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Ketorolac

 
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 View Topic Outline
  •  
    Oral / IM
    Ketorolac
    Stronger but more likely to cause renal failure / peptic ulceration

  • Mechanism of Action

  • Inhibits cyclooxygenase, the enzyme responsible for production of thromboxanes, prostacyclin and prostaglandins from arachidonic acid.

  • Pharmacology

  • Competitively and non-selectively binds to COX.

Clinical Use

  • Indications
  • Pain - including migraine and musculoskeletal injury
  • Fever
  • Inflammation - especially associated with arthritides
  • Adverse Effects
  • Gastritis / peptic ulceration
  • Nephrotoxicity
  • Hypertension / fluid retention / congestive cardiac failure / MI
  • Hypersensitivity reactions
  • Delirium
  • Headache
  • Elevated LFTs
  • Neutropaenia
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