Product image of Ketorol (Ketorolac Trometamol) supplied by GNH India

Ketorol

Active Ingredient:
Ketorolac Trometamol
Origin:
EU

Ketorol (Ketorolac Trometamol)

Ketorolac Trometamol, the active ingredient in Ketorol, is a nonsteroidal anti-inflammatory drug (NSAID) presented as an injectable solution for intramuscular and intravenous use. It is employed for short‑term management of moderate to severe acute pain, including post‑operative pain, in adult patients.

GNH India supplies Ketorol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for export. Clients benefit from reliable logistics and responsive technical support across multiple continents.

Manufacturer / TM Owner

Dr. Reddy's Laboratories Romania Srl

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Indications & Clinical Uses

Ketorolac Trometamol is an NSAID that provides analgesia by reducing prostaglandin‑mediated inflammation.

  • Moderate to severe acute pain: provides rapid, short‑term analgesia for adult patients after injury, medical procedures, or other painful events.
  • Post‑operative pain: effectively reduces pain intensity and opioid requirement following surgical interventions such as orthopedic, abdominal, or dental surgery.
  • Dental pain after extraction or oral surgery: controls postoperative discomfort and facilitates recovery in dental patients.
  • Acute musculoskeletal pain: offers temporary relief for sprains, strains, or soft‑tissue injuries where short‑duration NSAID therapy is appropriate.

How It Works

  • Ketorolac trometamol exerts its effect by non‑selectively inhibiting cyclooxygenase‑1 (COX‑1) and cyclooxygenase‑2 (COX‑2) enzymes. This blockade reduces the conversion of arachidonic acid to prostaglandins, leading to decreased synthesis of mediators that cause inflammation, pain, and fever. The resulting lower prostaglandin levels diminish peripheral sensitisation of nociceptors and limit inflammatory edema.

Side Effects

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

Common Side Effects

  • Nausea
  • Headache
  • Dizziness
  • Injection site pain

Serious or Rare Side Effects

  • Gastrointestinal bleeding or ulceration
  • Acute renal impairment
  • Severe allergic reactions such as anaphylaxis
  • Cardiovascular events including myocardial infarction or stroke

Precautions & Warnings

When using Ketorolac, clinicians should observe several safety considerations to minimise risk.

  • Renal function: assess baseline renal status and avoid use in severe renal impairment.
  • Bleeding risk: avoid in patients with active peptic ulcer disease or concurrent anticoagulant therapy.
  • Cardiovascular disease: use cautiously in individuals with coronary artery disease or hypertension.
  • Pregnancy: contraindicated in the third trimester and should be avoided during pregnancy unless clearly needed.
  • Elderly patients: monitor closely for renal and gastrointestinal adverse effects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ketorolac can interact with several medicines, altering its safety or efficacy.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin, heparin): increased risk of serious bleeding.
  • Concomitant NSAIDs or aspirin: additive gastrointestinal toxicity.
  • Corticosteroids: heightened risk of ulceration and bleeding.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: may reduce renal perfusion and function.
  • Diuretics: potential for renal impairment when combined.
  • Lithium: ketorolac may raise serum lithium concentrations.

Frequently Asked Questions

Ketorol is indicated for the short‑term management of moderate to severe acute pain, including pain that follows surgical procedures. It is commonly used when rapid analgesia is required and is administered by intramuscular or intravenous injection under medical supervision.

Ketorolac trometamol works by non‑selectively inhibiting the cyclooxygenase‑1 and cyclooxygenase‑2 enzymes. This reduces the production of prostaglandins, which are key mediators of inflammation, pain, and fever, thereby providing analgesic and anti‑inflammatory effects.

The specific dose and dosing interval of Ketorol are determined by the prescribing clinician based on the patient’s condition, weight, renal function, and the route of administration. Only a qualified health professional should set the regimen.

Ketorol is generally contraindicated in the third trimester of pregnancy because of the risk of fetal renal impairment and premature closure of the ductus arteriosus. Limited data exist for use during lactation, so it should only be used if the potential benefit outweighs the risk and under medical advice.

To order Ketorol, 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 where required) and any necessary import documentation.

Ketorol is a potent NSAID with a relatively rapid onset of analgesia, making it useful for short‑term, high‑intensity pain. Compared with ibuprofen or naproxen, it provides stronger pain relief but carries a higher risk of gastrointestinal and renal adverse effects, so its use is limited to brief treatment periods.

Ketorol for injection should be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. If the product reaches room temperature for a short period, it may be used, but it should be returned to refrigeration promptly.

Ketorol is supplied as an injectable solution and is administered either intramuscularly or intravenously by a qualified health professional. The injection site and rate of administration are chosen based on the clinical situation and the patient’s overall health status.

The most serious risks include gastrointestinal bleeding or ulceration, acute renal failure, severe allergic reactions such as anaphylaxis, and cardiovascular events like myocardial infarction or stroke. Patients should be monitored closely for signs of bleeding, reduced urine output, or allergic symptoms.

Ketorol should be avoided in patients with known hypersensitivity to ketorolac or other NSAIDs, those with active peptic ulcer disease, severe renal impairment, uncontrolled hypertension, recent coronary artery bypass graft surgery, and in the third trimester of pregnancy. Caution is also advised for the elderly and for patients on anticoagulants.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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