Caflam

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Caflam

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Caflam

What is Caflam? An Overview

Property Description
Active Ingredient Diclofenac potassium
Form Immediate-release tablet (Oral)
Pharmacological Class Nonsteroidal Anti-inflammatory Drug (NSAID)
Common Therapeutic Purpose Analgesic, Anti-inflammatory, and Antipyretic
Origin Synthetic, benzeneacetic acid derivative

What Type of Medicine is Caflam and What is its Composition?

Caflam is classified as a Nonsteroidal Anti-inflammatory Drug (NSAID), which is a group of synthetic prescription medications recognized for their comprehensive pain and inflammation-reducing effects. The drug's defining active component is diclofenac potassium, a substance categorized within the phenylacetic acid class of anti-inflammatory agents. This compound is the monopotassium salt of diclofenac, a benzeneacetic acid derivative. This formulation is characterized by its ability to provide faster absorption compared to some other diclofenac forms, supporting its use in acute symptom management.

What Physical Form is Caflam Designed For?

Caflam is prepared for oral administration, most commonly in the form of an immediate-release tablet, such as sugar-coated or film-coated preparations. The utilization of diclofenac potassium is its most notable differentiating factor, ensuring the drug is formulated to dissolve quickly, unlike delayed-release tablets. This design helps prevent retarded absorption, which is a key requirement for managing acute, short-term painful conditions.

What is Caflam’s General Therapeutic Purpose?

The inherent therapeutic purpose of Caflam is to provide simultaneous relief from the core symptoms associated with the inflammatory process. Functioning as an NSAID, its capabilities are three-fold: it serves as an analgesic (easing pain), an anti-inflammatory agent (reducing swelling), and an antipyretic (lowering fever). The mechanism of action involves the inhibition of the synthesis of prostaglandins. This means the medication works by targeting the chemical signals that trigger discomfort and swelling in the body.

Regulatory References

  1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) - StatPearls - NCBI

What side effects are possible with Caflam?

Possible Side Effects and Safety Information

Caflam (diclofenac potassium) is associated with an official safety profile that classifies potential risks by frequency and physiological system, as documented by regulatory authorities. The adverse reaction listings primarily focus on Gastrointestinal Disorders (abdominal pain, nausea, indigestion, diarrhea) and Nervous System Disorders (headache, dizziness), which are commonly reported in official labeling.

Serious Adverse Reactions

The most significant safety information relates to the risks of Serious Cardiovascular Thrombotic Events and Serious Gastrointestinal Adverse Events (bleeding, ulceration, and perforation), which can be fatal. These risks are explicitly highlighted in regulatory warnings. Furthermore, rare but severe events such as anaphylactic reactions and serious skin reactions (e.g., Stevens-Johnson syndrome) are also documented in official prescribing information.

Regulatory Safety Patterns

The risk of arterial thrombotic events is noted to potentially increase with higher dosage and prolonged duration of treatment. Serious skin reactions are most likely to occur early in the course of therapy. Certain constraints apply to specific patient groups: the medication is contraindicated during the third trimester of pregnancy due to the risk of fetal complications, and older adults are cited as being at a higher risk for serious gastrointestinal events. It is also contraindicated following Coronary Artery Bypass Graft (CABG) surgery.

Overdose and Emergency Response

Overdose Manifestations and Required Emergency Action

The official overdose profile for Caflam (diclofenac potassium) details a range of documented manifestations, primarily affecting the gastrointestinal and central nervous systems. Common presentations may include nausea, vomiting, stomach pain, drowsiness, dizziness, and headache. Visual disturbances, such as blurred vision or changes in color perception, are also explicitly listed in regulatory materials.

Severe overexposure is officially associated with life-threatening outcomes, including acute renal failure, seizures (convulsions), coma, and major gastrointestinal bleeding. Due to the potential for these severe risks, regulatory authorities mandate that immediate medical attention must be sought for any suspected overdose or when severe symptoms are present.

Management is defined as symptomatic and supportive care, as official regulatory sources state that no specific antidote is known to exist. Supportive measures documented include the use of activated charcoal or gastric lavage. Hospital monitoring, including diagnostic assessments such as an ECG, is required in cases of overexposure. Furthermore, regulatory documents note a specific risk of fetal anaemia and neonatal jaundice if an overdose occurs near term in pregnancy.

