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 a suppository for rectal use. It treats mild to moderate pain and inflammatory conditions such as arthritis in adults.

GNH India supplies Ketonal as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sandoz D.O.O.

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Indications & Clinical Uses

Ketonal (ketoprofen) is an NSAID that reduces inflammation and pain in several musculoskeletal and arthritic conditions.

  • Mild to moderate pain: Provides analgesic relief for acute or chronic pain episodes.
  • Osteoarthritis and rheumatoid arthritis: Decreases joint inflammation and improves mobility.
  • Musculoskeletal injuries: Reduces swelling and discomfort associated with sprains, strains, and overuse injuries.

How It Works

  • Ketoprofen reversibly inhibits cyclooxygenase (COX‑1 and COX‑2) enzymes, which blocks the conversion of arachidonic acid to prostaglandins. The resulting reduction in prostaglandin synthesis diminishes inflammation, pain signaling, and fever responses at the site of tissue injury.

Side Effects

Ketonal may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Gastrointestinal discomfort: nausea, dyspepsia, or abdominal pain.
  • Headache or dizziness.
  • Local irritation at the rectal site.
  • Mild skin rash or itching.
  • Transient elevation of liver enzymes.

Serious or Rare Side Effects

  • Gastrointestinal bleeding or ulceration.
  • Severe allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome.
  • Renal impairment or acute kidney injury.
  • Cardiovascular events including myocardial infarction or stroke.
  • Hepatotoxicity with marked liver enzyme elevation.

Precautions & Warnings

Before using Ketonal, consider the following safety measures.

  • Assess gastrointestinal risk: avoid in patients with a history of ulcers or bleeding.
  • Evaluate renal function: use cautiously in those with impaired kidney function.
  • Monitor cardiovascular status: patients with heart disease should be observed closely.
  • Check for hypersensitivity: discontinue if signs of allergic reaction appear.
  • Avoid concurrent use with other NSAIDs or anticoagulants unless medically justified.
  • Store below 25°C: keep in the original packaging, protect from moisture.

Avoid Interactions

Ketonal can interact with several medication classes; awareness helps prevent adverse events.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of serious bleeding.
  • Selective COX‑2 inhibitors: additive gastrointestinal toxicity.
  • High‑dose aspirin: heightened ulcer risk.

Moderate Interactions (Monitor Closely):\n- ACE inhibitors or ARBs: may reduce renal perfusion, monitor kidney function.

  • Diuretics: possible decrease in renal clearance of ketoprofen.
  • Lithium: NSAIDs can raise lithium levels, requiring serum monitoring.

Frequently Asked Questions

Ketonal contains ketoprofen, an NSAID indicated for the relief of mild to moderate pain and for reducing inflammation in conditions such as osteoarthritis, rheumatoid arthritis, and other musculoskeletal disorders. It is commonly prescribed when oral NSAIDs are unsuitable or when a rectal route is preferred.

Ketoprofen works by reversibly inhibiting the cyclooxygenase enzymes COX‑1 and COX‑2, which are essential for the synthesis of prostaglandins. By lowering prostaglandin levels, it diminishes the inflammatory response, reduces pain signaling, and helps control fever.

The dosage of Ketonal is individualized by the prescribing clinician based on the patient’s condition, severity of symptoms, and overall health status. The prescriber determines the appropriate strength, frequency, and duration of treatment.

Safety data for ketoprofen in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and only under medical supervision. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Ketonal. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Ketoprofen generally offers a longer duration of analgesic effect compared with ibuprofen, allowing for less frequent dosing in some patients. Both belong to the NSAID class and share similar mechanisms, but ketoprofen may have a slightly higher risk of gastrointestinal irritation. Choice of agent depends on individual patient tolerance, therapeutic goals, and physician preference.

Ketonal suppositories should be stored below 25 °C in their original packaging, protected from moisture and direct sunlight. Do not freeze the product. Keep out of reach of children and ensure the packaging remains intact until use.

Ketonal is supplied as a rectal suppository. The patient should lie on their side with the lower leg drawn toward the abdomen, gently insert the suppository into the rectum, and remain in that position for a few minutes to ensure proper absorption. Hand hygiene before and after insertion is recommended.

Serious risks include gastrointestinal bleeding or ulceration, severe allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome, renal impairment, and cardiovascular events like myocardial infarction or stroke. Patients should seek immediate medical attention if they experience symptoms such as black stools, severe abdominal pain, rash, swelling, or sudden chest discomfort.

Ketonal should be avoided in individuals with known hypersensitivity to ketoprofen or other NSAIDs, active gastrointestinal ulceration, severe renal or hepatic impairment, uncontrolled hypertension, and in patients with a history of cardiovascular thrombotic events unless specifically directed by a physician.

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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