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    Concomitant use of diclofenac sodium delayed-release tablets and pemetrexed may increase the risk of pemetrexed- associated myelosuppression, renal, and GI diclofenac sodium topical gel instructions see the pemetrexed prescribing information During concomitant use of diclofenac diclofenac sodium topical gel instructions delayed-release tablets and pemetrexed, in patients with renal impairment whose creatinine clearance ranges from 45 to 79 mL/min, monitor for myelosuppression, renal and GI toxicity.THER This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional.

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