Frequently Asked Questions (FAQs)
Q. Is diclofenac topical a blood thinner / controlled substance?
Diclofenac is a pain relieving medication and it does not significantly affect the function of platelets in blood; hence it is not a blood thinner. It is not a controlled substance as it does not have the potential for abuse or addiction.
Q. Can I use Topac IM along with vitamins?
Yes, Topac IM can be taken with vitamins. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can Topac IM be used for the treatment of hepatitis?
No, Topac IM is not approved for the treatment of hepatitis. Hepatitis is a condition where the liver is inflamed. Topac IM can, in fact, cause harm to the liver as a side effect.
Q. Can Topac IM be used after C-section?
Yes, Topac IM is a pain killer. C-section is the short name for Cesarean Section which is an operative procedure to deliver the baby through the mother"s abdomen and uterus. Topac IM can be used to treat the pain that may occur after the operation.
Q. Can I use Topac IM for the treatment of arthritis?
Yes, Topac IM is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis, and spondylitis.It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). .
Q. Can I take Topac IM along with misoprostol?
Yes. It can be taken together. Misoprostol protects the stomach from irritating gastric effects of Topac IM. The combination of medication is used to treat arthritis in patients at high risk of getting stomach/intestinal ulcers and complications from the ulcers (such as bleeding).
Q. Can I take Topac IM while I am on thyroxine?
Yes, Topac IM can be taken with thyroxine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I use Topac IM with diuretics?
No, Topac IM should not be used with diuretics. Topac IM reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Q. Is Topac IM a narcotic?
No, Topac IM is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.
Q. Can Topac IM be used along with warfarin?
No. Using Topac IM together with warfarin can increase the risk of serious bleeding from the stomach (Higher than users of either drug alone). Inform your doctor before starting these medications.
Q. Why does Topac IM cause an ulcer?
Topac IM can cause damage to the lining cells of the stomach by several mechanisms, including the irritant effect on the cells, breaking of the protective barrier properties of lining cells, suppression of prostaglandin production of the stomach, reduction of stomach mucosal blood flow and interference with the repair of superficial injury of the stomach lining.
Q. Why is Topac IM contraindicated in asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory drugs (NSAID) like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Q. Is Topac IM a painkiller?
Yes. Topac IM is a pain killer. In fact, it belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis.
Q. Is Topac IM good for back pain?
Yes, Topac IM has been found to be effective to reduce back pain. Topac IM is a pain killer that belongs to the NSAIDs (Non-Steroidal Anti-Inflammatory) class. Other NSAIDs have also been found to be useful in back pain eg. Ibuprofen and Naproxen.
Q. Why Topac IM should be stopped before surgery?
Since Topac IM has been shown to have blood thinning effects, it can increase the risk of bleeding. Therefore, it is stopped before surgery to prevent excessive loss of blood.
Q. Can I use Topac IM during my fever treatment?
Yes, Topac IM can reduce fever. However, commonly used to reduce the pain, particularly that which is seen with Osteoarthritis, Rheumatoid Arthritis and Ankylosing spondylitis.
Q. Can I use Topac IM to treat a sore throat?
Sore throat is mostly caused by bacteria so antibiotics are given to treat a sore throat whereas Topac IM is a pain killer so it can be given in cases of throat pain associated with it but only under the prescription of a doctor.
Q. What are the contraindications for Topac IM?
Topac IM should not be used if there is an allergic reaction (hypersensitivity) to it, or other pain killers, active ulcer in the stomach, bleeding from the stomach, history of severe heart failure, liver failure, kidney failure and or heart attack.
Q. Can I use Topac IM to treat urinary tract infections (UTI)?
Topac IM can be used to treat the pain associated with urinary tract infection (UTI) but for complete treatment, a course of antibiotics will be required.
Q. Can Topac IM cause sedation?
Topac IM is not known to cause sedation. There have been rare, an isolated case report of sedation with the drug.
Q. Can I take Topac IM for kidney stones?
Yes,Topac IM can be used to relieve the pain due to kidney stones. However, there is also a risk of kidney damage with Topac IM as its side effect. It is advised not to take Topac IM for a prolonged time for this condition without adequate monitoring.
Q. Can I use Topac IM with mifepristone?
These drugs should not be used together as the effect of mifepristone may be lowered by Topac IM. Mifepristone is used for medical abortion.
Q. Can I use Topac IM with lithium?
No.These drugs should not be used together as Topac IM increases the blood levels of lithium which may further increase the side effects.
Q. Can Topac IM affect the chance of conceiving?
Yes. Topac IM can sometime cause reversible infertility. Topac IM by its mechanism of action, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.Show moreShow less
