Ketorolac (Into the nose)
Treats moderate to severe pain. This medicine is an NSAID.
Analgesic (About this – PubMed Health)
Uses of This Medicine
Ketorolac nasal spray is used to relieve moderate to moderately severe pain, such as pain that occurs after an operation or other painful procedure. It is a nonsteroidal anti-inflammatory drug (NSAID) that will reduce pain and inflammation.
Ketorolac has side effects that can be very dangerous. The risk of having a serious side effect increases with the amount that is used and the length of time it is used. Ketorolac should not be used for more than 5 days in a row. Before using this medicine, you should discuss with your doctor the benefits that this medicine can do as well as the risks of using it.
This medicine is available only with your doctor’s prescription.
Other uses (PubMed Health)
How To Use
Your doctor will tell you how much medicine to use. Do not use more than directed. Use each bottle for one day only.
The first time you use each bottle, you will need to prime the pump. To do this, pump the bottle 5 times until some of the medicine sprays out. The bottle is now ready to use.
Before using the medicine, gently blow your nose to clear the nostrils.
After using the nasal spray, wipe the tip of the bottle with a clean tissue and put the cap back on.
This medicine is not for long-term use. Do not use it for more than 5 days in a row.
Drink extra fluids so you will urinate more often and help prevent kidney problems.
This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
Keep the unopened bottle in the refrigerator. Once opened, store the bottle at room temperature, away from heat and direct sunlight. Throw away any unused medicine 24 hours after you opened the bottle and used your first dose. Do this even if some medicine remains in the bottle.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Some medicines can affect how ketorolac works. Tell your doctor if you are using alprazolam, lithium, methotrexate, thiothixene, blood pressure medicines (such as enalapril, lisinopril, losartan), a diuretic or water pill (such as furosemide, hydrochlorothiazide), medicine to treat depression (such as fluoxetine), medicine for seizures (such as carbamazepine or phenytoin), a steroid medicine, or a blood thinner (such as heparin, warfarin).
When Not To Use
This medicine is not right for everyone. Do not use it if you had an allergic reaction to ketorolac, ethylenediamine tetraacetic acid (EDTA), or another NSAID medicine, such as aspirin. Do not use it if you have a history of aspirin-sensitive asthma, or if you have a stomach ulcer or perforation, a bleeding disorder, or severe kidney disease.
Do not use this medicine if you are pregnant or breastfeeding. Do not use this medicine during the later part of pregnancy, unless your doctor tells you to. Also tell your doctor if you if you have kidney disease, liver disease, asthma, anemia, blood clotting problems, heart failure, high blood pressure, other heart or circulation problems, edema (fluid retention), Crohn disease, or ulcerative colitis.
This medicine may cause the following problems:Bleeding in your stomach or intestines Higher risk of blood clots, heart attack, or stroke Kidney or liver problems High blood pressure Serious skin reactions
Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible side effects
Summary More details
Call your doctor right away if you notice any of these side effects:
Change in how much or how often you urinate
Red or black stools, severe stomach pain, vomiting blood or material that looks like coffee grounds
If you notice these less serious side effects, talk with your doctor:
Nasal discomfort or irritation
If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
More side effects of this drug
Brand names include
There may be other brand names for this medicine.