Over-the-counter analogues to ketan tablets. The best analogues of the drug ketorol in different dosage forms

International name

Ketorolac

Group affiliation

NSAIDs

Dosage form

Solution for intravenous and intramuscular administration, solution for intramuscular administration, tablets, film-coated tablets

pharmachologic effect

NSAIDs have a pronounced analgesic effect, and also have anti-inflammatory and moderate antipyretic effects. The mechanism of action is associated with non-selective inhibition of the activity of COX1 and COX2, which catalyzes the formation of Pg from arachidonic acid who play important role in the pathogenesis of pain, inflammation and fever. The strength of the analgesic effect is comparable to morphine, significantly superior to other NSAIDs.

After intramuscular administration and oral administration, the onset of the analgesic effect is observed after 0.5 and 1 hour, respectively, the maximum effect is achieved after 1-2 hours and 2-3 hours.

Indications

Pain syndrome of severe and moderate severity: injuries, toothache, pain in the postpartum and postoperative period, cancer, myalgia, arthralgia, neuralgia, radiculitis, dislocations, sprains, rheumatic diseases.

Contraindications

Hypersensitivity, “aspirin” triad (a combination of bronchial asthma, recurrent polyposis of the nose and paranasal sinuses and intolerance to ASA and pyrazolone-type drugs), hypovolemia (regardless of the cause that caused it), erosive- ulcerative lesions Gastrointestinal tract in the acute stage, hypocoagulation (including hemophilia), bleeding or a high risk of their development, severe renal failure (plasma creatinine above 50 mg/l), liver failure, period of childbirth, lactation period, children's age (up to 16 years – safety and effectiveness have not been established). Caution. Hypersensitivity to other NSAIDs, bronchial asthma, the presence of factors that increase gastrointestinal toxicity: alcoholism, smoking and cholecystitis; postoperative period, CHF, edema syndrome, arterial hypertension, renal dysfunction (plasma creatinine below 50 mg/l), cholestasis, active hepatitis, sepsis, SLE, concomitant use with other NSAIDs, elderly age(over 65 years old), pregnancy.

Side effects

Often - more than 3%, less often - 1-3%, rarely - less than 1%.

From the digestive system: often – gastralgia, diarrhea; less often - stomatitis, flatulence, constipation, vomiting, feeling of fullness in the stomach; rarely - loss of appetite, nausea, erosive and ulcerative lesions of the gastrointestinal tract (including with perforation and/or bleeding - abdominal pain, spasm or burning in the epigastric region, blood in the stool or melena, vomiting with blood or "caffeine" type thick, nausea, heartburn, etc.), cholestatic jaundice, hepatitis, hepatomegaly, acute pancreatitis.

From the urinary system: rarely - acute renal failure, low back pain, hematuria, azotemia, hemolyticouremic syndrome ( hemolytic anemia, renal failure, thrombocytopenia, purpura), increased urination, increased or decreased urine volume, nephritis, edema of renal origin.

From the senses: rarely: hearing loss, ringing in the ears, visual impairment (including blurred vision).

From the outside respiratory system: rarely - bronchospasm or dyspnea, rhinitis, pulmonary edema, laryngeal edema (shortness of breath, difficulty breathing).

From the central nervous system: often – headache, dizziness, drowsiness, rarely - aseptic meningitis (fever, severe headache, convulsions, stiffness of the neck and/or back muscles), hyperactivity (mood changes, anxiety), hallucinations, depression, psychosis, fainting.

From the cardiovascular system: less often - increased blood pressure.

From the hematopoietic organs: rarely - anemia, eosinophilia, leukopenia.

From the hemostasis system: rarely - bleeding from postoperative wound, nose bleed, rectal bleeding.

From the outside skin: less often - skin rash (including maculopapular rash), purpura, rarely - exfoliative dermatitis (fever with or without chills, flushing, thickening or peeling of the skin, enlargement and/or soreness of the tonsils), urticaria, malignant exudative erythema(Stevens-Johnson syndrome), toxic epidermal necrolysis (Lyell's syndrome).

Local reactions: less often - burning or pain at the injection site.

Allergic reactions: rarely - anaphylaxis or anaphylactoid reactions (change in facial skin color, skin rash, urticaria, itching of the skin, tachypnea or dyspnea, swelling of the eyelids, periorbital edema, shortness of breath, difficulty breathing, heaviness in chest, wheezing).

Other: often - swelling (face, legs, ankles, fingers, feet, weight gain); less often - increased sweating, rarely - swelling of the tongue, fever.

Application and dosage

IM, IV and orally. When administered intravenously, the dose must be administered in at least 15 seconds (for dosage forms containing ethanol).

When administered orally to patients from 16 to 64 years of age with a body weight exceeding 50 kg, the recommended dose is 20 mg for the first dose, then 10 mg 4 times a day, but not more than 40 mg/day.

