Ketanov 10mg tablets 20
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Ketorolac tromethamine 10 mg, excipients: corn starch; MCC; silicon dioxide colloidal; magnesium stearate
Anti-inflammatory, antipyretic, analgesic.
Indications for use
Pain syndrome of medium and strong intensity of various genesis (including in the postoperative period, in oncological diseases).
Hypersensitivity to kelorolac or other NSAIDs, "aspirin asthma", bronchospasm, angioedema, hypovolemia (regardless of its cause), dehydration; erosive-ulcerative lesions of the gastrointestinal tract in the acute stage, peptic ulcers, hypocoagulation (including hemophilia);? hepatic and / or renal failure (plasma creatinine above 50 mg / l);? hemorrhagic stroke (confirmed or suspected), hemorrhagic diathesis, simultaneous administration with other NSAIDs, high risk of developing or recurring bleeding (including after surgery), impaired hematopoiesis; pregnancy, childbirth and lactation;? children under 16 years of age (efficacy and safety have not been established);? anesthesia before and during surgery (due to the high risk of bleeding);? treatment of chronic pain.? With caution? bronchial asthma; cholecystitis; chronic heart failure; arterial hypertension; impaired renal function (plasma creatinine below 50 mg / l); cholestasis; active hepatitis; sepsis; systemic lupus erythematosus; elderly age (over 65 years); polyps of the mucous membrane of the nose and nasopharynx.
Dosage and Administration
Pills. Inside, once or repeatedly, depending on the severity of the pain syndrome. Single dose ? 10 mg, with repeated intake, it is recommended to take 10 mg up to 4 times a day, depending on the severity of the pain; the maximum daily dose is not should exceed 40 mg.
When taken orally, the duration of the course should not exceed 5 days.
Solution for injection. In / m (deep), in the minimum effective doses, selected in accordance with the intensity of pain and the patient's reaction. If necessary, opioid analgesics can be additionally prescribed at the same time in reduced doses.
Single doses with a single in / m administration:
- patients under 65 years of age ? 10-30 mg, depending on the severity of the pain syndrome;
- patients over 65 years of age or with impaired renal function ? 10?15 mg each.
Doses with multiple / m administration:
- patients under 65 years of age ? 10?30 mg, then ? 10?30 mg every 4?6 h;
- patients over 65 years of age or with impaired renal function ? 10?15 mg every 4?6 h.
The maximum daily dose with intramuscular administration for patients under 65 years of age should not exceed 90 mg, and for patients older than 65 years or with impaired renal function? 60 mg.
With parenteral The duration of the course of treatment should not exceed 5 days.
When switching from parenteral administration of the drug to oral administration, the total daily dose of both dosage forms on the day of transfer should not exceed 90 mg for patients under 65 years of age and 60 mg ? for patients older than 65 years or with impaired renal function. In this case, the dose of the drug in tablets on the day of transition should not exceed 30 mg.
The incidence of side effects is determined as follows: often ? more than 3%; less often ? 1?3%; rarely? less than 1%.
From the digestive system: often (especially in elderly patients over 65 years of age who have a history of erosive-ulcerative lesions of the gastrointestinal tract) ? gastralgia, diarrhea; less often ? stomatitis, flatulence, constipation, vomiting, a feeling of fullness of the stomach; rarely? nausea, erosive-ulcerative lesions of the gastrointestinal tract (including with perforation and / or bleeding ? abdominal pain, spasm or burning in the epigastric region, melena, vomiting like "coffee grounds", nausea, heartburn, etc.), cholestatic jaundice, hepatitis, hepatomegaly, acute pancreatitis.
From the urinary system: rarely ? acute renal failure, lower back pain with or without hematuria and / or azotemia, hemolytic uremic syndrome (hemolytic anemia, renal failure, thrombocytopenia, purpura), frequent urination, increased or decreased urine volume, nephritis, edema of renal genesis.
From the senses: rarely ? hearing loss, ringing in the ears, visual impairment (including blurred visual perception).
From the respiratory system: rarely ? bronchospasm or dyspnea, rhinitis, laryngeal edema (shortness of breath, difficulty breathing).
From the side of the central nervous system: often ? headache, dizziness, drowsiness; rarely? aseptic meningitis (fever, severe headache, cramps, stiffness of the neck and/or back muscles), hyperactivity (mood changes, anxiety), hallucinations, depression, psychosis.
From the cardiovascular system: less often ? increased blood pressure; rarely? pulmonary edema, fainting.
From the organs of hematopoiesis: rarely ? anemia, eosinophilia, leukopenia.
From the hemostasis system: rarely ? bleeding from a postoperative wound, nosebleeds, rectal bleeding.
From the skin: less often ? skin rash (including maculopapulous rash), purpura; rarely? exfoliative dermatitis (fever with or without chills, redness, thickening or peeling of the skin, swelling and / or soreness of the palatal tonsils), urticaria, Stevens-Johnson syndrome, Lyell's syndrome.
Local reactions: less frequent ? burning or pain at the injection site.
Allergic reactions: rarely ? anaphylaxis or anaphylactoid reactions (discoloration of the skin of the face, skin rash, urticaria, itchy skin, tachypnea or dyspnea, swelling of the eyelids, periorbital edema, shortness of breath, difficulty breathing, heaviness in the chest, wheezing).
Other: Often ? edema (face, legs, ankles, fingers, feet, weight gain); less often ? excessive sweating; rarely? swelling of the tongue, fever.
In a dry, dark place, at a temperature not exceeding 25 ° C.
- Sun Pharmaceutical Industries Ltd
- Dosage form
- 10 mg
- Ketorolac tromethamine
- Number of tablets
- INN Russian
- Кеторолака трометамин
- Russian title