Diclofenac Potassium side effects: what 10,743 FDA adverse event reports show
Drug class
Nonsteroidal anti-inflammatory drug
Brand names
Diclofenac Sodium
Who reports
10,743 reports · 78% serious · 4,166 with death outcome · 87% female
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 )
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.
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.
Causality screen of the 40 strongest signals
What the badges mean
- Labeled — boxed warning The term (or its clinical synonym) appears in the FDA boxed warning: causality is regulator-recognised and considered serious.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
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). 965 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Grip strength | 134 | 2,715.5 2,089.2–3,529.5ROR 2,749.8 · calibrated p 3e-22 ✓ | 969.7 EB05 839.5 · IC025 +7.5 3/3 methods agree | Not in label — unassessed | serious n=134 · 97% clinician | not reported in cached trials |
| Anti-cyclic citrullinated peptide antibody | 379 | 2,605.8 2,235.5–3,037.5ROR 2,701.1 · calibrated p 1e-22 ✓ | 1,048.6 EB05 962.9 · IC025 +8.6 3/3 methods agree | Lab value / disease marker | serious n=379 · 95% clinician | not reported in cached trials |
| Hepatic enzyme | 78 | 2,502.7 1,788.4–3,502.3ROR 2,521.0 · calibrated p 2e-21 ✓ | 857.7 EB05 709.5 · IC025 +6.7 3/3 methods agree | Labeled (related wording) related wording | serious n=78 · 100% clinician | not reported in cached trials |
| Lupus vulgaris | 623 | 2,172.8 1,940.6–2,432.7ROR 2,306.5 · calibrated p 9e-22 ✓ | 989.9 EB05 926.4 · IC025 +9.0 3/3 methods agree | Not in label — unassessed | serious n=623 · 95% clinician | not reported in cached trials |
| C-reactive protein | 474 | 2,162.4 1,899.1–2,462.1ROR 2,262.1 · calibrated p 1e-21 ✓ | 978.4 EB05 906.6 · IC025 +8.8 3/3 methods agree | Lab value / disease marker | serious n=474 · 97% clinician | not reported in cached trials |
| Deep vein thrombosis postoperative | 977 | 1,961.3 1,797.8–2,139.7ROR 2,157.4 · calibrated p 2e-21 ✓ | 953.7 EB05 904.6 · IC025 +9.2 3/3 methods agree | Not in label — unassessed | serious n=977 · 94% clinician | not reported in cached trials |
| Swollen joint count | 108 | 1,540.1 1,196.7–1,982.2ROR 1,555.8 · calibrated p 4e-19 ✓ | 742.6 EB05 632.3 · IC025 +7.1 3/3 methods agree | Not in label — unassessed | serious n=108 · 94% clinician | not reported in cached trials |
| Swollen joint count increased | 1,333 | 1,469.8 1,372.1–1,574.4ROR 1,677.8 · calibrated p 5e-20 ✓ | 824.0 EB05 787.5 · IC025 +9.2 3/3 methods agree | Lab value / disease marker | serious n=1,333 · 96% clinician | not reported in cached trials |
| Facet joint syndrome | 1,289 | 1,361.2 1,270.8–1,458.1ROR 1,546.7 · calibrated p 1e-19 ✓ | 788.4 EB05 752.9 · IC025 +9.2 3/3 methods agree | Not in label — unassessed | serious n=1,289 · 97% clinician | not reported in cached trials |
| Rheumatic fever | 1,761 | 1,329.0 1,254.5–1,407.9ROR 1,589.3 · calibrated p 9e-20 ✓ | 779.9 EB05 749.8 · IC025 +9.3 3/3 methods agree | Not in label — unassessed | serious n=1,761 · 96% clinician | not reported in cached trials |
| Retinitis | 574 | 1,028.9 931.4–1,136.6ROR 1,086.9 · calibrated p 1e-17 ✓ | 656.1 EB05 612.3 · IC025 +8.6 3/3 methods agree | Not in label — unassessed | serious n=574 · 95% clinician | not reported in cached trials |