Therapeutic Uses of Caflam

What Caflam Treats: Main Uses and Benefits

Caflam (diclofenac potassium) is relevant in clinical settings marked by heightened symptomatic distress, where short-term, supportive assistance is needed to ease the burden of pain and inflammation. It is commonly used across conditions characterized by episodic or fluctuating symptom patterns. Its clinical application includes the management of mild to moderate pain and the symptoms of various inflammatory conditions.

The medicine is applied in therapeutic domains where additional symptomatic support is needed for long-term inflammation, such as managing the signs and symptoms of chronic inflammatory joint diseases, including osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. It is also relevant in situations involving recurrent or episodic manifestations that disrupt functional stability, such as acute migraine attacks and the severe pain associated with primary dysmenorrhea (menstrual cramps).

Quick Fact: Addresses Symptoms of Inflammation-Related Discomfort

Caflam helps address symptom clusters that may become intense or disruptive, such as the acute triad of pain, localized tenderness, and swelling, relevant in scenarios that involve soft tissue injuries or minor surgical procedures. This use supports patients during difficult episodes, assists with easing distress, and contributes to better comfort during symptomatic periods.

Regulatory References

  1. NIH MedlinePlus overview of Diclofenac

Eligibility and Restrictions for Use

Who can and cannot use Caflam?

Regulatory documentation defines strict eligibility rules for using Caflam (diclofenac potassium).

Contraindicated Populations (Must Not Use) Conditional Use (Requires Caution)
Known hypersensitivity to diclofenac or any NSAID. Geriatric patients (increased GI risk).
Active GI ulceration, bleeding, or perforation. Mild-to-moderate renal or hepatic impairment.
Severe heart failure (NYHA Class II-IV). Patients with uncontrolled hypertension.
Severe hepatic or renal failure (e.g., GFR < 15 mL/min). Women trying to conceive (potential reversible fertility impairment).
Pain treatment after Coronary Artery Bypass Graft (CABG) surgery. First and second trimesters of pregnancy (use lowest dose, shortest duration).
Women in the last trimester of pregnancy (after 30 weeks gestation).

Age-Related Eligibility The immediate-release tablet form is generally not recommended for children and adolescents under 14 years of age. Use is permitted for adults and adolescents 14 years and older for approved indications. Breastfeeding is generally not recommended due to excretion in human milk.

Cardiovascular Limitations Individuals with established cardiovascular disease, such as ischemic heart disease, should use Caflam only after careful consideration, often restricted to lower daily doses.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory information describes two major categories of drug-drug interactions for Caflam (diclofenac potassium): those resulting in additive risk and those causing altered systemic exposure.

Interaction-Related Restrictions and Contraindications

Restriction Type Interacting Agents / Conditions Regulatory Requirement
Contraindicated Use Peri-operative pain management in the setting of Coronary Artery Bypass Graft (CABG) surgery Prohibited from use [Source 3.2, 3.5].
Avoid Combination Other NSAIDs (including COX-2 inhibitors) and Aspirin (analgesic doses) Avoided due to documented additive risk of serious gastrointestinal (GI) events [Source 1.4, 3.5].

Documented Pharmacodynamic and Pharmacokinetic Interactions

Interaction Entity Official Outcome Statement Basis in Labeling
Anticoagulants (e.g., Warfarin), Corticosteroids, SSRIs Concomitant use increases the risk of ulceration or bleeding [Source 1.5]. Pharmacodynamic (Additive Risk)
ACE Inhibitors / ARBs May diminish the antihypertensive effect and increase risk of renal function deterioration in vulnerable populations [Source 1.5]. Pharmacodynamic (Effect Reduction)
Lithium, Digoxin, Methotrexate Diclofenac may cause an increase in the serum concentration of these co-administered drugs [Source 1.1]. Pharmacokinetic (Reduced Clearance)
Voriconazole (CYP2C9 Inhibitor) May enhance the systemic exposure of diclofenac [Source 1.1]. Pharmacokinetic (Metabolic Inhibition)

Substance and Population Constraints

Administration with food is documented to reduce the peak plasma concentration (Cmax). Alcohol use is listed as a factor that compounds the risk for GI bleeding [Source 1.4, 2.1]. Furthermore, a note exists that the risk of renal deterioration from interaction with ACE Inhibitors/ARBs is heightened in elderly, volume-depleted, or renally impaired patients [Source 1.5].

