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Formulas

Ketorolac Tromethamine 3% Topical Cream

Ketorolac Tromethamine 3% Topical Cream is a semisolid preparation formulated for localized anti-inflammatory and analgesic effects when applied to the skin. This cream is dispensed in a pump mechanism, which allows for convenient and controlled application. It is specifically designed to treat inflammatory skin conditions, localized pain, and to provide symptomatic relief for soft tissue injuries. The active ingredient, ketorolac tromethamine, is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the body's production of substances that cause inflammation and pain.

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Ketorolac Tromethamine
Topical Cream
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Formula Information

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Ketorolac Tromethamine 3% Topical Cream is a nonsteroidal anti-inflammatory drug (NSAID) formulation designed for topical application. This semisolid preparation is dispensed in a pump mechanism, which allows for convenient and controlled dosing. The pump is engineered to deliver a consistent amount of cream with each actuation, ensuring accurate dosing for the patient. The cream is intended for localized treatment, providing relief directly at the site of pain or inflammation without the systemic exposure associated with oral NSAIDs.

The active ingredient, Ketorolac Tromethamine, is a potent analgesic and anti-inflammatory agent. When applied topically, it works by inhibiting the synthesis of prostaglandins, which are substances in the body responsible for pain, inflammation, and fever. By reducing prostaglandin production, Ketorolac Tromethamine 3% Topical Cream effectively alleviates localized pain and reduces inflammation. This makes it particularly useful for treating soft tissue injuries, localized musculoskeletal pain, and inflammatory skin conditions. It may also be used as an adjunct to other therapies in the management of more chronic conditions such as arthritis, though its efficacy in such cases should be evaluated on an individual basis.

Patients should be advised that while Ketorolac Tromethamine 3% Topical Cream provides targeted relief with reduced systemic exposure, it is still important to use the medication as directed to minimize the risk of side effects. The cream should be applied to clean, intact skin and should not be used on open wounds or in areas where the skin is not intact. Patients should also be aware of the potential for local skin reactions and should contact their healthcare provider if they experience any adverse effects.

Prescribers considering this formulation for their patients should take into account the patient's overall medical history, including any history of hypersensitivity to NSAIDs, and the presence of any skin conditions that might contraindicate topical treatment. As with all NSAIDs, caution is advised in patients with a history of cardiovascular or gastrointestinal disease. Monitoring for systemic side effects is generally less critical with topical administration than with oral dosing, but prescribers should still be vigilant for signs of systemic NSAID-related adverse effects, especially with prolonged use.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to meet the specific needs of patients. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide additional information to both patients and prescribers regarding the use of Ketorolac Tromethamine 3% Topical Cream. If you have any questions or require further assistance, please do not hesitate to reach out to us.

Drug Interactions

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Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) that, when formulated as a 3% topical cream, is intended for localized treatment of pain and inflammation. The mechanism of action involves inhibiting the synthesis of prostaglandins, which are substances in the body that mediate inflammation and pain. As a topical formulation, it is designed to minimize systemic exposure and reduce the risk of systemic side effects and drug interactions commonly associated with oral NSAIDs. However, it is still important to consider potential drug interactions when using this medication.

When using Ketorolac Tromethamine 3% Topical Cream, it is important to be aware of the potential for increased bleeding risk if the patient is taking anticoagulants (such as warfarin), antiplatelet agents (such as clopidogrel), or other drugs known to increase the risk of bleeding (such as selective serotonin reuptake inhibitors). Although the systemic absorption of topical ketorolac is lower than that of its oral counterparts, caution is advised, and patients should be monitored for signs of increased bruising or bleeding.

Concomitant use of other topical products that contain NSAIDs should be avoided, as this may increase the total exposure to NSAIDs and potentially enhance the risk of systemic side effects, including renal impairment, especially in patients with pre-existing renal conditions or in the elderly. Additionally, the use of topical corticosteroids with ketorolac may increase the potential for local side effects such as skin atrophy or irritation.

Patients should also be advised to avoid the use of occlusive dressings over the area where Ketorolac Tromethamine 3% Topical Cream is applied, as this could potentially increase systemic absorption of the drug. Furthermore, the use of other topical products, such as sunscreens, cosmetics, lotions, moisturizers, or insect repellants, on the same area of skin should be done with caution, as these could alter the absorption of ketorolac.

It is also important to consider that even though the risk of systemic drug interactions is lower with topical administration, patients with a history of hypersensitivity to aspirin or other NSAIDs may be at increased risk of cross-reactivity, including anaphylactic reactions. Therefore, a thorough patient history should be obtained to identify any potential contraindications or previous adverse reactions to NSAID therapy.

Lastly, while the topical route reduces the likelihood of drug interactions seen with systemic administration, patients should still inform their healthcare provider of all medications they are taking, including over-the-counter drugs, herbal supplements, and vitamins, to ensure safe and effective use of Ketorolac Tromethamine 3% Topical Cream.

If you have any questions or require further information regarding drug interactions with Ketorolac Tromethamine 3% Topical Cream, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing you with the necessary guidance to ensure the safe and effective use of this medication.

How Does it Work

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Ketorolac Tromethamine 3% Topical Cream is a nonsteroidal anti-inflammatory drug (NSAID) formulated for topical application. The active ingredient, ketorolac tromethamine, works by inhibiting the body's production of prostaglandins, which are substances that mediate inflammation, pain, and fever. By blocking the cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2, ketorolac reduces the levels of prostaglandins. As a result, when applied to the skin, this cream can help alleviate localized pain and reduce inflammation in the treated area.

