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KETOROLAC TROMETHAMINE
KETOROLAC - ORAL

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

KETOROLAC - ORAL

(kee-TOE-row-lack)

COMMON BRAND NAME(S): Toradol

WARNING: Do not use oral and/or injectable ketorolac for mild or chronic pain nor should their combined use go longer than 5 days. Use only the amount prescribed. Do not use this drug if you are in labor, breast-feeding, have stomach problems (e.g., peptic ulcer), major kidney problems, bleeding problems, severe dehydration, or if you are having surgery. Do not use ketorolac while using aspirin or other NSAIDs (e.g., ibuprofen). "Blood thinners" (e.g., heparin, warfarin) should be used with extreme caution. Do not use ketorolac if you are allergic to aspirin, NSAID or ketorolac itself. Elderly patients, those weighing less than 110-lbs (50kg), and those with mild kidney problems require smaller doses. Consult your doctor.

Uses

Ketorolac is a nonsteroidal anti-inflammatory drug that relieves pain and reduces swelling. It is used to treat moderate to severe pain usually after surgery.

How To Use

Oral ketorolac should be used only after you have already used the injectable form of ketorolac. If you have been prescribed the oral form of ketorolac without first having received the injectable form, promptly consult your doctor or pharmacist before taking this medication. Though it is very unlikely to occur, a severe allergic reaction is possible after taking the first dose (see Side Effects section--allergic reaction). The Canadian manufacturer of toradol states that it may be used instead of the IV form; i.e., your entire therapy may be with the oral form of toradol. Take this medication as directed. Do not increase your dose or take it more often than prescribed without your doctor's approval. This medication is used for only a short period of time. The combined use of injectable ketorolac and oral ketorolac should not exceed 5 days. Take this medication with food, milk or antacids to prevent stomach upset. Take this medication with 6 to 8 ounces (180-240ml) of water. Do not lie down for at least 30 minutes after taking this drug.

Side Effects

Stomach upset is the most common side effect. Vomiting, bloating, gas, loss of appetite, dizziness, drowsiness, blurred vision, may also occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Inform your doctor promptly if you develop: ringing in the ear, vision changes. If you notice any of the following unlikely but very serious side effects, stop taking this drug and consult your doctor or pharmacist immediately: black stools, persistent stomach/ abdominal pain, vomit that looks like coffee grounds. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Tell your doctor your medical history especially: liver disease, kidney disease, blood disorders, ulcers, heart disease, alcohol use, high blood pressure, eye disease, asthma, nasal polyps, any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib). Use caution when performing tasks requiring alertness. Limit alcohol intake as it may intensify the drowsiness effect of this medication. This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Do not take aspirin without consulting your doctor. Check the ingredients of any nonprescription medication you may be taking since many cough-and-cold formulas contain aspirin. Infrequently, this medication may increase the skin's sensitivity to sunlight. If this happens to you, avoid prolonged sun exposure, wear protective clothing, and use a sunscreen. Avoid sunlamps. Caution is advised when this drug is used in the elderly. This medication should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor. Use of this drug during the last 6 months of pregnancy is not recommended. This drug is excreted into breast milk. Consult your doctor before breast-feeding.

Drug Interactions

Tell your doctor of all prescription and nonprescription drugs you may use, especially: "blood thinners" (e.g., warfarin), other arthritis medication (including aspirin), "water pills", lithium, probenecid. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.

Notes

Do not share this medication with others.

Missed Dose

If you miss a dose, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule.

Storage

Store at room temperature away from sunlight and moisture. Do not store in bathroom.