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Common Side Effects

1. Skin Reactions: Users may experience local skin irritation, redness, or a burning sensation upon application.
2. Gastrointestinal Issues: While localized application reduces systemic exposure, some users might still experience mild gastrointestinal symptoms, such as nausea or diarrhea, especially with diclofenac​
3. Dizziness and Headaches: Some individuals may report dizziness or headaches as a reaction to diclofenac, although these effects are generally mild​
4. Allergic Reactions: There is a risk of allergic reactions, particularly for those sensitive to capsaicin or NSAIDs. Symptoms could include itching, rash, or more severe reactions​
5. Serious Reactions: In rare cases, diclofenac can lead to more severe gastrointestinal complications like peptic ulcers or gastrointestinal bleeding.

Precautions

• Avoid applying to broken or irritated skin.
• Do not use in conjunction with other topical medications on the same area.
• Always wash hands after application to prevent accidental contact with sensitive areas like the eyes​