The semisolid preparation of this cream allows for a smooth and even application over the skin. The cream is designed to be absorbed through the skin, delivering the active ingredient directly to the site of pain and inflammation. This localized approach aims to minimize systemic exposure and potential side effects that are often associated with oral NSAIDs. The pump mechanism of the container dispenses a controlled amount of cream, which helps ensure consistent dosing and reduces the risk of over-application.

This formulation is particularly useful for treating soft tissue injuries, such as sprains and strains, as well as localized musculoskeletal pain. It can also be beneficial for patients experiencing pain from conditions like tendonitis or bursitis. By applying the cream topically, patients can target specific areas of discomfort without the need for systemic medication, which can be advantageous for those who may have contraindications for oral NSAIDs or who prefer a non-oral route of administration.

It is important for both patients and prescribers to understand that while ketorolac tromethamine is effective in managing pain and inflammation, it should be used with caution. Patients with a history of hypersensitivity to NSAIDs, those with compromised skin integrity at the application site, or those with a history of peptic ulcer disease or gastrointestinal bleeding should avoid using this medication. Additionally, the duration of treatment should be limited to the shortest duration possible to manage symptoms, as prolonged use of topical NSAIDs can still carry risks.

For any questions regarding the use of Ketorolac Tromethamine 3% Topical Cream, or to discuss whether this formulation is appropriate for your specific condition, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure safe and effective treatment for our patients and prescribers.

Other Uses

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Ketorolac Tromethamine 3% Topical Cream is primarily formulated for its potent analgesic and anti-inflammatory properties, providing a non-systemic option for pain relief. This medication is commonly prescribed for the localized treatment of acute pain due to soft tissue injuries, such as sprains and strains, and it may also be beneficial in managing localized musculoskeletal pain, such as that associated with osteoarthritis or rheumatoid arthritis in joints accessible to topical treatment. Moreover, Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID), and as such, some patients with conditions manifesting in pain and inflammation responsive to NSAIDs may find this topical formulation especially useful for its targeted action and potentially reduced systemic side effects.

In addition to the aforementioned uses, off-label applications of Ketorolac Tromethamine cream may exist. For example, some prescribers might consider this medication for other inflammatory and painful dermatologic conditions where inflammation is a key component such as certain neuropathic pain syndromes or localized painful lesions. However, patients and prescribers should note that the use of this medication for off-label conditions should be approached with caution and based on a careful consideration of the patient's overall health status and medication profile. It is also important to remember that while the formulation provides targeted local relief, systemic absorption can still occur to some extent, so the contraindications and warnings applicable to systemic ketorolac and NSAIDs in general should be taken into account.

As with any medication, if you have any questions or concerns about the use of Ketorolac Tromethamine 3% Topical Cream or its suitability for a specific condition not mentioned here, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is knowledgeable in both traditional and novel uses of compounded medications, and we're here to provide guidance to ensure safe and effective treatment outcomes for your patients.

Frequently Asked Questions

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What is Ketorolac Tromethamine 3% Topical Cream?

Ketorolac Tromethamine 3% Topical Cream is a nonsteroidal anti-inflammatory drug (NSAID) used for the relief of localized pain and inflammation. It is applied directly to the skin where it is needed.

How do I use this topical cream?

The cream is dispensed via a pump mechanism. Apply a thin layer of the cream to the affected area as prescribed by your healthcare provider. Gently rub it into the skin until it is fully absorbed. Wash your hands after applying the cream, unless the hands are the treated area.

Can I use this cream on open wounds or damaged skin?

No, do not apply Ketorolac Tromethamine 3% Topical Cream to open wounds, infections, burns, or any other areas of broken or damaged skin unless directed by your healthcare provider.

How often should I apply the cream?

The frequency of application will depend on your individual condition and the instructions given by your healthcare provider. Do not apply more often than recommended.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your regular application schedule. Do not double doses to make up for a missed application.

Are there any potential side effects of using Ketorolac Tromethamine 3% Topical Cream?

As with any medication, side effects are possible. Common side effects may include skin irritation at the application site. If you experience any severe side effects or signs of an allergic reaction, such as rash, hives, swelling, or difficulty breathing, seek immediate medical attention.

Can I use this cream with other medications?

Always inform your healthcare provider of all the medications you use, including other topical products. There may be potential interactions between Ketorolac Tromethamine 3% Topical Cream and other drugs.

Should I cover the treated area with a bandage or dressing?

You should not cover the treated area with a bandage or occlusive dressing unless specifically instructed by your healthcare provider as it may increase the risk of side effects.

How should I store the Ketorolac Tromethamine 3% Topical Cream?

Store the cream at room temperature away from moisture, heat, and direct light. Keep the pump container closed when not in use and out of reach of children.

What precautions should I take when using this topical cream?

Avoid contact with eyes, nose, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not apply the cream immediately before or after activities such as bathing, swimming, or exposure to extreme heat or humidity, as this may affect the efficacy of the cream.

Can I use this cream while pregnant or breastfeeding?

Consult your healthcare provider before using Ketorolac Tromethamine 3% Topical Cream if you are pregnant or breastfeeding to understand the potential risks and benefits.

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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.