| Adjustment disorder with depressed mood | 687 | 1,015.0 927.2–1,111.1ROR 1,084.3 · calibrated p 1e-17 ✓ | 652.8 EB05 612.8 · IC025 +8.7 3/3 methods agree | Not in label — unassessed | serious n=686 · 96% clinician | not reported in cached trials |
| Hypocholesterolaemia | 99 | 929.7 732.0–1,180.9ROR 938.3 · calibrated p 1e-16 ✓ | 559.1 EB05 472.6 · IC025 +6.9 3/3 methods agree | Not in label — unassessed | serious n=99 · 96% clinician | not reported in cached trials |
| Dislocation of vertebra | 700 | 900.8 825.1–983.4ROR 963.5 · calibrated p 4e-17 ✓ | 603.8 EB05 567.2 · IC025 +8.6 3/3 methods agree | Not in label — unassessed | serious n=700 · 94% clinician | not reported in cached trials |
| X-ray abnormal | 503 | 769.1 694.8–851.4ROR 806.9 · calibrated p 3e-16 ✓ | 538.5 EB05 500.2 · IC025 +8.3 3/3 methods agree | Lab value / disease marker | serious n=503 · 96% clinician | not reported in cached trials |
| Sleep disorder due to general medical condition, hypersomnia type | 28 | 759.2 490.4–1,175.3ROR 761.2 · calibrated p 1e-14 ✓ | 396.7 EB05 288.0 · IC025 +5.1 3/3 methods agree | Not in label — unassessed | serious n=28 · 93% clinician | not reported in cached trials |
| Duodenal ulcer perforation | 2,026 | 747.2 712.4–783.7ROR 920.6 · calibrated p 7e-17 ✓ | 535.8 EB05 516.5 · IC025 +8.8 3/3 methods agree | Labeled — boxed warning synonym match | serious PRR 397.4 · 95% clinician | not reported in cached trials |
| Rheumatoid factor positive | 1,569 | 732.1 692.9–773.5ROR 857.1 · calibrated p 2e-16 ✓ | 527.2 EB05 505.7 · IC025 +8.7 3/3 methods agree | Lab value / disease marker | serious n=1,569 · 96% clinician | not reported in cached trials |
| Anti-cyclic citrullinated peptide antibody positive | 1,728 | 629.2 598.0–662.1ROR 749.6 · calibrated p 7e-16 ✓ | 472.0 EB05 453.6 · IC025 +8.6 3/3 methods agree | Lab value / disease marker | serious PRR 351.7 · 95% clinician | not reported in cached trials |
| Peripheral venous disease | 948 | 609.6 568.0–654.1ROR 668.5 · calibrated p 3e-15 ✓ | 458.9 EB05 434.9 · IC025 +8.4 3/3 methods agree | Not in label — unassessed | serious n=948 · 95% clinician | not reported in cached trials |
| Seronegative arthritis | 266 | 608.2 530.6–697.2ROR 623.6 · calibrated p 7e-15 ✓ | 447.5 EB05 404.1 · IC025 +7.8 3/3 methods agree | Not in label — unassessed | serious n=266 · 94% clinician | not reported in cached trials |
| Helicobacter infection | 2,082 | 502.3 480.5–525.1ROR 622.8 · calibrated p 5e-15 ✓ | 397.1 EB05 383.0 · IC025 +8.4 3/3 methods agree | Not in label — unassessed | serious PRR 311.2 · 95% clinician | not reported in cached trials |
| Muscle injury | 1,542 | 452.6 429.6–476.8ROR 528.3 · calibrated p 3e-14 ✓ | 365.0 EB05 349.9 · IC025 +8.3 3/3 methods agree | Not in label — unassessed | serious PRR 293.4 · 97% clinician | not reported in cached trials |
| Porphyria acute | 259 | 451.6 395.0–516.4ROR 462.8 · calibrated p 2e-13 ✓ | 356.4 EB05 321.4 · IC025 +7.5 3/3 methods agree | Not in label — unassessed | serious n=259 · 94% clinician | not reported in cached trials |
| Acquired porphyria | 13 | 439.1 240.5–801.7ROR 439.6 · calibrated p 1e-11 ✓ | 234.7 EB05 145.9 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious n=13 | not reported in cached trials |
