About ketorolac trometamol
Nonsteroidal anti-inflammatory drug (NSAID)
Used for
- Short-term treatment of moderate to severe acute pain, often after surgery.
Usual adult dose
Usually 10–30 mg by injection every 4–6 hours as needed; maximum 90 mg daily for most adults and 60 mg for older adults or those with kidney impairment. Use for no more than 5 days total.
Usual dose in children
For children aged 2 years and older: 0.5–1 mg/kg by injection every 6 hours; maximum 15 mg per dose. Specialist supervision is required.
Common side effects
- Stomach pain, nausea, indigestion, or diarrhea
- Dizziness or headache
- Bleeding or bruising
- Kidney problems
Important warnings
- Can cause stomach ulcers or serious bleeding; risk increases with longer use.
- May increase risk of heart attack or stroke.
- Avoid with other NSAIDs, severe kidney disease, active bleeding, or around some surgeries.
- Use the lowest effective dose for the shortest time; total treatment must not exceed 5 days.
Pregnancy
Avoid from 20 weeks unless specifically directed; avoid from 30 weeks and during labor because of fetal risks.
Breastfeeding
Use is generally not recommended; ask a healthcare professional about a safer alternative.
Interactions
- Blood thinners and antiplatelet medicines increase bleeding risk.
- Other NSAIDs, including aspirin, increase stomach and bleeding risks.
- ACE inhibitors, ARBs, and diuretics may increase kidney risks.
- Lithium or methotrexate levels may rise.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.