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" Question I am taking the drug diclofenac to stop pains in my body and to help me sleep.  Could you please tell me if there are any likely side effects while using or once course has finished?  I am also taking the drug Kapake, is there any problem with using them together?  Could you also please tell me what each of these of drugs are supposed to do or what they are normally taken to treat?  Thank you in advance.   Answer Diclofenac and Kapake are both prescribed for the relief of pain in a wide variety of conditions, ranging from the simple musculoskeletal sprain to severe osteoarthritis and a whole host of things in-between.  Kapake is a combination therapy, consisting of two separate drugs, namely paracetamol 500mg and codeine phosphate 30mg in each tablet or capsule.  It is important to appreciate that codeine phosphate is a strong painkiller, having the ability to cause addiction or dependence if used on a regular basis for long periods in susceptible individuals.  When used in combination with paracetamol as Kapake, the patient gains from the anti-inflammatory effect of the latter.  Both Paracetamol and diclofenac are anti-inflammatory drugs, preventing pain by the reduction of inflammation and swelling in the affected areas of the body.  Diclofenac is contra-indicated in aspirin allergy, severe inflammation of the bowel, stomach ulceration and the last third of pregnancy.  Reported possible side effects include &amp;amp;#8211; stomach pain/upset; bleeding from the stomach, headache, dizziness and rash.  Rarely, it has been reported as causing abnormalities of the general blood picture, kidney and liver function; and ulceration of the stomach.  There is usually no problem in using paracetamol, codeine phosphate and diclofenac together, with the caveats expressed above.  Ordinarily, one would discontinue the codeine phosphate element of therapy once symptoms were well controlled, with a view to keeping control with paracetamol and/or diclofenac. Yours sincerely The NetDoctor Medical Team   Other Qs &amp;amp; As Antihistamine tablets Breathless and gaining weight Cataflam for a one-year-old Citalopram Citalopram hydrobromide Glivec Glivec and AML Lamotrigiene Medicine for ear infection Medicines while breastfeeding Metronidazole and alcohol Steroid injections for pain Tylex Urine with strong smell Viral infection and antibiotics Warfarin Zyrtek and budesonide   Last updated 31.10.2010 "^^<http://www.w3.org/2001/XMLSchema#string>
<http://www.netdoctor.co.uk/ask-the-expert/aches-and-pains/a4037/diclofenac-and-kapake/>