It can be very frustrating when treatments don't work as expected. Since your current prescription isn't helping, please contact your doctor. They may suggest alternative oral pain relievers like ibuprofen or acetaminophen. Your cold sensitivity also needs a proper evaluation, as it could point to a nerve-related issue that requires specific target therapies. Please do not start new medications without consulting your healthcare provider first so they can safely find the right, lasting relief for you.

I would advise against taking Voveran (diclofenac) before your race. Diclofenac can sometimes trigger or worsen breathing difficulties, especially during intense physical exertion like a 1600-meter run. High-intensity exercise already puts extra demand on your lungs, and taking this medication beforehand could increase the risk of breathing tightness. Your safety is the top priority. I highly recommend consulting your doctor.

Given your persistent fever and dry cough, it is best to get tested for COVID-19. The RT-PCR nasal/throat swab is the most accurate test. Since you are regularly taking Voveran D (diclofenac) for your spinal arthritis, and have already taken paracetamol and azithromycin, please consult your doctor immediately. Self-medicating, especially with antibiotics like azithromycin, requires professional supervision. Please isolate, monitor your oxygen levels, and rest while you wait for your doctor's guidance.

Since your foot has not improved with conservative care, the next best step is to consult an orthopedic specialist or a podiatrist. They will likely recommend diagnostic imaging, such as an X-ray to rule out small fractures, or an MRI to check for deep soft-tissue tears or a persistent hematoma. Therapeutically, they may suggest temporary immobilization in a walking boot, targeted physical therapy, or occasionally, a minor procedure to drain the fluid collection. Please try to rest the foot and avoid heavy weight-bearing for now.

Since Voveran contains diclofenac, a strong anti-inflammatory, excellent oral alternatives include generic ibuprofen, naproxen, or mefenamic acid. These are highly effective at targeting the prostaglandins that cause menstrual cramps. Sometimes, simple measures like a warm compress or gentle stretching can also provide comfort. Please consult your doctor to find the safest oral option and correct dosage for you, as they can help manage this comfortably without needing regular injections.

Voveran 75 MG Tablet SR contains diclofenac, a strong anti-inflammatory medication. While it can help reduce arthritis pain, it may not be safe for everyone, especially older adults, as it can affect the stomach, kidneys, and heart. Since it is a high-strength, sustained-release tablet, it is best to avoid giving it to her without a doctor's evaluation. For now, you can safely apply a warm compress to her joints or use a topical pain-relief gel to keep her comfortable. Please consult her doctor before starting any oral pain medications.