Mechanism of Action

Non-Selective COX Inhibition and Prostaglandin Synthesis

The drug’s core action involves the competitive inhibition of the Cyclooxygenase (COX-1 and COX-2) enzymes, which catalyze the conversion of arachidonic acid into pro-inflammatory eicosanoids. This targeted molecular action disrupts the eicosanoid cascade, resulting in a significant reduction in the systemic and local synthesis of prostaglandins and thromboxanes.

Dual Modulation of Nociception and Inflammatory Signaling

The resulting deficit of prostaglandins produces a dual physiological effect: it reduces the sensitization of peripheral nociceptors (pain receptors), thereby reducing the transmission of pain signals. Simultaneously, the decrease in local pro-inflammatory mediators alters vascular and cellular responses associated with inflammation. The drug also acts centrally in the hypothalamus to adjust the body's core temperature set point, modulating thermoregulation.

Targeted Interference with Systemic Regulator Activity

This mechanism focuses on modulating core regulatory systems that amplify physiological responses to injury. By acting as an upstream inhibitor of inflammatory mediators, the drug exerts a predictable influence on vascular permeability and cellular communication, modulating activity within targeted eicosanoid pathways and resulting in physiological consequences that correspond to the mechanism of action.

Dosage and Administration Information

Official Administration Guidelines

Caflam (diclofenac potassium immediate-release tablets) is strictly for oral administration only. The use protocol is governed by the principle of administering the lowest effective dose for the shortest duration consistent with the clinical goal. Dosage ranges and administration conditions are precisely defined to ensure standardized use.


Administration Scope

Feature Guideline
Route of administration Oral (immediate-release tablet, typically 50 mg strength).
Dosing schedule Divided daily doses, ranging from 100 mg to 200 mg per day. The typical maximum for acute pain is 150 mg daily, with 200 mg daily used for certain chronic conditions like rheumatoid arthritis.
Timing in relation to meals Tablets should be swallowed whole with liquid. They may be taken with or after food to aid tolerability, although it may be noted that taking the medication preferably before meals can support faster absorption.
Preparation requirements Tablets must be swallowed whole and must not be divided, crushed, or chewed.
Age-group administration rules Generally not recommended for use below 14 years of age. Geriatric patients are instructed to use the lowest effective dose for the shortest possible duration.
Special procedural conditions Different formulations of diclofenac are not considered bioequivalent or interchangeable. For acute cyclical conditions, such as dysmenorrhea, treatment should be initiated upon the appearance of the first symptoms.

Resulting Procedural Structure

Official step sequence:

  • Take the immediate-release tablet orally with a liquid.
  • Ensure the tablet is swallowed whole, and not modified.
  • Administer the prescribed 50 mg dose according to the divided daily schedule (e.g., two to four times daily) and do not exceed the stated daily maximum dose.
  • In acute cyclical conditions, administration should be commenced upon the first appearance of symptoms.

Connection to the overall use protocol: The established instruction set defines the drug's use as a non-modifiable, short-course oral regimen. These parameters ensure that administration adheres to a strict frequency pattern within defined maximum limits, standardizing usage as established in pharmacological profiles.

Recent Clinical Evidence

Research Exploring Acute Pain Outcomes

Research exploring the observed outcomes of diclofenac potassium for acute discomfort is primarily based on short-term, randomized controlled trials (RCTs). These studies were applied in research contexts involving fluctuating or unstable symptoms, such as pain experienced after acute procedures or minor injuries. The research examined outcomes related to physical discomfort, including measures of pain intensity scores and the patient-reported requirement for additional pain relief medication. Compared to those who received a placebo (an inactive pill), studies reported a pattern of fewer participants requiring rescue medication in the immediate post-dose period.


Research Exploring Outcomes in Acute Migraine and Primary Dysmenorrhea

The evidence for exploring acute episodes is derived from dedicated clinical trials focusing on conditions characterized by fluctuating or episodic manifestations, specifically primary dysmenorrhea (menstrual cramps) and acute migraine attacks. Studies explored outcomes related to physical discomfort, including the proportion of patients who achieved 'pain freedom' within two hours of taking the drug. Research has explored the medicine’s evaluation during periods of increased symptom activity and reported how symptoms were reported to evolve in the observed populations.


