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| Pronunciation |
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 (KEE
toe role ak troe METH a
meen) |
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| Brand Names |
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| Acular® Ophthalmic; Toradol®
Injection; Toradol®
Oral |
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| Foreign Brand
Names |
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| Dolac Inyectable (Mexico); Dolac Oral
(Mexico) |
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| Therapeutic
Categories |
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Nonsteroidal Anti-Inflammatory Agent (NSAID) |
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| What key warnings should I know
about before taking this
medicine? |
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- This medicine is only to be used for 5 days total. It is for
serious, short-term pain. It may cause severe side effects if taken for longer.
Let your healthcare provider know if you have any of these problems: Ulcer
disease in the stomach or intestines, severe kidney disease, a risk of bleeding
or any active bleeding, allergies to ketorolac, aspirin, or any other pain
medicine. Do not take this medicine if you are pregnant or breast-feeding. Tell
your healthcare provider if you are 65 years of age or older or weigh less than
110 pounds.
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| Reasons not to take this
medicine |
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- If you have an allergy to aspirin, another nonsteroidal
anti-inflammatory drug (NSAID), ketorolac, or any other part of the medicine. A
few examples of NSAIDs are ibuprofen, naproxen, diclofenac, nabumetone, and
ketoprofen.
- If you have any of the following conditions: Nasal polyps, ulcer
disease, recent bleeding in the gastrointestinal tract, a hole in the
gastrointestinal tract, severe kidney disease, risk of kidney failure, use
before major surgery, bleeding problems, bleeding in the brain.
- If you are pregnant and in labor.
- If you are breast-feeding.
- If you are taking any of these medicines: Aspirin, probenecid, or
another nonsteroidal anti-inflammatory
drug.
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| What is this medicine used
for? |
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- This medicine is used for short-term (up to 5 days) treatment of
moderately severe pain.
- The eye solution is used to relieve itching caused by seasonal
allergic conjunctivitis. It is also used to treat postoperative inflammation
following cataract extraction.
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| How does it work? |
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- Ketorolac tromethamine reduces inflammation and pain by blocking
production and release of chemicals that produce
it.
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| How is it best taken? |
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- Oral:
- Take with or without food. Take with food if this medicine causes an
upset stomach.
- Eye:
- For the eye only.
- Take out soft contact lenses before using medicine. Lenses can be
replaced 15 minutes after medicine is given.
- Do not touch the bottle or tube tip to the eye, lid, or other skin.
- Tilt head back and drop medicine into eye.
- After using medicine keep your eyes closed. Apply pressure to the
inside corner of the eye. Do this for 3-5 minutes. This keeps medicine in the
eye.
- Separate each eye medicine by 5 minutes. Give one and wait 5 minutes
before using the
next.
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| What do I do if I miss a
dose? |
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- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
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| What are the precautions when
taking this
medicine? |
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- Oral:
- Do not use this medicine for more than 5 days.
- If you are 65 or older or weight less than 110 pound, use this
medicine with caution. Can cause severe side effects. You will need a smaller
dose.
- Avoid alcohol (includes wine, beer, and liquor). Can cause increases
in stomach irritation.
- If you have had a stomach ulcer or bleeding, tell healthcare provider.
- Use caution if you have kidney disease. Talk with healthcare provider.
You will need a smaller dose.
- Use caution if you have a weakened heart. May cause increased
shortness of breath or weight gain. Talk with healthcare provider.
- Use caution if you have high blood pressure. Your blood pressure may
increase. Talk with healthcare provider.
- You will have a tendency to bleed more easily. Tell dentists,
surgeons, and other healthcare providers about this medicine. You may be
instructed to stop this medication for a while before any procedure. Ask for
specific instructions about the time for stopping and restarting.
- Avoid aspirin, aspirin-containing products, other pain medicines,
other blood thinners (warfarin, ticlopidine, clopidogrel), garlic, ginseng,
ginkgo, and vitamin E while taking this medicine. Talk with healthcare provider.
- All forms:
- Tell healthcare provider if you are allergic to any medicine,
especially aspirin. Make sure to tell about the allergy and how it affected you.
This includes telling about rash; hives; itching; shortness of breath; wheezing;
cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
- Do not use if you are pregnant or nursing.
- Tell healthcare provider if you plan on getting
pregnant.
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| What are the common side effects
of this
medicine? |
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- Feeling sleepy, dizzy, or unable to think clearly. Avoid driving,
doing other tasks or activities that require you to be alert until you see how
this medicine affects you.
- Headache. Mild pain medicine may help.
- Belly pain, heartburn, cramps, diarrhea, gas.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking
hard candy, or chewing gum may help.
- Stomach bleeding or ulceration. Watch stools for dark, tarry black
color. Talk with healthcare provider.
- Eye: Irritation, allergic
reactions.
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| What should I monitor? |
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- Relief of symptoms. Are they better, worse, or about the same?
- Follow up with healthcare
provider.
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| Reasons to call healthcare
provider
immediately |
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- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Severe nausea, vomiting, and/or diarrhea.
- Blood in the stool and toilet bowl, vomiting blood, or coughing up
blood.
- Unusual bruising or bleeding.
- Serious eye pain or redness.
- Any rash.
- No improvement in condition or feeling
worse.
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| How should I store this
medicine? |
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- Store in a tight, light-resistant container at room
temperature.
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| General statements |
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- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
vitamins).
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Copyright © 1978-2001 Lexi-Comp Inc. All Rights Reserved
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