Ketorolac Rompharm is a non steroidal anti inflammatory drug. This medicine works by reducing substances in the body that cause pain, fever, and inflammation. Ketorolac Rompharm nasal (for the nose) is used short-term (5 days or less) to treat moderate to severe pain. Ketorolac Rompharm may also be used for purposes not listed in Ketorolac Rompharm guide.
Ketorolac Rompharm side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Get emergency medical help if you have heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; or signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance. Stop using Ketorolac Rompharm nasal and call your doctor at once if you have:
bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
slow heart rate;
pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;
little or no urinating;
swelling, rapid weight gain;
liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common side effects may include:
pain or irritation in your nose;
runny nose;
watery eyes;
throat irritation; or
mild rash.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. See also: Side effects (in more detail)
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Ketorolac Rompharm dosing
Usual Adult Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Ketorolac Rompharm should not exceed 5 days; the oral formulation is only to be used as continuation to IV or IM therapy. Intranasal: -Weight 50 kg or more: 31.5 mg every 6 to 8 hours -Weight less than 50 kg: 15.75 mg every 6 to 8 hours (1 spray in 1 nostril) -Maximum dose: 4 doses per day Parenteral: Single-Dose Treatment: -Weight 50 kg or more: 60 mg IM or 30 mg IV -Weight less than 50 kg: 30 mg IM or 15 mg IV Multiple-Dose Treatment: -Weight 50 kg or more: 30 mg IM/IV every 6 hours as needed Maximum dose: 120 mg/day -Weight less than 50 kg: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Oral, as continuation to parenteral therapy: Weight 50 kg or more: 20 mg orally once followed by 10 mg every 4 to 6 hours as needed Weight less than 50 kg: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose, and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Usual Geriatric Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Ketorolac Rompharm should not exceed 5 days; the oral formulation is only to be used as continuation to IV or IM therapy. Intranasal: -Dose: 15.75 mg every 6 to 8 hours (one spray in 1 nostril) -Maximum dose: 4 doses per day Parenteral: -Single-Dose Treatment: 30 mg IM or 15 mg IV -Multiple-Dose Treatment: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Oral, as continuation to parenteral therapy: -Dose: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Usual Pediatric Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Ketorolac Rompharm should not exceed 5 days; the oral formulation is only to be used as continuation therapy to IV or IM. Intranasal: Age: Greater than 17 years: -Weight 50 kg or more: 31.5 mg every 6 to 8 hours -Weight less than 50 kg: 15.75 mg every 6 to 8 hours (1 spray in 1 nostril) -Maximum: 4 doses per day Oral, as continuation to parenteral therapy: Age: 17 years or older: -Weight 50 kg or more: 20 mg orally once followed by 10 mg every 4 to 6 hours as needed -Weight less than 50 kg: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Parenteral: Age: 17 years or older: Single-Dose Treatment: -Weight 50 kg or more: 60 mg IM or 30 mg IV -Weight less than 50 kg: 30 mg IM or 15 mg IV Multiple-Dose Treatment: -Weight 50 kg or more: 30 mg IM/IV every 6 hours as needed Maximum dose: 120 mg/day -Weight less than 50 kg: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Age: 2 to 16 years: Single-Dose Treatment: IM: 1 mg/kg up to a maximum of 30 mg IV: 0.5 mg/kg up to a maximum of 15 mg Maximum dose: 1 dose Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Can Ketorolac Rompharm be stopped immediately or do I have to stop the consumption gradually to ween off?
In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.
It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.
How should I take Ketorolac Rompharm?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
This medication comes with patient instructions for safe use, and directions for priming the nasal spray. Ask your doctor or pharmacist if you have any questions.
Ketorolac Rompharm nasal is usually given every 6 to 8 hours. Follow your doctor's instructions.
To use the Ketorolac Rompharm nasal spray:
Gently blow your nose before using the nasal spray.
The first time you use a new bottle, remove the clip and plastic cover and prime the unit by pumping 5 sprays into the air, away from your face, until a fine mist appears.
Tilt your head forward slightly and insert the tip of bottle into your nostril, pointing it away from the center of your nose. Breathe through your mouth while spraying gently into your nostril. Do not inhale or sniff while spraying. If your nose runs, gently sniff to keep the nasal spray from leaking out.
Use only the number of sprays prescribed by your doctor.
Put the plastic cap back on the bottle and store it in a dry place, out of direct sunlight.
Avoid getting this medication in your eyes. If this does happen, rinse with water or saline solution. Call your doctor if you have eye irritation for longer than 1 hour.
Do not use this medication for longer than 5 days unless your doctor has told you to.
Each bottle of this medicine contains 8 sprays for use within a 24-hour period. Throw the bottle away within 24 hours after your first use, even if there is still some medicine left in the bottle.
Store the unopened nasal spray bottles in a refrigerator. Do not freeze.
After opening a bottle, store it at room temperature away from moisture, heat, and light.
What other drugs will affect Ketorolac Rompharm?
Other drugs may interact with Ketorolac Rompharm, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Who should not take Ketorolac Rompharm?
Ketorolac Rompharm may increase your risk of heart attack or stroke, especially if you use it long term or have heart disease. Do not use this medicine just before or after any surgery, especially heart bypass surgery.
Ketorolac Rompharm may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.
You should not use this medicine if you are allergic to Ketorolac Rompharm, or if you have:
severe kidney disease;
a bleeding or blood clotting disorder;
asthma, or "aspirin triad syndrome," a severe allergic reaction caused by taking aspirin, or other NSAIDs (Advil, Aleve, Celebrex, Indocin, Naprosyn, Orudis, Voltaren, and others);
a closed head injury or bleeding in your brain;
a stomach ulcer, perforation, or a history of stomach or intestinal bleeding; or
if you are breast-feeding a baby.
Pentoxifylline or probenecid can interact with Ketorolac Rompharm nasal and should not be used at the same time.
Do not use Ketorolac Rompharm nasal if you are already taking aspirin or other NSAIDs, or using other forms of Ketorolac Rompharm (such as injections or pills you take by mouth).
To make sure Ketorolac Rompharm nasal is safe for you, tell your doctor if you have:
a history of heart attack, stroke, or blood clot;
heart disease, congestive heart failure, high blood pressure;
liver or kidney disease,
ulcerative colitis or Crohn's disease;
polyps in your nose;
if you take a blood thinner (warfarin, Coumadin);
if you have recently had surgery; or
if you smoke.
FDA pregnancy category D. Ketorolac Rompharm nasal may be harmful to an unborn baby if the mother uses the medication after 30 weeks of pregnancy. Using Ketorolac Rompharm nasal during labor can increase the risk of bleeding during childbirth. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Ketorolac Rompharm nasal can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not give this medicine to anyone younger than 18 years old.
Can Ketorolac Rompharm be taken or consumed while pregnant?
Please visit your doctor for a recommendation as such case requires special attention.
Can Ketorolac Rompharm be taken for nursing mothers or during breastfeeding?
Kindly explain your state and condition to your doctor and seek medical advice from an expert.
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Reviews
Following the study conducted by gmedication.com on Ketorolac Rompharm, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Ketorolac Rompharm. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.
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