Research Exploring Symptom Patterns in Chronic Inflammatory Joint Diseases

The evidence base for chronic inflammatory conditions, such as osteoarthritis and rheumatoid arthritis, involves a mix of medium-term randomized controlled trials (RCTs) and observational settings evaluating daily-life functioning. Research examined symptom outcomes related to pain and stiffness, as well as outcomes reflecting daily functioning or activity level. Findings describe patterns observed in the studies related to changes in joint pain scores. However, findings across studies were sometimes mixed regarding the specific amount of change observed in different functional measures.


Understanding Research Gaps and Uncertainties

Key research limitations remain, highlighting what is known—and what is still uncertain. Follow-up durations were limited in efficacy trials for the immediate-release formulation, typically lasting only a few weeks to a few months. Long-term studies are often observational and do not provide insight into sustained symptom patterns over time. Data for certain groups remain insufficient, especially for patients with advanced disease stages or multiple coexisting health conditions. Finally, research provides context but not individual predictions; study results reflect group patterns under which they were conducted.

Frequently Asked Questions (FAQ)

Common questions about Caflam (FAQ)

Q: What is Caflam mainly prescribed for?

Official prescribing information indicates that Caflam (diclofenac potassium) is used for the relief of mild to moderate pain, including the treatment of primary dysmenorrhea (menstrual pain). It is also prescribed to relieve the signs and symptoms of certain chronic inflammatory conditions, such as osteoarthritis and rheumatoid arthritis.

Q: Is Caflam the same as Voltaren?

Both Caflam and Voltaren are brand names for the active compound diclofenac, but they use different salt forms. Caflam contains diclofenac potassium, while Voltaren often contains diclofenac sodium. This difference in salt form affects how quickly the drug is absorbed by the body.

Q: Why does Caflam have a different name in some countries?

It is common for official prescribing information to note that certain specific products or brand names may not be available across all countries due to different regulatory approvals and marketing decisions. Therefore, a drug with the same active ingredient may be known by various names globally.

Q: What is the difference between Caflam and paracetamol?

Official drug labeling classifies Caflam as a Nonsteroidal Anti-inflammatory Drug (NSAID), meaning it works by reducing the production of inflammatory chemical signals (prostaglandins). Paracetamol (acetaminophen), while also used for pain and fever, is classified as a different type of analgesic and does not share the same anti-inflammatory mechanism as NSAIDs.

Q: How quickly should Caflam start working for pain?

Pharmacokinetic data from studies on diclofenac immediate-release formulations suggest that the onset of action is generally described as being within 30 minutes after taking the tablet. This information refers to group averages observed in trials.

Q: How long does the effect of one dose of Caflam last?

Official pharmacokinetic information reports that the elimination half-life for unchanged diclofenac is approximately 1.2 to 2 hours. The half-life is a measure of how long it takes for half of the medicine to be cleared from the body.

Q: Are there any signs that Caflam might be affecting my liver?

Official labeling advises that patients should be informed about potential signs and symptoms of liver toxicity, such as fatigue, nausea, or jaundice. The product information states that discontinuation is advised if liver tests worsen or if clinical signs of liver disease develop.

Q: Is it common to feel drowsy after taking Caflam?

Official prescribing information lists both 'drowsiness' and 'somnolence' among the potential adverse reactions that affect the nervous system. These are documented side effects, alongside other nervous system disorders like headache and dizziness.

Q: Can Caflam be taken with other common over-the-counter pain relievers?

Official safety guidance advises against combining Caflam with other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), such as aspirin or ibuprofen. However, safety information generally indicates that it is acceptable to take diclofenac with non-NSAID pain relievers like paracetamol or codeine.

Q: Can I use Caflam if I have high blood pressure?

The official product information lists patients with uncontrolled hypertension as a population that requires caution when using this drug. Furthermore, diclofenac may diminish the effects of certain blood pressure medications, which is a key interaction point.

Q: Is Caflam safe for people with asthma?

Official labeling states that the drug is strictly contraindicated (must not be used) in patients with aspirin-sensitive asthma. Official labeling also includes an advisory that caution should be used in all patients with pre-existing asthma.

