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Diclofenac Potassium side effects: what 10,743 FDA adverse event reports show

Diclofenac Potassium · Diclofenac Sodium · 1,005 reaction terms · 249,929 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

10,743 reports · 78% serious · 4,166 with death outcome · 87% 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). 965 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 strength1342,715.5
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 — unassessedserious n=134 · 97% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody3792,605.8
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 markerserious n=379 · 95% cliniciannot reported in cached trials
Lupus vulgaris6232,172.8
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 — unassessedserious n=623 · 95% cliniciannot reported in cached trials
C-reactive protein4742,162.4
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 markerserious n=474 · 97% cliniciannot reported in cached trials
Deep vein thrombosis postoperative9771,961.3
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 — unassessedserious n=977 · 94% cliniciannot reported in cached trials
Swollen joint count1081,540.1
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 — unassessedserious n=108 · 94% cliniciannot reported in cached trials
Swollen joint count increased1,3331,469.8
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 markerserious n=1,333 · 96% cliniciannot reported in cached trials
Facet joint syndrome1,2891,361.2
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 — unassessedserious n=1,289 · 97% cliniciannot reported in cached trials
Rheumatic fever1,7611,329.0
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 — unassessedserious n=1,761 · 96% cliniciannot reported in cached trials
Retinitis5741,028.9
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 — unassessedserious n=574 · 95% cliniciannot reported in cached trials
Adjustment disorder with depressed mood6871,015.0
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 — unassessedserious n=686 · 96% cliniciannot reported in cached trials
Hypocholesterolaemia99929.7
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 — unassessedserious n=99 · 96% cliniciannot reported in cached trials
Dislocation of vertebra700900.8
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 — unassessedserious n=700 · 94% cliniciannot reported in cached trials
X-ray abnormal503769.1
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 markerserious n=503 · 96% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, hypersomnia type28759.2
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 — unassessedserious n=28 · 93% cliniciannot reported in cached trials
Duodenal ulcer perforation2,026747.2
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% cliniciannot reported in cached trials
Rheumatoid factor positive1,569732.1
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 markerserious n=1,569 · 96% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive1,728629.2
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 markerserious PRR 351.7 · 95% cliniciannot reported in cached trials
Peripheral venous disease948609.6
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 — unassessedserious n=948 · 95% cliniciannot reported in cached trials
Seronegative arthritis266608.2
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 — unassessedserious n=266 · 94% cliniciannot reported in cached trials
Helicobacter infection2,082502.3
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 — unassessedserious PRR 311.2 · 95% cliniciannot reported in cached trials
Muscle injury1,542452.6
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 — unassessedserious PRR 293.4 · 97% cliniciannot reported in cached trials
Porphyria acute259451.6
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 — unassessedserious n=259 · 94% cliniciannot reported in cached trials
Acquired porphyria13439.1
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 — unassessedserious n=13not reported in cached trials
C-reactive protein abnormal1,162433.4
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 markerserious n=1,162 · 97% cliniciannot reported in cached trials
Pemphigus2,230427.6
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 — unassessedserious PRR 259.4 · 95% cliniciannot reported in cached trials
Bone erosion619414.1
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 — unassessedserious n=619 · 97% cliniciannot reported in cached trials
Folliculitis1,758401.1
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 — unassessedserious PRR 288.4 · 97% cliniciannot reported in cached trials
Hand deformity2,177390.4
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 — unassessedserious PRR 260.9 · 95% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, insomnia type1,049380.6
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 — unassessedserious n=1,049 · 97% cliniciannot reported in cached trials
Lip dry1,386357.8
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 — unassessedserious n=1,386 · 97% cliniciannot reported in cached trials
Tender joint count13352.5
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 — unassessedserious n=13not reported in cached trials
Breast cancer stage iii962343.7
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 — unassessedserious n=962 · 94% cliniciannot reported in cached trials
Pericarditis2,169292.5
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 — unassessedserious PRR 189.2 · 95% cliniciannot reported in cached trials
Synovitis2,211272.8
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 — unassessedserious PRR 185.0 · 95% cliniciannot reported in cached trials
Musculoskeletal deformity28262.9
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 — unassessedserious n=28 · 100% cliniciannot reported in cached trials
Hypercholesterolaemia1,109256.2
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 — unassessedserious PRR 177.5 · 96% cliniciannot reported in cached trials
Joint range of motion decreased1,528252.2
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 — unassessedserious PRR 210.1 · 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 injury3,04719.919.3–20.5signal
Interstitial lung disease88718.217.1–19.4signal
Hyperglycaemia / diabetes2,15512.211.8–12.7signal
Depression1,0747.57.1–7.9signal
Pancreatitis2646.45.7–7.2signal
Serious infection2,3365.95.7–6.1signal
Gi bleeding3223.43.1–3.8signal
Rhabdomyolysis / myopathy1042.52.1–3.0signal
Thrombocytopenia2021.81.6–2.1raised
Fall / fracture3411.71.6–1.9raised
Anaphylaxis / angioedema881.41.1–1.7raised
Severe cutaneous reaction421.10.8–1.5no difference
Opportunistic infection660.90.7–1.2no difference
Suicidality1070.80.7–1.0no difference
Venous thromboembolism930.80.7–1.0no difference
Hyponatraemia330.80.6–1.1no 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).

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
Drug ineffective (drug did not work)2,8264.2
4.1–4.3ROR 5.3 · calibrated p 0.201
4.2 EB05 4.1 · IC025 +2.0
3/3 methods agree
Reporting / coding artifactage-adj. PRR 5.2 · serious PRR 7.3not reported in cached trials
Fatigue (tiredness)2,5776.5
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% cliniciannot reported in cached trials
Rheumatoid arthritis2,57045.4
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% clinicianNCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE)
Off label use (used outside approved label)2,4925.6
5.4–5.8ROR 7.0 · calibrated p 0.098
5.6 EB05 5.4 · IC025 +2.4
3/3 methods agree
Reporting / coding artifactage-adj. PRR 6.2 · serious PRR 7.4not reported in cached trials
Pain2,4777.9
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 8.9NCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE)
Rash2,45611.1
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% cliniciannot reported in cached trials
Systemic lupus erythematosus2,403142.3
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 — unassessedage-adj. PRR 144.0 · serious PRR 100.5 · 95% cliniciannot reported in cached trials
Joint swelling2,36639.1
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 — unassessedage-adj. PRR 35.5 · serious PRR 48.7 · 95% cliniciannot reported in cached trials
Wound2,280174.5
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% clinicianNCT00141102: 1/2,237 (0.0%) on Diclofenac Potassium (serious AE)
Pemphigus2,230427.6
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 — unassessedserious PRR 259.4 · 95% cliniciannot reported in cached trials
Synovitis2,211272.8
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 — unassessedserious PRR 185.0 · 95% cliniciannot reported in cached trials
Swelling2,18446.7
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% cliniciannot reported in cached trials
Abdominal discomfort2,18125.8
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 — unassessedage-adj. PRR 26.9 · serious PRR 41.1 · 90% cliniciannot reported in cached trials
Hand deformity2,177390.4
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 — unassessedserious PRR 260.9 · 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?

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

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.