Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) used for the short-term relief of moderate to severe pain. Below is some information regarding ketorolac:
Dosage:
The usual adult dose is 10 mg every 4-6 hours, not to exceed 40 mg per day.
The dosage for children is based on weight and should not exceed 0.5 mg/kg for each dose or 15 mg/kg per day.
Dosage adjustments are required for patients with liver or renal impairment.
In patients with severe renal impairment, the total daily dose should not exceed 60 mg.
In patients with moderate hepatic impairment, the initial dose should be reduced by 50%.
Pregnancy and Lactation:
Ketorolac is contraindicated in the third trimester of pregnancy due to the risk of premature closure of the fetal ductus arteriosus.
Ketorolac should be used with caution during the first and second trimesters of pregnancy.
Ketorolac is excreted in breast milk and should be used with caution in nursing mothers.
Risk Factors:
Ketorolac can increase the risk of gastrointestinal bleeding, ulcers, and perforation.
Ketorolac should be used with caution in patients with a history of stomach ulcers, bleeding disorders, or those taking anticoagulants.
Ketorolac should not be used in patients with a history of asthma or other allergic reactions to NSAIDs.
Indications:
Ketorolac is indicated for the short-term treatment of moderate to severe pain.
It is often used post-operatively, for dental pain, or for pain associated with musculoskeletal disorders.
Administration:
Ketorolac is available as an oral tablet or injection.
Oral tablets should be taken with food or milk to minimize gastrointestinal side effects.
Injection should be given intramuscularly or intravenously and should be used for no more than 5 days.
Pharmacokinetics:
Ketorolac has a half-life of approximately 5-6 hours.
It is extensively metabolized in the liver and excreted in the urine.
Interactions:
Ketorolac may increase the risk of bleeding when taken with other drugs that affect blood clotting, such as anticoagulants.
It should not be taken with other NSAIDs, as this may increase the risk of gastrointestinal bleeding.
Adverse Effects:
Common side effects of ketorolac include gastrointestinal upset, headache, and dizziness.
Serious side effects may include bleeding, ulceration, or perforation of the stomach or intestines.
Ketorolac may also cause renal toxicity and should be used with caution in patients with renal impairment.
Comments
Post a Comment