Ketorolol, gel 2% 30 g

Non-steroidal anti-inflammatory drug (NSAID), has a pronounced analgesic and anti-inflammatory effect. The mechanism of action is associated with non-selective inhibition of cyclooxygenase (COX) activity – COX-1 and COX-2, catalyzing the formation of prostaglandins from arachidonic acid, which play an important role in the pathogenesis of pain, inflammation and fever.

Ketorolac is a racemic mixture of [-]S and [+]R enantiomers, with analgesic effect due to the [-]S form. When applied topically, it alleviates or disappears pain at the gel application site, including joint pain at rest and on movement, reduces morning stiffness and joint swelling.

Helps to increase the volume of movement.

Indications

Local application to relieve pain syndrome:
– in injuries (soft tissue bruise, inflammation of soft tissues, including post-traumatic origin, ligament damage, bursitis, tendinitis, epicondylitis, synovitis);
– in pain in the muscles (myalgia) and joints (arthralgia), neuralgia, radiculitis, rheumatic diseases.
It is intended for symptomatic therapy, reducing the intensity of pain and inflammation at the time of use, does not affect the progression of the disease.

Active ingredient

Ketorolac

Composition

Each 1 g of the gel contains:

Active substance:

ketorolaca tromethamine (ketorolaca tromethamol) – 20 mg;

Auxiliary substances:

propylene glycol 300 mg,

dimethyl sulfoxide 150 mg,

carbomer 974P 20 mg,

Sodium methyl parahydroxybenzoate 1,8 mg,

sodium propyl parahydroxybenzoate 0,2 mg,

tromethamine (tromethamol) 15 mg,

cleansed water 3,8 mg,
dosage water 3,8 mg.br>
purified water 390 mg,

flavoring “Drimon Inde” (triethyl citrate 0,09%, common castor seed oil 0,14%, isopropyl mristat 0,30%, diethyl phthalate 24,15%) 3 mg,

How to take, the dosage

For external use only.

Wash and dry the skin surface before applying the gel. Apply a 1-2 cm gel column in an even thin layer 3-4 times a day to the region of maximum painfulness.

Apply the preparation with the soft massaging movements for the gel distribution on the skin over the affected area. The drug should not be used more than 4 times a day.

If the symptoms persist or worsen or if there is no improvement after 10 days of using the drug it is necessary to stop the treatment and consult a physician. Do not use the gel for more than 10 days without medical advice.

Interaction

Pharmacokinetic interaction with drugs competing for binding to plasma proteins is not excluded.

Cautious use of ketorolac with digoxin, phenytoin, lithium preparations, diuretics, cyclosporine, methotrexate, other NSAIDs, hypotensive and antidiabetic agents should be observed. consult a physician before using the gel if the patient is using these drugs or is under medical supervision.

Special Instructions

It is recommended to apply the drug only to intact skin areas, avoiding contact with open wounds.

Synopsis

Homogeneous transparent or translucent gel with a characteristic odor.

Contraindications

• Excessive sensitivity to ketorolac or other drug components;
• wet dermatoses, eczema, infected or open wounds (at the site of application of the gel);
• pregnancy (III trimester);
• period of breastfeeding (lactation);
• children under 16 years of age.

With caution:

Exacerbation of hepatic porphyria, gastrointestinal erosive ulcerative lesions, severe renal/liver failure, chronic heart failure, bronchial asthma, advanced age, pregnancy (I and II trimester).

Side effects

Local reactions: itching, urticaria, peeling.

If there are any adverse reactions, stop using the drug and consult a doctor.

If the gel is applied to large areas of the skin, the development of systemic adverse reactions is not excluded: heartburn, nausea, vomiting, diarrhea, gastralgia, gastrointestinal mucosa ulceration, increased activity of “liver” transaminases; headache, dizziness; fluid retention, hematuria; allergic reactions (anaphylactic shock, skin rash); thrombocytopenia, leukopenia, anemia, agranulocytosis, prolonged bleeding time.

Overdose

Cases of overdose of the gel have not been described.

Treatment: In case of accidental ingestion of the gel it is necessary to cleanse the stomach (induction of vomiting, activated charcoal intake) and consult a doctor. Further treatment, if necessary, is symptomatic.

Similarities

Dolac, Ketorol, Ketonov, Ketorolac, Ketorolac Rompharm