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What is Surpim

Surpim is a non steroidal anti inflammatory drug. This medicine works by reducing substances in the body that cause pain, fever, and inflammation.
Surpim nasal (for the nose) is used short-term (5 days or less) to treat moderate to severe pain.
Surpim may also be used for purposes not listed in Surpim guide.

Surpim 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 Surpim nasal and call your doctor at once if you have:

Common side effects may include:

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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Surpim dosing

Usual Adult Dose for Pain:

The combined duration of use of parenteral, oral, and intranasal Surpim 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 Surpim 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 Surpim 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.

Select the most affordable brand or generic drug


StrengthQuantityPrice, USDCountry
0 .5%15 milliliters$86.00Australia, Canada, NZ, Singapore, UK
0 .5 % x 5ml $0.64
ACULAR eye drops 0.5 % x 5ml $0.64Allergan
Acular 0.5% EYE-DPS / 5ml $0.64
Acular Eye 5 ml Drop $0.13
Acular 0.5 % x 5 mL $8.51
0 .4%5 ml$34.47Barbados, Canada, NZ, UK
0 .4%15 ml$78.21Australia, Canada, NZ, Singapore, Turkey, UK, USA
0 .4%15 ml$78.50Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .4%15 ml$78.50Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
0 .4%30 ml$155.00Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
0 .4%30 ml$155.22Australia, Canada, India, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .4%/5ml2 $95.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .4%/5ml3 $139.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
CADOLAC 30 MG INJECTION 1 vial(s) (1 ML injection each) $0.22Cadila Pharmaceuticals Ltd
Cadolac Eye Drop $0.37
CADOLAC inj 30 mg x 1ml $0.13Cadila (Le Sante)
0 .50%5 ml$0.53
0 .5 % x 5ml $0.53
CENTAGESIC eye drops 0.5 % x 5ml $0.53Centaur
Centagesic Eye 5 ml Drop $0.53
Centagesic 0.5% EYE-DPS / 5ml $0.53
Centagesic 0.5% w/v Eye Drop $0.55Centaur Pharmaceuticals Pvt Ltd
CENTAGESIC 0.5% EYE DROPS 1 packet(s) (5 ML eye drop each) $0.55Centaur Pharmaceuticals Pvt Ltd
Fam 20 mg Tablet $0.01
Fam 40 mg Tablet $0.02
Kelac 10 mg Tablet $0.02
KELAC 10MG TABLET 1 strip(s) (10 tablets each) $0.41Intas Pharmaceuticals Ltd
30 mg x 1ml $0.13
30 mg1 ml$0.13
KELAC inj 30 mg x 1 mL x 1ml $0.28Intas
Kelac 15 mg Injection $0.07
Keto 200 mg Tablet $0.25
KETO topical powd 2 % w/w x 50g $0.74Med Manor
Keto 2% Cream $1.37Med Manor Organics Pvt Ltd
0 .5 % w/v x 5ml $0.35
Ketodrops 0.5% w/v EYE-DPS / 5ml $0.35
KETODROPS eye drops 0.5 % w/v x 5ml $0.40Cipla
Ketodrops Eye 5 ml Drop $0.40
Ketolac 0.5% Eye Drop $0.70Nri Vision Care Pvt Ltd
KETOLAC 0.5% EYE DROP 1 packet(s) (5 ML eye drop each) $0.70Nri Vision Care Pvt Ltd
0 .50%10 ml$0.41
0 .5%5 ml$24.32Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
0 .5%5 ml$32.83Australia, Canada, India, Mauritius, NZ, Turkey, UK, USA
0 .5%20 ml$74.00Australia, Canada, India, Mauritius, NZ, Turkey, Singapore, UK, USA
0 .5%20 ml$74.00Australia, Canada, India, NZ, Turkey, Singapore, UK, USA
0 .5%60 $744.20USA
0 .5%/10ml2 $64.00Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .5%/10ml3 $104.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .5%/5ml1 $26.00Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .5%/5ml2 $45.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
10 mg100 $58.77Barbados, Canada, NZ, UK
10 mg100 $82.09Canada, UK
30 mg/ml1 $89.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
30 mg/ml100 $170.44USA
Novo-Ketorolac 10 mg Tablet $0.43
Ketorolac Tromethamine 0.4% Solution 5ml Bottle $109.72
Ratio-Ketorolac 0.5 % Solution $2.11
Ketorolac Tromethamine 30 mg/ml $3.90
Ketorolac 30 mg/ml syringe $8.77
Ketorolac Hexpharm 10 mg/1 mL x 6's $3.60
Ketorolac Hexpharm 30 mg/1 mL x 6's $5.39
KETRAL 1%W/V SCALP SOLUTION 1 bottle(s) (120 ML solution each) $2.94Mohrish Pharmaceuticals
Ketral 2% w/v Solution $2.94Mohrish Pharmaceuticals
30 mg x 1's $0.22
KETROL inj 30 mg x 1ml $0.22Dr. Reddy's
Ketrol 30mg AMP / 1 $0.22
Lantipain 30 mg/1 mL x 6's $10.73
Lantipain 10 mg/1 mL x 6's $7.18
Toramine 30 mg x 1 mL x 5's $8.51
Toramine 10 mg x 1 mL x 5's $5.55
Trolac 30 mg/1 mL x 5's $9.56
Trolac (amp) 10 mg x 10's $3.26
Zodol 20+50+325 Tablet $0.03
30 mg x 1ml $0.18
ZOROVON inj 30 mg x 1ml $0.18Sun
Zorovon 30 mg Injection $0.18
Zorovon 30mg/ml INJ / 1ml $0.18
Zorovon 10 mg Tablet $0.04
10 mg x 10's $0.42
ZOROVON tab 10 mg x 10's $0.42Sun
Zorovon 10mg TAB / 10 $0.42
Zorovon 10mg Tablet $0.04Sun Pharmaceutical Industries Ltd
ZOROVON 10MG TABLET 1 strip(s) (10 tablets each) $0.43Sun Pharma Laboratories Ltd
ZOROVON inj 30 mg x 1ml $0.18Sun
ZOROVON tab 10 mg x 10's $0.42Sun
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References

  1. "Ketorolac". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
  2. "Ketorolac". http://www.drugbank.ca/drugs/DB0046... (accessed August 28, 2018).
  3. "Ketorolac: link to the compound information in wikipedia.". https://en.wikipedia.org/wiki/Ketor... (accessed August 28, 2018).

Surpim - Frequently asked Questions

Can Surpim 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 Surpim?

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.

Surpim nasal is usually given every 6 to 8 hours. Follow your doctor's instructions.

To use the Surpim nasal spray:

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 Surpim?

Other drugs may interact with Surpim, 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 Surpim?

Surpim 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.

Surpim 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 Surpim, or if you have:

Pentoxifylline or probenecid can interact with Surpim nasal and should not be used at the same time.

Do not use Surpim nasal if you are already taking aspirin or other NSAIDs, or using other forms of Surpim (such as injections or pills you take by mouth).

To make sure Surpim nasal is safe for you, tell your doctor if you have:

FDA pregnancy category D. Surpim nasal may be harmful to an unborn baby if the mother uses the medication after 30 weeks of pregnancy. Using Surpim 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.

Surpim 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 Surpim be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such case requires special attention.

Can Surpim 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 Surpim, 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 Surpim. 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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The information was verified by Dr. Vishal Pawar, MD Pharmacology