| C-reactive protein abnormal | 1,162 | 433.4 407.8–460.5ROR 485.8 · calibrated p 8e-14 ✓ | 351.9 EB05 335.2 · IC025 +8.2 3/3 methods agree | Lab value / disease marker | serious n=1,162 · 97% clinician | not reported in cached trials |
| Pemphigus | 2,230 | 427.6 410.1–445.9ROR 539.3 · calibrated p 3e-14 ✓ | 349.0 EB05 337.0 · IC025 +8.3 3/3 methods agree | Not in label — unassessed | serious PRR 259.4 · 95% clinician | not reported in cached trials |
| Bone erosion | 619 | 414.1 380.4–450.7ROR 439.3 · calibrated p 2e-13 ✓ | 337.4 EB05 315.7 · IC025 +7.9 3/3 methods agree | Not in label — unassessed | serious n=619 · 97% clinician | not reported in cached trials |
| Folliculitis | 1,758 | 401.1 382.4–420.8ROR 479.4 · calibrated p 9e-14 ✓ | 330.9 EB05 318.2 · IC025 +8.2 3/3 methods agree | Not in label — unassessed | serious PRR 288.4 · 97% clinician | not reported in cached trials |
| Subcutaneous drug absorption impaired | 92 | 397.1 317.5–496.6ROR 400.5 · calibrated p 1e-12 ✓ | 308.3 EB05 258.9 · IC025 +6.5 3/3 methods agree | Labeled (related wording) related wording | serious n=92 · 95% clinician | not reported in cached trials |
| Hand deformity | 2,177 | 390.4 374.3–407.1ROR 489.3 · calibrated p 7e-14 ✓ | 323.8 EB05 312.5 · IC025 +8.2 3/3 methods agree | Not in label — unassessed | serious PRR 260.9 · 95% clinician | not reported in cached trials |
| Sleep disorder due to general medical condition, insomnia type | 1,049 | 380.6 357.2–405.5ROR 421.7 · calibrated p 3e-13 ✓ | 316.1 EB05 300.4 · IC025 +8.0 3/3 methods agree | Not in label — unassessed | serious n=1,049 · 97% clinician | not reported in cached trials |
| Lip dry | 1,386 | 357.8 338.9–377.7ROR 410.6 · calibrated p 4e-13 ✓ | 300.6 EB05 287.6 · IC025 +8.0 3/3 methods agree | Not in label — unassessed | serious n=1,386 · 97% clinician | not reported in cached trials |
| Tender joint count | 13 | 352.5 195.2–636.5ROR 352.9 · calibrated p 8e-11 ✓ | 207.6 EB05 129.1 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious n=13 | not reported in cached trials |
| Breast cancer stage iii | 962 | 343.7 321.7–367.1ROR 377.4 · calibrated p 1e-12 ✓ | 290.1 EB05 275.0 · IC025 +7.9 3/3 methods agree | Not in label — unassessed | serious n=962 · 94% clinician | not reported in cached trials |
| Pericarditis | 2,169 | 292.5 280.7–304.7ROR 366.2 · calibrated p 1e-12 ✓ | 253.5 EB05 244.6 · IC025 +7.8 3/3 methods agree | Not in label — unassessed | serious PRR 189.2 · 95% clinician | not reported in cached trials |
| Synovitis | 2,211 | 272.8 262.1–284.1ROR 343.3 · calibrated p 3e-12 ✓ | 238.6 EB05 230.4 · IC025 +7.8 3/3 methods agree | Not in label — unassessed | serious PRR 185.0 · 95% clinician | not reported in cached trials |
| Musculoskeletal deformity | 28 | 262.9 177.2–390.1ROR 263.6 · calibrated p 2e-10 ✓ | 200.0 EB05 145.2 · IC025 +4.9 3/3 methods agree | Not in label — unassessed | serious n=28 · 100% clinician | not reported in cached trials |
| Hypercholesterolaemia | 1,109 | 256.2 241.3–271.9ROR 285.6 · calibrated p 2e-11 ✓ | 225.3 EB05 214.4 · IC025 +7.6 3/3 methods agree | Not in label — unassessed | serious PRR 177.5 · 96% clinician | not reported in cached trials |
| Joint range of motion decreased | 1,528 | 252.2 239.9–265.1ROR 293.9 · calibrated p 1e-11 ✓ | 222.5 EB05 213.3 · IC025 +7.6 3/3 methods agree | Not in label — unassessed | serious PRR 210.1 · 96% clinician | not 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.
