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Formulas

Ketorolac Tromethamine 10 mg/ml Oral Liquid

Description: Ketorolac Tromethamine 10 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable alternative for patients who have difficulty swallowing pills or tablets. This formulation is particularly beneficial for pediatric and geriatric patients or those with dysphagia. The liquid form ensures accurate dosing of Ketorolac Tromethamine, a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used for the short-term management of moderate to severe acute pain that requires analgesia at the opioid level. It is also employed to alleviate pain associated with various conditions such as postoperative pain, dental pain, and musculoskeletal disorders.

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Ketorolac Tromethamine
Oral Liquid
65b049e0a55bb92ca58dd538
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Formula Information

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Ketorolac Tromethamine 10 mg/ml Oral Liquid is a nonsteroidal anti-inflammatory drug (NSAID) specifically compounded for oral administration. This liquid formulation is designed to provide pain relief for various conditions, including acute pain that requires analgesia at the opioid level, typically in a postoperative setting, and for the short-term management of moderate to severe pain. The 10 mg/ml concentration allows for precise dosing tailored to the individual patient's needs and is particularly beneficial for those who have difficulty swallowing pills, such as pediatric and geriatric patients, or for those with dysphagia.

The mechanism of action of Ketorolac Tromethamine involves the inhibition of cyclooxygenase (COX) enzymes, which play a key role in the synthesis of prostaglandins. By reducing the production of these compounds, Ketorolac decreases inflammation, pain, and fever. However, it is important to note that, like other NSAIDs, Ketorolac can be associated with gastrointestinal, renal, and cardiovascular risks. Therefore, it should be used at the lowest effective dose for the shortest duration possible to minimize potential adverse effects.

Patients and prescribers should be aware that Ketorolac Tromethamine Oral Liquid is intended for short-term use only, typically not exceeding five days in adults. It is not indicated for minor or chronic painful conditions. Monitoring for signs of gastrointestinal bleeding, renal impairment, and hypersensitivity reactions is essential during treatment. This formulation is contraindicated in patients with active peptic ulcers, recent gastrointestinal bleeding or perforation, and in patients with a history of hypersensitivity to NSAIDs. It should also be used with caution in patients with a history of cardiovascular disease or risk factors for such conditions.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Ketorolac Tromethamine 10 mg/ml Oral Liquid is prepared to the highest standards of quality and consistency. We provide detailed dosing instructions and storage requirements to ensure optimal efficacy and safety of the medication. For any questions regarding this formulation, its appropriate use, or potential side effects, please do not hesitate to reach out to us. Our knowledgeable staff is committed to supporting both patients and prescribers in the effective management of pain with compounded medication solutions.

Drug Interactions

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Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) that works by blocking the production of certain natural substances in your body that cause inflammation. This medication is used for the short-term treatment of moderate to severe pain in adults. It is important to note that this medication is not intended for long-term use or for treating chronic conditions such as arthritis.

When considering the use of Ketorolac Tromethamine 10 mg/ml Oral Liquid, it is crucial to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Ketorolac can interact with several types of medications, including but not limited to other NSAIDs (such as ibuprofen, naproxen), blood thinners (anticoagulants like warfarin, heparin), antiplatelet drugs (such as clopidogrel), corticosteroids (e.g., prednisone), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and diuretics (such as furosemide).

Concomitant use of ketorolac with other NSAIDs or corticosteroids can increase the risk of gastrointestinal bleeding and ulcers. When taken with anticoagulants or antiplatelet drugs, there is an elevated risk of bleeding complications. SSRIs and SNRIs, when used with ketorolac, may also enhance the risk of gastrointestinal bleeding. Additionally, ketorolac can reduce the effectiveness of diuretics and antihypertensive drugs. It can also increase the nephrotoxicity of certain drugs like cyclosporine and tacrolimus, which are used in transplant patients.

Patients with certain medical conditions should exercise caution when using ketorolac. For example, those with a history of peptic ulcers or gastrointestinal bleeding, renal impairment, or a known hypersensitivity to NSAIDs should avoid this medication. It is also contraindicated in patients with advanced renal disease and in those at risk for renal failure due to volume depletion. Furthermore, ketorolac should not be used for peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery.

It is essential for patients to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins, to avoid potential drug interactions. Healthcare providers should monitor for signs of gastrointestinal bleeding, renal dysfunction, and other potential adverse effects associated with ketorolac use. Dosing adjustments may be necessary when used in combination with other medications that can alter its metabolism or excretion.

For any questions or concerns regarding the use of Ketorolac Tromethamine 10 mg/ml Oral Liquid, or to report any adverse events or suspected drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest level of care and is available to assist with any inquiries you may have.

How Does it Work

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Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the body's production of substances that cause inflammation, pain, and fever. When formulated as a 10 mg/ml oral liquid, it provides a convenient alternative for patients who may have difficulty swallowing pills or tablets, such as children, the elderly, or those with dysphagia. This liquid formulation ensures that the medication can be accurately measured and administered, offering a precise dose each time it is used.

The mechanism of action of Ketorolac Tromethamine involves blocking the enzyme cyclooxygenase (COX), which is essential in the biosynthesis of prostaglandins. Prostaglandins are lipid compounds that are derived enzymatically from fatty acids and have important functions in the body, including mediating inflammation and pain. By inhibiting COX, Ketorolac Tromethamine reduces the levels of prostaglandins, leading to decreased inflammation and pain relief. This makes it effective for the short-term management of moderate to severe acute pain that requires analgesia at the opioid level, typically after surgery.

