.4
2,491.6–3,120.6ROR 3,012.5 · calibrated p 2e-23 ✓
1,259.3 EB05 1,178.5 · IC025 +9.2
3/3 methods agree
Not in label — unassessedserious n=623 · 95% cliniciannot reported in cached trials
C-reactive protein4742,775.1
2,438.2–3,158.5ROR 2,941.6 · calibrated p 4e-23 ✓
1,241.4 EB05 1,150.4 · IC025 +9.0
3/3 methods agree
Lab value / disease markerserious n=474 · 97% cliniciannot reported in cached trials
Deep vein thrombosis postoperative9772,517.0
2,308.5–2,744.4ROR 2,849.4 · calibrated p 5e-23 ✓
1,217.3 EB05 1,154.6 · IC025 +9.5
3/3 methods agree
Not in label — unassessedserious n=977 · 94% cliniciannot reported in cached trials
Swollen joint count1081,976.5
1,536.0–2,543.3ROR 2,002.3 · calibrated p 2e-20 ✓
918.3 EB05 781.9 · IC025 +7.2
3/3 methods agree
Not in label — unassessedserious n=108 · 94% cliniciannot reported in cached trials
Swollen joint count increased1,3331,886.2
1,762.3–2,019.0ROR 2,243.3 · calibrated p 1e-21 ✓
1,053.7 EB05 1,007.1 · IC025 +9.5
3/3 methods agree
Lab value / disease markerserious n=1,333 · 96% cliniciannot reported in cached trials
Facet joint syndrome1,2891,746.9
1,632.0–1,869.9ROR 2,064.7 · calibrated p 3e-21 ✓
1,008.3 EB05 962.9 · IC025 +9.4
3/3 methods agree
Not in label — unassessedserious n=1,289 · 97% cliniciannot reported in cached trials
Rheumatic fever1,7611,705.5
1,611.3–1,805.2ROR 2,159.6 · calibrated p 2e-21 ✓
998.4 EB05 959.8 · IC025 +9.5
3/3 methods agree
Not in label — unassessedserious n=1,761 · 96% cliniciannot reported in cached trials
Retinitis5741,320.4
1,195.9–1,457.9ROR 1,417.6 · calibrated p 4e-19 ✓
836.7 EB05 780.8 · IC025 +8.8
3/3 methods agree
Not in label — unassessedserious n=574 · 95% cliniciannot reported in cached trials
Adjustment disorder with depressed mood6841,294.0
1,182.6–1,415.8ROR 1,409.0 · calibrated p 4e-19 ✓
829.7 EB05 778.8 · IC025 +8.9
3/3 methods agree
Not in label — unassessedserious n=684 · 96% cliniciannot reported in cached trials
Hypocholesterolaemia991,193.1
939.6–1,515.2ROR 1,207.4 · calibrated p 7e-18 ✓
695.9 EB05 588.2 · IC025 +7.0
3/3 methods agree
Not in label — unassessedserious n=99 · 96% cliniciannot reported in cached trials
Dislocation of vertebra7001,156.1
1,059.6–1,261.3ROR 1,261.4 · calibrated p 2e-18 ✓
771.1 EB05 724.4 · IC025 +8.9
3/3 methods agree
Not in label — unassessedserious n=700 · 94% cliniciannot reported in cached trials
X-ray abnormal503987.1
892.1–1,092.1ROR 1,050.1 · calibrated p 2e-17 ✓
687.0 EB05 638.1 · IC025 +8.6
3/3 methods agree
Lab value / disease markerserious n=503 · 96% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, hypersomnia type28974.3
629.5–1,508.1ROR 977.6 · calibrated p 7e-16 ✓
472.4 EB05 343.0 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=28 · 93% cliniciannot reported in cached trials
Duodenal ulcer perforation2,025958.3
914.6–1,004.0ROR 1,263.7 · calibrated p 2e-18 ✓
686.2 EB05 661.5 · IC025 +9.1
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 439.6 · 95% cliniciannot reported in cached trials
Rheumatoid factor positive1,569939.5
890.1–991.7ROR 1,156.0 · calibrated p 5e-18 ✓
675.3 EB05 647.7 · IC025 +9.0
3/3 methods agree
Lab value / disease markerserious n=1,569 · 96% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive1,727806.9
767.6–848.2ROR 1,016.3 · calibrated p 2e-17 ✓
604.4 EB05 580.8 · IC025 +8.9
3/3 methods agree
Lab value / disease markerserious PRR 389.1 · 95% cliniciannot reported in cached trials
Peripheral venous disease948782.3
729.5–838.9ROR 882.1 · calibrated p 1e-16 ✓
587.3 EB05 556.6 · IC025 +8.7
3/3 methods agree
Not in label — unassessedserious n=948 · 95% cliniciannot reported in cached trials
Seronegative arthritis266780.5
681.1–894.4ROR 806.1 · calibrated p 4e-16 ✓
568.9 EB05 513.8 · IC025 +7.9
3/3 methods agree
Not in label — unassessedserious n=266 · 94% cliniciannot reported in cached trials
Helicobacter infection2,081644.2
617.0–672.7ROR 857.0 · calibrated p 2e-16 ✓
508.8 EB05 490.7 · IC025 +8.8
3/3 methods agree
Not in label — unassessedserious PRR 344.3 · 95% cliniciannot reported in cached trials
