INDICATION
CAMBIA is a prescription medicine used to treat migraine attacks
in adults. It does not prevent or lessen the number of migraines
you have, and it is not for other types of headaches. CAMBIA
contains diclofenac potassium (a non-steroidal anti-inflammatory
drug or NSAID).
IMPORTANT SAFETY INFORMATION
WARNING: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL
EVENTS
CAMBIA is a non-steroidal anti-inflammatory drug (NSAID). NSAIDs
cause an increased risk of a heart attack or stroke that can
lead to death. This chance is higher with longer use of NSAID
medicines and in people who have heart disease. CAMBIA should
never be used right before or after a heart surgery called a
“coronary artery bypass graft (CABG)”.
NSAID medicines cause an increased risk of stomach and intestine
problems, such as ulcers and bleeding, which can happen without
warning and may cause death. This risk increases with use of
steroids (corticosteroids), blood thinners (anticoagulants),
smoking, alcohol use, older age, for those in poor health,
advanced liver disease, and bleeding problems.
What is the most important information I should know about
CAMBIA?
CAMBIA contains diclofenac (a non-steroidal anti-inflammatory
drug or NSAID).
NSAIDs, including CAMBIA, can cause serious side effects,
including:
-
Increased risk of a heart attack or stroke that can lead to
death.
This risk may happen early in treatment and may increase:
- with increasing doses of NSAIDs
- with longer use of NSAIDs
Do not take NSAIDs, including CAMBIA, right before or after a
heart surgery called a “coronary artery bypass graft
(CABG).”
Avoid taking NSAIDs, including CAMBIA, after a recent heart
attack, unless your healthcare provider tells you to. You may
have an increased risk of another heart attack if you take
NSAIDs after a recent heart attack.
-
Increased risk of bleeding, ulcers, and tears (perforation)
of the esophagus (tube leading from the mouth to the stomach),
stomach and intestines:
- anytime during use
- without warning symptoms
- that may cause death
The risk of getting an ulcer or bleeding increases
with:
-
past history of stomach ulcers, or stomach or intestinal
bleeding with use of NSAIDs
-
taking medicines called “corticosteroids”, “anticoagulants”,
“SSRIs”, or “SNRIs”
- increasing doses of NSAIDs
- longer use of NSAIDs
- smoking
- drinking alcohol
- older age
- poor health
- advanced liver disease
- bleeding problems
CAMBIA should only be used:
- exactly as prescribed
- at the lowest dose possible for your treatment
- for the shortest time needed
Who should not take CAMBIA?
Do not take CAMBIA:
-
if you have had an asthma attack, hives, or other allergic
reaction with aspirin, diclofenac, or any other NSAIDs.
- right before or after heart bypass surgery.
Before taking CAMBIA, tell your healthcare provider about all
your medical conditions, including if you:
- have liver or kidney problems
-
have a history of stomach ulcer or bleeding in your stomach or
intestines
- have any allergies to any medicines
-
have chest pain, shortness of breath, irregular heartbeats
- have high blood pressure
- have asthma
-
are pregnant, think you might be pregnant, or are trying to
become pregnant. CAMBIA should not be used by pregnant women,
especially after 29 weeks of pregnancy unless directed by your
healthcare provider to do so. CAMBIA may cause problems in your
unborn child or complications during your delivery
-
are breastfeeding or plan to breastfeed. It is not known if
CAMBIA passes into your breast milk. You and your doctor should
decide if you will take CAMBIA or breastfeed. You should not do
both
-
have a headache that is different from your usual migraine
Tell your doctor about all the medicines you take, including
prescription or over-the-counter medicines, vitamins, or herbal
supplements.
NSAIDs, like CAMBIA, and some other medicines can interact with
each other and cause serious side effects.
Do not start taking any new medicine without talking to your
healthcare provider first.
Especially tell your doctor if you take:
- aspirin
-
any anticoagulant medicines (warfarin, Coumadin, Jantoven)
Know the medicine you take. Keep a list of your medicines and show
it to your doctor and pharmacist when you get a new medicine.
What are the possible side effects of CAMBIA?
CAMBIA can cause serious side effects, including:
See “What is the most important information I should know about
CAMBIA?”
- new or worse high blood pressure
- heart failure
- liver problems including liver failure
- kidney problems including kidney failure
- bleeding and ulcers in the stomach and intestine
- low red blood cells (anemia)
- life-threatening skin reactions
- life-threatening allergic reactions
- asthma attacks in people who have asthma
-
medication overuse headaches. Some people who use too much
CAMBIA may have worse headaches (medication overuse headache).
If your headaches get worse, your healthcare provider may decide
to stop your treatment with CAMBIA.
Other side effects of NSAIDs include:
stomach pain, constipation, diarrhea, gas, heartburn, nausea,
vomiting, and dizziness.
Get emergency help right away if you get any of the following
symptoms:
- shortness of breath or trouble breathing
- chest pain
- weakness in one part or one side of your body
- slurred speech
- swelling of the face or throat
Stop CAMBIA and call your healthcare provider right away if you
have any of the following symptoms:
- nausea that seems out of proportion to your migraine
- sudden or severe pain in your belly
- more tired or weaker than usual
- diarrhea
- itching
- your skin or eyes look yellow
- indigestion or stomach pain
- vomit blood
-
there is blood in your bowel movement or it is black and sticky
like tar
- unusual weight gain
- skin rash or blisters with fever
- swelling of the arms, legs, hands and feet
- flu-like symptoms
If you take too much of your NSAID, call your healthcare
provider or get medical help right away.
These are not all the possible side effects of NSAIDs. For more
information, ask your healthcare provider or pharmacist about
NSAIDs.
Call your doctor for medical advice about side effects. You may
report side effects to FDA at 1-800-FDA-1088.
Please see full Prescribing Information
including BOXED WARNING and Medication Guide
for more information about CAMBIA.
