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Use the lowest effective dosage for the shortest possible durationAvoid administration of more than one NSAID at a time Avoid use in patients at higher risk unless benefits are expected to outweigh the increased risk of bleedingFor such patientsas well as those with active GI bleedingconsider alternate therapies other than NSAIDsRemain alert for signs and symptoms of GI ulceration and bleeding during NSAID therapyIf a serious GI adverse event is suspectedpromptly initiate evaluation and treatmentand discontinue VOLTAREN until a serious GI adverse event is ruled outIn the setting of concomitant use of low-dose aspirin for cardiac prophylaxismonitor patients more closely for evidence of GI bleedingsee DRUG INTERACTIONS
Anemia has occurred in NSAID-treated patientsThis may be due to occult or gross blood lossfluid retentionor an incompletely described effect on erythropoiesisIf a patient treated with VOLTARENhas any signs or symptoms of anemiamonitor hemoglobin or hematocrit.
Voltaren suppositories should not be used for more than 3 days in children.
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patients should be instructed to avoid contact of voltaren gel with the eyes and mucosa, although not studied, should be avoided.