Muscle injury1,541580.4
551.4–610.9ROR 711.1 · calibrated p 1e-15 ✓
467.4 EB05 448.2 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 324.6 · 97% cliniciannot reported in cached trials
Porphyria acute259579.6
507.1–662.5ROR 598.1 · calibrated p 1e-14 ✓
453.9 EB05 409.3 · IC025 +7.7
3/3 methods agree
Not in label — unassessedserious n=259 · 94% cliniciannot reported in cached trials
Acquired porphyria13563.5
308.6–1,028.8ROR 564.4 · calibrated p 1e-12 ✓
274.1 EB05 170.5 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=13not reported in cached trials
C-reactive protein abnormal1,162556.2
523.8–590.5ROR 645.6 · calibrated p 4e-15 ✓
450.8 EB05 429.4 · IC025 +8.5
3/3 methods agree
Lab value / disease markerserious n=1,162 · 97% cliniciannot reported in cached trials
Pemphigus2,229548.5
526.6–571.2ROR 747.1 · calibrated p 7e-16 ✓
447.3 EB05 431.9 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 287.0 · 95% cliniciannot reported in cached trials
Bone erosion619531.4
488.5–578.0ROR 573.7 · calibrated p 1e-14 ✓
431.6 EB05 403.8 · IC025 +8.2
3/3 methods agree
Not in label — unassessedserious n=619 · 97% cliniciannot reported in cached trials
Folliculitis1,757514.5
491.0–539.1ROR 650.8 · calibrated p 3e-15 ✓
424.0 EB05 407.6 · IC025 +8.5
3/3 methods agree
Not in label — unassessedserious PRR 319.1 · 97% cliniciannot reported in cached trials
Hand deformity2,176500.7
480.7–521.6ROR 676.2 · calibrated p 2e-15 ✓
415.0 EB05 400.5 · IC025 +8.5
3/3 methods agree
Not in label — unassessedserious PRR 288.7 · 95% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, insomnia type1,049488.5
458.8–520.0ROR 558.3 · calibrated p 2e-14 ✓
405.0 EB05 384.8 · IC025 +8.3
3/3 methods agree
Not in label — unassessedserious n=1,049 · 97% cliniciannot reported in cached trials
Lip dry1,386459.1
435.4–484.2ROR 550.0 · calibrated p 2e-14 ✓
385.3 EB05 368.6 · IC025 +8.3
3/3 methods agree
Not in label — unassessedserious n=1,386 · 97% cliniciannot reported in cached trials
Tender joint count13452.4
250.5–816.8ROR 453.1 · calibrated p 9e-12 ✓
245.0 EB05 152.4 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=13not reported in cached trials
Breast cancer stage iii962441.0
413.2–470.7ROR 498.2 · calibrated p 6e-14 ✓
371.6 EB05 352.3 · IC025 +8.2
3/3 methods agree
Not in label — unassessedserious n=962 · 94% cliniciannot reported in cached trials
Pericarditis2,168375.1
360.5–390.3ROR 505.9 · calibrated p 5e-14 ✓
324.9 EB05 313.6 · IC025 +8.2
3/3 methods agree
Not in label — unassessedserious PRR 209.3 · 95% cliniciannot reported in cached trials
Synovitis2,209349.8
336.4–363.7ROR 474.8 · calibrated p 1e-13 ✓
305.7 EB05 295.2 · IC025 +8.1
3/3 methods agree
Not in label — unassessedserious PRR 204.6 · 95% cliniciannot reported in cached trials
Musculoskeletal deformity28337.5
227.5–500.6ROR 338.6 · calibrated p 2e-11 ✓
247.0 EB05 179.4 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=28 · 100% cliniciannot reported in cached trials
Hypercholesterolaemia1,108328.4
309.6–348.4ROR 378.4 · calibrated p 1e-12 ✓
288.6 EB05 274.6 · IC025 +7.9
3/3 methods agree
Not in label — unassessedserious PRR 196.3 · 96% cliniciannot reported in cached trials
Joint range of motion decreased1,527323.4
308.0–339.6ROR 395.3 · calibrated p 6e-13 ✓
285.1 EB05 273.3 · IC025 +7.9
3/3 methods agree
Not in label — unassessedserious PRR 232.4 · 96% cliniciannot reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Liver injury3,03525.424.7–26.2signal
Interstitial lung disease88723.421.9–24.9signal
Hyperglycaemia / diabetes2,14415.615.1–16.2signal
Depression1,0289.28.7–9.7signal
Pancreatitis2568.07.1–9.0signal
Serious infection2,2767.47.1–7.7signal
Gi bleeding3104.23.8–4.7signal
Rhabdomyolysis / myopathy1023.22.6–3.8signal
Thrombocytopenia1992.32.0–2.6raised
Fall / fracture2982.01.8–2.2raised
Anaphylaxis / angioedema761.51.2–1.9raised
Severe cutaneous reaction411.41.0–1.9raised
Opportunistic infection551.00.8–1.3no difference
Hyponatraemia300.90.7–1.3no difference
Venous thromboembolism770.90.7–1.1no difference
