• Rheumatoid arthritis & osteoarthritis:
    • PO 50mg TDS OR 75mg BD
    • SR: PO 100mg OD; may be increased to BD
  • Juvenile chronic arthritis (12.5mg and 25mg suppositories only):
    • 1-12 yrs: 1-3mg/kg daily in divided doses.
      • Max: 150mg/day
  • Ankylosing spondylitis:
    • PO 25mg QID
  • Dysmenorrhea or acute pain:
    • PO 50mg BD
  • Acute gouty attacks;
    • PO SR 100mg OD
  • Post-operative & in acute exacerbation of pain:
    • Adults: Deep IM: 75mg OD/BD
    • 6-12 yrs (12.5mg and 25mg suppositories only): 1-3mg/kg daily in divided doses.
      • Max 4 days
  •  Fever due to ENT infection:
    • 9-18 years (>35kg): PO 2mg/kg in 3 divided doses
    • Max 100mg/day
  • Suppository:
    • Adults: 75-150mg OD in divided doses OR 100mg OD.
  • IV/IM: In severe pain:
    • 75mg OD
    • Max 150mg OD

Tablet/Capsule:

  • 50mg,
  • SR/CR 100mg

Sachet:

  • 50mg

Suppository:

  • 12.5mg
  • 25mg
  • 50mg
  • 100mg

Injection:

  • 75mg/3mL
  • Use shortest possible duration for treatment.
  • To be taken with food.
  • Discontinue if renal/hepatic side effects occur.
  • Consider administration with PPIs in long-term therapy.

NSAID.

It inhibits COX-1 and COX-2 thereby inhibiting prostaglandin synthesis which cause inflammation, pain and fever.

  • GI perforation and bleeding
  • GI ulcers
  • Nausea
  • Dyspepsia
  • Flatulence
  • Anorexia
  • Headache
  • Dizziness
  • Vertigo
  • Peripheral edema
  • Skin reactions
  • Hypersensitivity to components
  • Peptic ulceration
  • ASA or NSAID-induced asthma or urticaria
  • Aspirin triad
  • Extensive renal/hepatic failure
  • Children < 1year
  • Digoxin
  • Methotrexate
  • Cyclosporine
  • Quinolones
  • Hyperglycemic agents
  • Ketorolac

