Ketral Dosage/Direction for Use

Dosage should be adjusted according to the severity of the pain and the patient response. The recommended usual initial dose of ketorolac tromethamine is 30 mg followed by 10-30 mg every 4-6 hours as needed to control pain. A lower initial dose is recommended for patients under 50 kg, for patients over 65 years and for patients with reduced renal function. In the initial postoperative period, ketorolac tromethamine may be given as often as every 2 hours if needed. A total daily dose >120 mg/day is not recommended. Intravenous injections should be administered over at least 15 seconds.
Opiate analgesic (eg, morphine, pethidine) may be concomitantly used if further pain relief, anxiolytic effects and/or sedative effects of opiates are desired. Supplemented opiates may be most appropriate in the early postoperative period when pain is most severe. The administration of continuous multiple day IM doses of ketorolac tromethamine should not exceed 2 days because adverse events may increase with prolonged usage.