| Concept | Reports | PRR 95% CI | Reading |
|---|---|---|---|
| Liver injury | 3,047 | 19.919.3–20.5 | signal |
| Interstitial lung disease | 887 | 18.217.1–19.4 | signal |
| Hyperglycaemia / diabetes | 2,155 | 12.211.8–12.7 | signal |
| Depression | 1,074 | 7.57.1–7.9 | signal |
| Pancreatitis | 264 | 6.45.7–7.2 | signal |
| Serious infection | 2,336 | 5.95.7–6.1 | signal |
| Gi bleeding | 322 | 3.43.1–3.8 | signal |
| Rhabdomyolysis / myopathy | 104 | 2.52.1–3.0 | signal |
| Thrombocytopenia | 202 | 1.81.6–2.1 | raised |
| Fall / fracture | 341 | 1.71.6–1.9 | raised |
| Anaphylaxis / angioedema | 88 | 1.41.1–1.7 | raised |
| Severe cutaneous reaction | 42 | 1.10.8–1.5 | no difference |
| Opportunistic infection | 66 | 0.90.7–1.2 | no difference |
| Suicidality | 107 | 0.80.7–1.0 | no difference |
| Venous thromboembolism | 93 | 0.80.7–1.0 | no difference |
| Hyponatraemia | 33 | 0.80.6–1.1 | no difference |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Diclofenac Potassium 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).
- NCT00141102 — Study Of Celecoxib Or Diclofenac And Omeprazole For Gastrointestinal (GI) Safety In High GI Risk Patients With (N=4484, PHASE4; 146 AE terms posted; arms: Celecoxib; Oral Diclofenac Plus Omeprazole)
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.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Drug ineffective (drug did not work) | 2,826 | 4.2 4.1–4.3ROR 5.3 · calibrated p 0.201 | 4.2 EB05 4.1 · IC025 +2.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 5.2 · serious PRR 7.3 | not reported in cached trials |
| Fatigue (tiredness) | 2,577 | 6.5 6.3–6.7ROR 8.2 · calibrated p 0.061 | 6.5 EB05 6.3 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 6.4 · serious PRR 8.7 · 90% clinician | not reported in cached trials |
| Rheumatoid arthritis | 2,570 | 45.4 43.9–47.0ROR 59.3 · calibrated p 4e-6 ✓ | 44.3 EB05 42.9 · IC025 +5.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 44.4 · serious PRR 40.0 · 94% clinician | NCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE) |
| Off label use (used outside approved label) | 2,492 | 5.6 5.4–5.8ROR 7.0 · calibrated p 0.098 | 5.6 EB05 5.4 · IC025 +2.4 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 6.2 · serious PRR 7.4 | not reported in cached trials |
| Pain | 2,477 | 7.9 7.6–8.2ROR 9.9 · calibrated p 0.033 ✓ | 7.8 EB05 7.6 · IC025 +2.9 3/3 methods agree | Likely indication confounding term in indications; also in warnings | age-adj. PRR 8.2 · serious PRR 8.9 | NCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE) |
| Rash | 2,456 | 11.1 10.7–11.5ROR 14.1 · calibrated p 0.009 ✓ | 11.1 EB05 10.7 · IC025 +3.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 11.6 · serious PRR 17.8 · 92% clinician | not reported in cached trials |
| Systemic lupus erythematosus | 2,403 | 142.3 137.2–147.6ROR 183.0 · calibrated p 9e-10 ✓ | 132.4 EB05 128.1 · IC025 +6.9 3/3 methods agree | Not in label — unassessed | age-adj. PRR 144.0 · serious PRR 100.5 · 95% clinician | not reported in cached trials |