It is important to note that while Ketorolac Tromethamine is effective for pain relief, it is not intended for long-term use due to the potential for serious side effects, such as gastrointestinal bleeding, ulceration, and kidney damage. The oral liquid formulation should be used with caution, and it is generally recommended for a maximum duration of 5 days in adults. Patients with certain medical conditions, such as peptic ulcer disease, recent gastrointestinal bleeding or perforation, or a history of kidney disease, should avoid using this medication.

For prescribers, it is crucial to consider the patient's overall health status, including their history of cardiovascular disease, gastrointestinal risk, and renal function, before prescribing Ketorolac Tromethamine. Additionally, the oral liquid formulation allows for flexible dosing, which can be particularly beneficial in pediatric and geriatric patients where dose adjustments are often necessary.

Patients and prescribers who are interested in using this Ketorolac Tromethamine 10 mg/ml oral liquid formulation are encouraged to reach out to us at Bayview Pharmacy with any questions or concerns. Our team of compounding pharmacists is available to provide further information and guidance to ensure safe and effective use of this medication.

Other Uses

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Ketorolac Tromethamine 10 mg/ml Oral Liquid formulation, while primarily indicated for short-term management of moderate to moderately severe pain, may have off-label uses as well. Off-label refers to the practice of prescribing medications for an unapproved indication or in an age group, dosage, or form that is not approved by the Food and Drug Administration (FDA). It's important to note, however, that off-label prescribing is legal and common as it is based on the prescriber's clinical judgment when other treatments have failed or are contraindicated.

For instance, ketorolac may be used as part of multimodal pain management strategies, where it may be combined with other medications to provide additive or synergistic analgesic effects. It is sometimes chosen for its opioid-sparing effects, as minimizing opioid use is a significant concern in pain management due to risks of dependency and adverse side effects. Additionally, ketorolac has been useful in managing pain associated with cancer or following dental procedures, although caution is necessary due to the bleeding risk that accompanies its use.

Further, there are anecdotal reports of ketorolac being used to manage certain chronic pain syndromes, although its use in such instances is limited due to the potential for serious side effects with long-term use. These side effects can include gastrointestinal perforation, bleeding, and renal impairment, hence chronic use is generally avoided. Individuals with certain conditions, such as advanced renal impairment, peptic ulcer disease, or known hypersensitivity to NSAIDs, should not use ketorolac tromethamine.

The liquid formulation of ketorolac tromethamine can be particularly beneficial for patients who have difficulty swallowing pills or for those who might require a more precise dosing that can be achieved through a liquid dosage form. It is crucial that prescribers carefully consider the overall health profile of the patient and the appropriateness of ketorolac use for the intended management of pain.

Given the risk profile associated with the use of ketorolac, patient education is of the utmost importance. Patients should be informed about the potential side effects, signs of bleeding or gastrointestinal problems, and the importance of adhering to the prescribed dosage and treatment duration limits. Additionally, it is important that therapy with ketorolac is regularly reviewed and monitored by healthcare professionals.

If you have specific concerns about the use of Ketorolac Tromethamine 10 mg/ml Oral Liquid or are considering it for an application not mentioned above, we encourage you to reach out to us at Bayview Pharmacy. Our team is here to support both patients and prescribers in ensuring the safe and effective use of this medication, as well as to provide any additional information or guidance required.

Frequently Asked Questions

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What is Ketorolac Tromethamine 10 mg/ml Oral Liquid used for?

Ketorolac Tromethamine Oral Liquid is used for the short-term management of moderate to severe pain that requires analgesia at the opioid level. It is typically prescribed for use after surgeries or other medical procedures.

How should Ketorolac Tromethamine Oral Liquid be taken?

This medication should be taken exactly as prescribed by your healthcare provider. The liquid formulation should be measured with an appropriate measuring device to ensure the correct dose is administered. It can be taken with or without food.

Why has my doctor prescribed the liquid form of Ketorolac Tromethamine?

Your doctor may have prescribed the liquid form because it is easier to ingest, especially if you have difficulty swallowing pills or tablets. It is also beneficial for dosing flexibility, for precise titration, and is suitable for patients who require a palatable dosage form, such as pediatric and geriatric patients.

Is Ketorolac Tromethamine Oral Liquid suitable for children?

While the liquid formulation can be suitable for children, it should be used with caution and strictly under medical supervision due to the risk of adverse effects. Dosage and duration of therapy for pediatric patients must be carefully determined by a healthcare provider.

Can I use Ketorolac Tromethamine Oral Liquid if I have kidney problems?

Ketorolac Tromethamine can affect kidney function and might not be suitable if you suffer from kidney problems. It is important to inform your healthcare provider of any kidney issues before starting this medication.

What are the side effects of taking Ketorolac Tromethamine Oral Liquid?

Common side effects include gastrointestinal issues such as nausea, vomiting, and gastrointestinal bleeding, as well as dizziness, headaches, and edema. If you notice any severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can Ketorolac Tromethamine Oral Liquid be taken with other medications?

Some medications may interact with Ketorolac Tromethamine, so it is important to inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs and supplements, to avoid potential interactions.

How should Ketorolac Tromethamine Oral Liquid be stored?

Store this medication at room temperature, away from direct light and heat. Keep the bottle tightly closed and out of reach of children and pets. Proper storage ensures the medication remains effective and safe for use.

Can I drink alcohol while taking Ketorolac Tromethamine Oral Liquid?

It is advised to avoid alcohol while taking Ketorolac Tromethamine, as it can increase the risk of stomach bleeding and may intensify certain side effects such as dizziness or drowsiness.

How long can I take Ketorolac Tromethamine Oral Liquid?

Ketorolac Tromethamine is intended for short-term use only, typically not exceeding 5 days due to the potential for serious adverse effects with prolonged use. Follow your healthcare provider's instructions regarding the duration of treatment.

What should I do if I miss a dose of Ketorolac Tromethamine Oral Liquid?

If you miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.