Voltid 100 mg Capsule

Voltid 100 mg Capsule contains diclofenac sodium, a non-steroidal anti-inflammatory drug (NSAID). It is used to relieve pain and inflammation in conditions such as arthritis, muscle or joint pain, and other painful inflammatory disorders as advised by a doctor.

Voltid 100 mg capsule is manufactured and marketed by Pharmasia Ltd. in Bangladesh. It contains Diclofenac Sodium, one of the most widely prescribed NSAID painkillers in the country. Doctors use it for inflammatory pain — arthritis, back pain, sprains, dental pain, migraine and pain after surgery — where both pain and swelling need to be controlled.

Diclofenac works by blocking cyclo-oxygenase (COX) enzymes, which the body uses to make prostaglandins — the chemicals responsible for pain, swelling and fever at sites of injury or inflammation. With less prostaglandin produced, pain and swelling settle. The same action, however, reduces the stomach's protective lining and affects kidney blood flow, which is why it must be taken with food and used carefully.

Voltid is used for pain with inflammation, including:

• Osteoarthritis, rheumatoid arthritis and ankylosing spondylitis
• Back pain, neck pain and sciatica
• Sprains, strains and sports injuries
• Dental pain and pain after surgery
• Period (menstrual) pain
• Migraine attacks
• Acute gout flares
• Pain from kidney stones (renal colic), usually as injection or suppository

It is for symptom relief; the underlying condition still needs proper diagnosis and treatment by a doctor.

ChamberBD shows dosing only from the approved product label, with its source named, and no label is on file for Voltid 100 mg Capsule. Use the dose your doctor prescribed and the instructions in the pack leaflet.

Common side effects of Voltid include:

• Stomach pain, heartburn, nausea, indigestion or diarrhoea
• Headache or dizziness
• Raised blood pressure and fluid retention (swollen ankles)

Serious but less common effects include stomach or duodenal ulcers and bleeding (black stools, vomiting blood), kidney impairment, liver enzyme changes, severe allergic reactions and, with long-term high-dose use, a small increase in heart attack and stroke risk. Stop the medicine and see a doctor urgently if you notice black stools, chest pain, breathlessness or severe stomach pain.

Take these precautions with Voltid:

• Always take it with food; your doctor may add a gastric-protective medicine (e.g. a PPI)
• Avoid completely in dengue fever or any suspected dengue — it increases bleeding risk; use paracetamol instead
• Use with great care if you are elderly or have a history of ulcer, kidney disease, heart disease, high blood pressure, liver disease or asthma
• Avoid when dehydrated (vomiting, diarrhoea) — the kidney risk rises sharply
• Do not combine with other NSAIDs, including over-the-counter painkillers
• Use the lowest dose for the shortest time; do not take daily for months without review

Important interactions of Voltid include:

• Other NSAIDs and aspirin — greatly increase ulcer and bleeding risk
• Blood thinners (warfarin, rivaroxaban, clopidogrel) — higher bleeding risk
• Corticosteroids and SSRIs — added risk of stomach bleeding
• ACE inhibitors, ARBs and diuretics — the combination can damage the kidneys and blunt blood-pressure control
• Lithium, methotrexate, digoxin — diclofenac raises their blood levels and toxicity
• Ciclosporin and tacrolimus — increased kidney toxicity
• Diabetes medicines — occasional blood-sugar changes; monitor

Always tell your doctor and pharmacist about every medicine you take.

Do not take Voltid if you have:

• Active stomach or duodenal ulcer, or any active bleeding
• History of GI bleeding or perforation with NSAIDs
• Established heart disease (ischaemic heart disease, heart failure NYHA II–IV), stroke or peripheral arterial disease
• Severe kidney or liver failure
• Asthma, hives or allergic reaction triggered by aspirin or other NSAIDs
• Dengue fever or suspected dengue
• The last trimester of pregnancy
• Allergy to diclofenac or any component

Pregnancy: Voltid should be avoided in pregnancy, and is strictly contraindicated in the last three months — it can cause premature closure of a vessel in the baby's heart, kidney problems in the baby, and delayed labour with increased bleeding. In early pregnancy, use only if a doctor judges it essential; paracetamol is the preferred alternative.

Breastfeeding: Only small amounts pass into breast milk. Short courses are generally considered acceptable during breastfeeding, but take it only on your doctor's advice.

Store as printed on the pack and keep out of the reach of children.