| Joint swelling | 2,366 | 39.1 37.7–40.5ROR 49.9 · calibrated p 1e-5 ✓ | 38.3 EB05 37.0 · IC025 +5.2 3/3 methods agree | Not in label — unassessed | age-adj. PRR 35.5 · serious PRR 48.7 · 95% clinician | not reported in cached trials |
| Wound | 2,280 | 174.5 167.9–181.3ROR 221.2 · calibrated p 2e-10 ✓ | 159.8 EB05 154.4 · IC025 +7.2 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 172.2 · serious PRR 140.8 · 95% clinician | NCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE) |
| Pemphigus | 2,230 | 427.6 410.1–445.9ROR 539.3 · calibrated p 3e-14 ✓ | 349.0 EB05 337.0 · IC025 +8.3 3/3 methods agree | Not in label — unassessed | serious PRR 259.4 · 95% clinician | not reported in cached trials |
| Synovitis | 2,211 | 272.8 262.1–284.1ROR 343.3 · calibrated p 3e-12 ✓ | 238.6 EB05 230.4 · IC025 +7.8 3/3 methods agree | Not in label — unassessed | serious PRR 185.0 · 95% clinician | not reported in cached trials |
| Glossodynia (burning tongue/mouth pain) | 2,200 | 213.2 204.9–221.9ROR 267.9 · calibrated p 3e-11 ✓ | 191.7 EB05 185.1 · IC025 +7.5 3/3 methods agree | Labeled (related wording) related wording | serious PRR 205.3 · 95% clinician | not reported in cached trials |
| Swelling | 2,184 | 46.7 45.0–48.5ROR 58.4 · calibrated p 5e-6 ✓ | 45.6 EB05 44.0 · IC025 +5.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 45.6 · serious PRR 54.5 · 95% clinician | not reported in cached trials |
| Abdominal discomfort | 2,181 | 25.8 24.8–26.8ROR 32.1 · calibrated p 2e-4 ✓ | 25.5 EB05 24.6 · IC025 +4.6 3/3 methods agree | Not in label — unassessed | age-adj. PRR 26.9 · serious PRR 41.1 · 90% clinician | not reported in cached trials |
| Hand deformity | 2,177 | 390.4 374.3–407.1ROR 489.3 · calibrated p 7e-14 ✓ | 323.8 EB05 312.5 · IC025 +8.2 3/3 methods agree | Not in label — unassessed | serious PRR 260.9 · 95% clinician | not 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.
- Grip strength — n=134, PRR 2,715.5
- Lupus vulgaris — n=623, PRR 2,172.8
- Deep vein thrombosis postoperative — n=977, PRR 1,961.3
- Swollen joint count — n=108, PRR 1,540.1
- Facet joint syndrome — n=1,289, PRR 1,361.2
- Rheumatic fever — n=1,761, PRR 1,329.0
- Retinitis — n=574, PRR 1,028.9
- Adjustment disorder with depressed mood — n=687, PRR 1,015.0
- Hypocholesterolaemia — n=99, PRR 929.7
- Dislocation of vertebra — n=700, PRR 900.8
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?
In FDA FAERS, the most frequently co-reported reaction terms for Diclofenac Potassium are fatigue, rheumatoid arthritis, pain, rash, systemic lupus erythematosus, 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 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 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
- FDA label via openFDA (set ID 45321aec-368d-4ca4-a0c5-2ce56fae74b2, effective 20250529; matched on
openfda.generic_name.exact:"DICLOFENAC") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,005 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
DICLOFENAC, results-bearing studies sorted by enrollment)
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.