Adult IM60 mg as single dose to be given slowly & deeply into the muscle. IV 30 mg as single dose IV bolus over no <15 sec.Multiple dose: IV/IM30 mg 6 hrly. Max: 120 mg/day. ChildnIM Max: 30 mg as single dose. IV Max: 15 mg as single dose. Elderly ≥65 yr, renally impaired &/or weighing <50 kg IM 30 mg slowly & deeply into the muscle, IV 15 mg IV bolus over no <15 sec. Multiple dose: IV/IM 15 mg 6 hrly. Max: 60 mg/day.
View Xevolac overdosage for action to be taken in the event of an overdose.
Contraindications
Hypersensitivity to ketorolac or other NSAIDs. Nasal polyp, angioedema or bronchospasm. Moderate or severe renal impairment or at risk of renal failure due to vol depletion. Severe heart failure. Suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, incomplete hemostasis or high risk of bleeding. Prophylactic analgesic before surgery or intra-operatively. Treatment of perioperative pain in CABG surgery. Neuraxial (epidural or intrathecal) administration. Concomitant use w/ probenecid, lithium salts, aspirin, other NSAIDs or anticoagulants (eg, warfarin, heparin). Pregnancy, labour, delivery or lactation.
Not recommended for use as a pre-op medication for the support of anesth & as an obstetrical pre-op medication or for obstetrical analgesic. Contraindicated in patients w/ history of asthma, urticaria or acute rhinitis caused by aspirin or NSAIDs, GI bleeding or perforation, severe hepatic failure & renal failure, & dengue fever. Increased risk of bleeding or ulceration on GIT; increased risk of brain vascular & CV narrowing especially for prolonged use w/ high dose. Patients w/ cardiac & renal dysfunction; HTN. Avoid in patients w/ suspected dengue fever or other platelet disorders; pregnancy (last quarter). Lactation. Childn <2 yr. Elderly.
M01AB15 - ketorolac ; Belongs to the class of acetic acid derivatives and related substances of non-steroidal antiinflammatory and antirheumatic products.
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