                                   Drug Status

Availability Prescription or OTC by Pharmacist
Pregnancy Category C
Breastfeeding Safe to use
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Adiflam 50mg Tablet 100’s, 1000’s Leben Labs Unisel Ltd
Adiflam SR 100mg Tablet 100’s, 500’s Leben Labs Unisel Ltd
Almiral 100mg Suppository 100’s Medochemie Limited Sunpar Pharma
Carefenac 75mg/3mL Injection 10’s Careplus Ltd Careplus Ltd
Carefenac 100mg Tablet 100’s Careplus Ltd Careplus Ltd
Cataflam 25mg Tablet 20’s Novartis Pharma Novartis Kenya
Cataflam 50mg Tablet 100’S Novartis Pharma Novartis Kenya
Cataflam 1.8mg/mL Suspension 120mL Novartis Pharma Novartis Kenya
Cataflam Drops 0.5mg/mL Suspension 15mL Novartis Pharma Novartis Kenya
Clofen 50mg Tablet 100’s, 1000’s Biodeal Labs Biodeal Labs
Clofenac 50mg Tablet 100’s Square Pharma Ace Pharma
Clofenac 75mg/3mL Injection 10’s Square Pharma Ace Pharma
Cosflam 50mg Tablet 100’s Cosmos Ltd Cosmos Ltd
Cosflam 100mg Tablet 20’s Cosmos Ltd Cosmos Ltd
D-Fenac 50mg Tablet 100’s Zest Pharma Synermed Pharma
D-Fenac 100mg Tablet 100’s Zest Pharma Synermed Pharma
D-Pott 75mg Tablet 30’s Zawadi Healthcare Zawadi Healthcare
Daifen 100mg Tablet 100’s Zawadi Healthcare Zawadi Healthcare
Di-rec 100mg Suppository 10’s Kusum Healthcare Zawadi Healthcare
Diclo-Denk 50mg Tablet 100’s Denk Pharma Laborex Kenya
Diclo-Denk 75mg/3mL Injection 10’s Denk Pharma Laborex Kenya
Diclo-Denk Rectal 100mg Suppository 10’s Denk Pharma Laborex Kenya
Diclo-Denk Retard 100mg Tablet 100’s Denk Pharma Laborex Kenya
Diclofen SR 100mg Tablet 100’s Fourrts Labs Sai Pharma
Diclofenac 75mg/3mL Injection 10’s Laborate India Harley’s Ltd
Diclofenac 75mg/3mL Injection 10’s Crown Healthcare Crown Healthcare
Diclogen 75mg/3mL Injection 5’s Agio Pharma Sai Pharma
Diclomed 75mg/3mL Injection 10’s Dawa Ltd Dawa Ltd
Diclomol 75mg/3mL Injection 10’s Win Medicare Europa Healthcare
Diclomol EC 50 50mg Tablet 100’s Win Medicare Europa Healthcare
Diclomol SR 100mg Tablet 100’s Win Medicare Europa Healthcare
Diclopill 100mg Tablet 100’s Crown Healthcare Crown Healthcare
Diflame-SR 100mg Tablet 100’s Lincoln Pharma C/O Medox Pharma Medox Pharma
Dinac 50mg Tablet 100’s Universal Corporation Universal Corporation
Dinac retard 100mg Tablet 100’s Universal Corporation Universal Corporation
Dola CR 100mg Capsule 10’s Doctor Pharma (K) Doctor Pharma (K)
Dynapar AQ 75mg/mL Injection 5’s Troikaa Harley’s Ltd
Dynapar SR 100mg Tablet 100’s Troikaa Harley’s Ltd
Fast Flam 50mg Tablet 20’s Jamjoon Pharma Specialities
Flotac 75mg Capsule 20’s Novartis Pharma Novartis Kenya
Justin 75mg/3mL Injection 10’s M/S.Neon Labs Ripple Pharma
K-Flam 50mg Sachet 30’s Neopharma Neopharma
Knac 50mg Tablet 30’s Universal Corporation Universal Corporation
Knac-75 75mg Tablet 30’s Universal Corporation Universal Corporation
Lofnac 100mg Suppository 10’s Bliss GVS Prunus Pharma
Monoflam 9mg/5mL Suspension 60mL Krishna Chemists Krishna Chemists
Nudiclo 100mg Tablet 30’s Macleods Pharma Sai Pharma
Olfen 75mg/2mL Injection 5’s Acino Pharma Goodman Agencies
Olfen 50 50mg Tablet 20’s Acino Pharma Goodman Agencies
Olfen SR 100mg Tablet 10’s Acino Pharma Goodman Agencies
Olfen SR 75mg Tablet 30’s Acino Pharma Goodman Agencies
Rheumac EC 50mg Tablet 100’s Laboratory & Allied Laboratory & Allied
Voltaren SR 75mg Tablet 30’s Novartis Pharma Novartis Kenya
Rheumac SR 100mg Tablet 100’s Laboratory & Allied Laboratory & Allied
Rhumalgan 50mg Tablet 20’s Lagap SA Uae Lagap SA uae
Rokon 100mg Tablet 100’s National Pharmacy National Pharmacy
Rokon 50mg Tablet 100’s National Pharmacy National Pharmacy
Rufenac 50mg Tablet 100’s Shalina Labs Shalina Healthcare
Soludol 50mg Orodispersible tablet 100’s Win Medicare Europa Healthcare
Subsyde CR 100mg Capsule 10’s Raptakos Brett Pan Pharma
Umeran SR 100mg Tablet 20’s Umedica Labs Unisel Ltd
Velredin 50mg Tablet 100’s Pharma Life Science Pharma Life Science
Velredin 100mg Tablet 100’s Pharma Life Science Pharma Life Science
Voltamed 100mg Tablet 100’s Medico Remedies Harley’s Ltd
Voltaren 75mg/3mL Injection 5’s Novartis Pharma Novartis Kenya
Voltaren 100mg Suppository 5’s Novartis Pharma Novartis Kenya
Voltaren 12.5mg Suppository 10’s Novartis Pharma Novartis Kenya
Voltaren 25mg Suppository 10’s Novartis Pharma Novartis Kenya
Voltaren 50mg Suppository 10’s Novartis Pharma Novartis Kenya
Voltaren Retard 100mg Tablet 30’s, 100’s Novartis Pharma Novartis Kenya
Voltfast 50mg Sachet 9’s Novartis Pharma Novartis Kenya
Vonac 50mg Tablet 100’s Biopharma Ltd Biopharma Ltd
Vonac 100mg Tablet 100’s Biopharma Ltd Biopharma Ltd