Ketoprofene Lp Sandoz (Ketoprofen)

Ketoprofen belongs to the NSAID class and works by inhibiting prostaglandin synthesis in inflammatory pathways.

• Rheumatoid arthritis: reduces joint swelling, pain and stiffness in patients with active disease.
• Osteoarthritis: alleviates chronic joint pain and improves functional mobility.
• Acute musculoskeletal pain: provides rapid relief of pain following injury or strain.
• Post‑operative pain: helps control moderate to severe pain after surgical procedures.
• Dysmenorrhea: lessens menstrual‑related cramping and discomfort.

• Ketoprofen exerts its anti‑inflammatory and analgesic effects through non‑selective inhibition of cyclooxygenase‑1 (COX‑1) and cyclooxygenase‑2 (COX‑2) enzymes. By blocking these isoforms, the drug reduces the conversion of arachidonic acid to prostaglandins, thereby decreasing inflammation, pain signaling, and fever generation at the site of tissue injury.

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

Common Side Effects

• Gastrointestinal discomfort: dyspepsia, nausea, abdominal pain.
• Headache or dizziness.
• Skin rash or pruritus.
• Mild elevation of liver enzymes.
• Fluid retention or peripheral edema.

Serious or Rare Side Effects

• Gastrointestinal ulceration or bleeding.
• Acute renal failure or worsening of chronic kidney disease.
• Hepatotoxicity with marked liver enzyme rise.
• Severe skin reactions such as Stevens‑Johnson syndrome.
• Anaphylactic or anaphylactoid reactions.
• Increased risk of cardiovascular thrombotic events.

When prescribing Ketoprofene Lp Sandoz, clinicians should consider several safety measures.

• Assess gastrointestinal risk: evaluate history of ulcers or bleeding before initiating therapy.
• Monitor renal function: avoid use in patients with severe renal impairment or dehydration.
• Check hepatic status: use cautiously in those with liver disease.
• Review cardiovascular profile: consider alternatives for patients with uncontrolled hypertension or prior thrombotic events.
• Avoid use in late pregnancy: NSAIDs are contraindicated in the third trimester.
• Store at ambient temperature: keep below 25 °C in the original packaging, protected from moisture and direct sunlight.

Ketoprofen can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

• Anticoagulants (e.g., warfarin): increased risk of serious bleeding.
• Other NSAIDs or aspirin: additive gastrointestinal toxicity.
• Corticosteroids: heightened risk of ulceration and bleeding.
• Lithium: elevated lithium serum concentrations.
• Methotrexate: reduced renal clearance leading to toxicity.

Moderate Interactions (Monitor Closely):\n- Diuretics: possible reduction in renal perfusion.

• ACE inhibitors or ARBs: may diminish antihypertensive effect and affect kidney function.
• Beta‑blockers: potential for reduced blood pressure control.
• Digoxin: increased risk of digoxin toxicity due to altered renal handling.