Q: Is it possible to become dependent on Caflam?

Official drug labeling notes that Caflam is not listed on any DEA Schedule. This classification indicates that the regulatory authority does not classify the medication as having a high potential for abuse or dependency.

Q: Does Caflam affect sleep or cause insomnia?

Official prescribing information lists 'insomnia' (difficulty sleeping) and 'dream abnormalities' among the potential adverse reactions that affect the nervous system. These are documented effects that may occur in some patients.

Q: What should I do if I miss a dose of Caflam?

Patient information generally advises that if a dose is missed, and it is almost time for the next scheduled dose, the regulatory instruction is to skip the missed dose. It is recommended that a double dose should not be taken to catch up.

Q: Is there a generic version of Caflam available?

The active ingredient in Caflam, diclofenac potassium, has been reviewed by regulatory bodies like the FDA, and there are approved generic versions of this formulation available on the market.

Q: Are there any dietary restrictions when using Caflam?

Official prescribing information highlights that alcohol use is listed as a factor that may increase the risk for serious gastrointestinal bleeding. No specific food-based dietary restrictions are typically noted beyond the recommendation regarding alcohol.

Q: Is Caflam a drug that requires a prescription?

Official drug labeling classifies this formulation (diclofenac potassium immediate-release tablets) as a Human Prescription Drug. This means that a valid prescription from a licensed healthcare provider is required to obtain the medication.

Q: What does 'contraindicated' mean in the context of Caflam use?

The term 'contraindicated' is used in drug labeling to define a condition or factor that serves as a documented reason to withhold a specific medical treatment. In the case of Caflam, it signifies that the documented risk of harm outweighs the benefit for that population or condition.

Q: What are the official recommendations for stopping the use of Caflam?

Official warnings state that immediate discontinuation of the drug is required if a serious gastrointestinal adverse event, such as ulceration or bleeding, is suspected. Regulatory guidance also emphasizes the general principle of using the lowest effective dose for the shortest possible duration.

Q: Does Caflam interact with herbal supplements?

Official safety information advises that complementary medicines, herbal remedies, and supplements are generally not tested in the same way as prescription medicines for their potential to cause drug interactions. Therefore, potential interactions with such products may not be fully known.

Q: What is the difference between Caflam and other NSAIDs?

Caflam's formulation uses the potassium salt of diclofenac, which is designed to be an immediate-release salt for faster absorption. This formulation difference is key to distinguishing it from other diclofenac salts and some other NSAIDs.

Q: What is the evidence level supporting Caflam’s use for its main indications?

Regulatory reviews describe the evidence base as being consistent with an increased risk of serious cardiovascular events, but also note that the overall risk-benefit profile is maintained for the approved uses. This profile is the basis for its continued regulatory approval.

Q: Is the active ingredient in Caflam widely studied?

The active ingredient, diclofenac, is a well-established Nonsteroidal Anti-inflammatory Drug (NSAID). Various formulations have been the subject of extensive regulatory review and study, with approvals granted by the FDA and other bodies dating back several decades.

Q: What is the meaning of the dosage strength of Caflam tablets?

The dosage strength listed on the tablet, such as 50 mg, refers to the precise amount of the active ingredient, diclofenac potassium, that is contained within a single tablet dosage unit. This is the weight of the medicine intended to exert the therapeutic effect.

How should Caflam be stored and disposed of?

How to Store and Dispose of Caflam?

The storage and disposal of Caflam (diclofenac potassium immediate-release tablets) must comply strictly with official regulatory guidelines to maintain product stability and safety.

Storage Requirements

Condition Requirement
Temperature Store at a controlled room temperature, between 20^circ and 25 C (68^circ to 77 F), and not exceeding 30 C.
Protection The medicine must be protected from moisture.
Child Safety Keep the product out of the reach and sight of children and pets.

Disposal Instructions

Expired or unused tablets must be disposed of properly. The officially preferred method is to utilize a drug take-back program or authorized collection site. If a take-back option is unavailable, the medication can be prepared for household trash by mixing the tablets with an undesirable substance (e.g., dirt or coffee grounds) and sealing the mixture in a container. Unused product must not be disposed of via wastewater or flushed down the toilet.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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