Suicidality750.80.6–1.0lower than other drugs

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Diclofenac Potassium Tablets as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (0 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Rheumatoid arthritis2,55057.8
55.9–59.7ROR 82.7 · calibrated p 5e-7 ✓
56.5 EB05 54.6 · IC025 +5.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 53.3 · serious PRR 44.0 · 94% clinicianNCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium Tablets (serious AE)
Fatigue (tiredness)2,4527.9
7.7–8.2ROR 10.8 · calibrated p 0.025 ✓
7.9 EB05 7.6 · IC025 +2.9
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 7.4 · serious PRR 9.4 · 93% cliniciannot reported in cached trials
Rash2,40814.0
13.5–14.5ROR 19.2 · calibrated p 0.002 ✓
13.9 EB05 13.4 · IC025 +3.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 13.9 · serious PRR 19.6 · 93% cliniciannot reported in cached trials
Systemic lupus erythematosus2,399182.3
175.9–188.9ROR 255.1 · calibrated p 4e-11 ✓
169.6 EB05 164.0 · IC025 +7.3
3/3 methods agree
Not in label — unassessedage-adj. PRR 174.7 · serious PRR 111.1 · 95% cliniciannot reported in cached trials
Drug ineffective (drug did not work)2,3814.5
4.4–4.7ROR 5.9 · calibrated p 0.154
4.5 EB05 4.4 · IC025 +2.1
3/3 methods agree
Reporting / coding artifactage-adj. PRR 5.7 · serious PRR 7.9not reported in cached trials
Pain2,3819.7
9.4–10.1ROR 13.2 · calibrated p 0.012 ✓
9.7 EB05 9.4 · IC025 +3.2
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 9.5 · serious PRR 9.6 · 91% clinicianNCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium Tablets (serious AE)
Off label use (used outside approved label)2,3606.8
6.6–7.1ROR 9.1 · calibrated p 0.044 ✓
6.8 EB05 6.6 · IC025 +2.7
3/3 methods agree
Reporting / coding artifactage-adj. PRR 7.3 · serious PRR 8.1 · 92% cliniciannot reported in cached trials
Joint swelling2,34449.7
48.0–51.5ROR 68.6 · calibrated p 2e-6 ✓
48.7 EB05 47.1 · IC025 +5.5
3/3 methods agree
Not in label — unassessedage-adj. PRR 42.5 · serious PRR 53.5 · 95% cliniciannot reported in cached trials
Wound2,279223.8
215.6–232.3ROR 307.1 · calibrated p 8e-12 ✓
204.9 EB05 198.0 · IC025 +7.5
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 208.6 · serious PRR 155.8 · 96% clinicianNCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium Tablets (serious AE)
Pemphigus2,229548.5
526.6–571.2ROR 747.1 · calibrated p 7e-16 ✓
447.3 EB05 431.9 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 287.0 · 95% cliniciannot reported in cached trials
Synovitis2,209349.8
336.4–363.7ROR 474.8 · calibrated p 1e-13 ✓
305.7 EB05 295.2 · IC025 +8.1
3/3 methods agree
Not in label — unassessedserious PRR 204.6 · 95% cliniciannot reported in cached trials
Hand deformity2,176500.7
480.7–521.6ROR 676.2 · calibrated p 2e-15 ✓
415.0 EB05 400.5 · IC025 +8.5
3/3 methods agree
Not in label — unassessedserious PRR 288.7 · 95% cliniciannot reported in cached trials
Swelling2,17559.7
57.6–62.0ROR 80.3 · calibrated p 6e-7 ✓
58.3 EB05 56.3 · IC025 +5.8
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 55.3 · serious PRR 60.2 · 95% cliniciannot reported in cached trials
Infusion related reaction (reaction during infusion)2,17285.2
82.1–88.4ROR 114.6 · calibrated p 4e-8 ✓
82.3 EB05 79.4 · IC025 +6.3
3/3 methods agree
Not in label — unassessedage-adj. PRR 69.6 · serious PRR 66.2 · 95% cliniciannot reported in cached trials

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Diclofenac Potassium Tablets?

In FDA FAERS, the most frequently co-reported reaction terms for Diclofenac Potassium Tablets are rheumatoid arthritis, fatigue, rash, systemic lupus erythematosus, pain, joint swelling. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Diclofenac Potassium Tablets have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS Cardiovascular Thrombotic Events Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction, and stroke, which can be fatal.

Do FAERS signals prove that Diclofenac Potassium Tablets causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.