Product image of Ketonal (Ketoprofen) supplied by GNH India

Ketonal

Active Ingredient:
Ketoprofen
Origin:
EU

Ketonal (Ketoprofen)

Ketoprofen, the active ingredient in Ketonal, is a nonsteroidal anti-inflammatory drug presented as an injectable solution for intramuscular and intravenous use. It provides analgesic and anti‑inflammatory effects for pain, rheumatoid arthritis, osteoarthritis and other musculoskeletal disorders in adult patients, suitable for both acute and chronic management.

GNH India supplies Ketonal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality and regulatory conformity across EU and global markets, with a focus on consistent potency and safety.

Manufacturer / TM Owner

Sandoz Pharmaceuticals D.D.

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Indications & Clinical Uses

Ketonal (ketoprofen) is used to manage inflammatory and painful conditions affecting the musculoskeletal system.

  • Pain: reduces moderate to severe pain associated with injury or disease.
  • Rheumatoid arthritis: alleviates joint inflammation and pain.
  • Osteoarthritis: improves mobility and lessens chronic joint discomfort.
  • Musculoskeletal disorders: controls swelling and inflammation after trauma.
  • Post‑operative pain: provides short‑term analgesia following surgical procedures.

How It Works

  • Ketoprofen exerts its effect by non‑selectively inhibiting cyclooxygenase‑1 (COX‑1) and cyclooxygenase‑2 (COX‑2) enzymes, blocking the conversion of arachidonic acid to prostaglandins. The resulting decrease in prostaglandin synthesis reduces inflammation, pain signaling, fever, and associated edema at the site of tissue injury.

Side Effects

Ketonal may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild stomach upset may occur.
  • Dyspepsia: indigestion or heartburn.
  • Headache: transient head discomfort.
  • Injection site pain: local discomfort after IM/IV administration.

Serious or Rare Side Effects

  • Gastrointestinal bleeding: risk of serious bleeding in stomach or intestines.
  • Renal impairment: reduced kidney function, especially with prolonged use.
  • Severe allergic reaction: rash, swelling, or anaphylaxis.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.

Precautions & Warnings

When using Ketonal, consider the following precautions.

  • Assess renal function: check kidney status before initiating therapy, especially in elderly or dehydrated patients.
  • Monitor gastrointestinal risk: avoid in patients with a history of ulcers or bleeding.
  • Use lowest effective dose: limit duration to reduce adverse event risk.
  • Caution in cardiovascular disease: NSAIDs may increase risk of thrombotic events.
  • Avoid concurrent anticoagulants: increased bleeding risk when combined with warfarin or similar agents.
  • Store at ambient temperature: keep below 25°C in original packaging, protect from moisture and light.

Avoid Interactions

Ketonal can interact with several medicines.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): heightened bleeding risk.
  • Other NSAIDs or aspirin: additive gastrointestinal toxicity.
  • Corticosteroids: increased ulcer risk.

Moderate Interactions (Monitor Closely)

  • Lithium: NSAIDs can raise lithium serum levels.
  • Methotrexate: reduced clearance may cause toxicity.
  • SSRIs: modest increase in bleeding tendency.

Frequently Asked Questions

Ketonal contains ketoprofen and is prescribed to relieve pain and inflammation associated with conditions such as rheumatoid arthritis, osteoarthritis, acute musculoskeletal injuries, and post‑operative discomfort. It is administered by injection for rapid onset in adult patients.

Ketoprofen works by non‑selectively blocking the COX‑1 and COX‑2 enzymes, which reduces the production of prostaglandins—chemical mediators that cause inflammation, pain, and fever. Lower prostaglandin levels lead to decreased swelling and pain perception.

The exact dose of Ketonal is determined by the prescribing clinician based on the patient’s condition, severity of symptoms, and renal or hepatic function. Healthcare professionals follow local guidelines and adjust the amount and frequency as needed.

Safety data for ketoprofen during pregnancy and lactation are limited. It is generally avoided, especially in the third trimester, because of potential fetal risks. Breastfeeding mothers should consult their physician before using the product.

To order Ketonal, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if required) and necessary import documentation.

Ketonal (ketoprofen) offers a potent anti‑inflammatory effect comparable to diclofenac and ibuprofen, but its injectable form provides faster pain relief for severe acute conditions. Choice of NSAID depends on the clinical scenario, patient tolerance, and risk‑benefit assessment made by the prescriber.

Ketonal should be stored at ambient temperature, below 25 °C, in its original container. Protect the vial from moisture, direct sunlight and physical shock. Do not freeze. Inspect the solution for particulate matter before use.

Ketonal is supplied as a sterile injectable solution for intramuscular (IM) or intravenous (IV) injection. The healthcare professional selects the appropriate route, prepares the dose under aseptic conditions, and administers it according to institutional protocols.

Serious risks include gastrointestinal bleeding or ulcer perforation, acute kidney injury, severe allergic reactions such as anaphylaxis, and liver toxicity. Patients should be monitored for signs of bleeding, renal dysfunction, or hypersensitivity, and therapy should be stopped if these occur.

Ketonal is contraindicated in individuals with known hypersensitivity to ketoprofen or other NSAIDs, active peptic ulcer disease, severe renal or hepatic impairment, and in patients receiving anticoagulant therapy where bleeding risk is high. It should also be avoided in late pregnancy unless clearly indicated.

Reviewed by

Dr. Shweta Ashok More

M.Pharm (Quality Assurance), Ph.D. (Medicinal Chemistry)

Content approved 18 Aug 2026

Last updated:

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