Adult patients weighing less than 50 kg or with renal failure - 10 mg at the first dose and then 10 mg 4 times a day.

The maximum daily dose for oral administration is 40 mg.

At parenteral use for patients from 16 to 64 years of age with a body weight exceeding 50 kg, no more than 60 mg is administered intramuscularly per 1 administration (including the oral dose); usually 30 mg every 6 hours; IV – 30 mg (no more than 15 doses in 5 days). In adult patients weighing less than 50 kg or with chronic renal failure, no more than 30 mg is administered intramuscularly (including the oral dose); usually – 15 mg (no more than 20 doses in 5 days); IV – no more than 15 mg every 6 hours (no more than 20 doses in 5 days).

The maximum daily doses for IM and IV administration are 90 mg/day for patients aged 16 to 64 years with a body weight exceeding 50 kg; adult patients weighing less than 50 kg or with chronic renal failure, as well as elderly patients (over 65 years old) - for intramuscular and intravenous administration 60 mg. The duration of treatment should not exceed 5 days.

special instructions

Before prescribing the drug, it is necessary to clarify the issue of a previous allergy to the drug or NSAIDs. Due to the risk of developing allergic reactions The first dose is administered under close medical supervision.

Hypovolemia increases the risk of nephrotoxic adverse reactions.

If necessary, can be prescribed in combination with narcotic analgesics.

At joint reception with other NSAIDs, fluid retention, cardiac decompensation, and increased blood pressure may occur. The effect on platelet aggregation ceases after 24-48 hours. Do not use simultaneously with paracetamol for more than 5 days.

Patients with blood coagulation disorders are prescribed only with constant monitoring of platelet counts, especially important for postoperative patients who require careful monitoring of hemostasis.

The risk of developing drug complications increases with lengthening of treatment (in patients with chronic pain) and increasing the oral dose of the drug to more than 40 mg/day.

To reduce the risk of developing NSAID gastropathy, antacid drugs, misoprostol, and omeprazole are prescribed.

During the treatment period, care must be taken when driving vehicles and engaging in other potentially dangerous species activities that require increased concentration and speed of psychomotor reactions.

Interaction

Co-administration with paracetamol increases the nephrotoxicity of ketorolac.

Taking with other NSAIDs, corticosteroids, ethanol, corticotropin, Ca2+ preparations increases the risk of ulceration of the gastrointestinal mucosa and the development of gastrointestinal bleeding.

Simultaneous administration with anticoagulant drugs - coumarin and indandione derivatives, heparin, thrombolytics (alteplase, streptokinase, urokinase), antiplatelet drugs, cephalosporins, valproic acid and ASA increases the risk of bleeding.

Reduces the effect of antihypertensive and diuretic drugs (reduces Pg synthesis in the kidneys).

Prescription together with methotrexate increases hepato- and nephrotoxicity (their joint administration is possible only when using low doses of the latter and monitoring its concentration in plasma).

When prescribed with other nephrotoxic drugs (including Au drugs), the risk of developing nephrotoxicity increases.

Drugs that block tubular secretion reduce the clearance of ketorolac and increase its plasma concentration.

Increases the effect of narcotic analgesics.

Myelotoxic drugs increase the manifestations of hematotoxicity of the drug.

Reviews of the drug Ketanov: 3

Alexander

Alexander

To combat pain accompanying cervical osteochondrosis, for a long time Ketanov drank, but after going to a neurologist, on his advice, he switched to Nise.

And from ketanov, ketanol, from 1 tablet, I always get menstruation the next day.

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Do you use Ketanov as an analogue or vice versa its analogues?

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I used to take Ketanov for any pain, be it toothache or headache, as well as for menstruation. Although it would be possible to take a painkiller that is not so strong. It’s not for nothing that Ketanov began to be sold by prescription. Although many pharmacists do not adhere to this rule. But it would be worth it because so many people just buy it... I used to take Ketanov for any pain, be it toothache or headache, as well as for menstruation. Although it would be possible to take a painkiller that is not so strong. It’s not for nothing that Ketanov began to be sold by prescription. Although many pharmacists do not adhere to this rule. But it would be worth it because many people buy it simply to drink it for a headache or toothache. But Ketanov is quite a serious drug and it really can and does have serious side effects.

I sometimes have severe migraines and, unfortunately, nothing helps me except Ketanov. I understand that Ketanov is far from harmless, but I can’t do without it. No other painkillers help me. I tried different drugs, only Ketanov relieves severe headaches. Fortunately, migraines don't happen that often... I sometimes have severe migraines and, unfortunately, nothing helps me except Ketanov. I understand that Ketanov is far from harmless, but I can’t do without it. No other painkillers help me. I tried different drugs, only Ketanov relieves severe headaches.
Fortunately, migraines don’t happen that often and I try not to overuse Ketanov.

I know that Ketanov is a very strong painkiller and not so harmless. Its side effects can be quite serious. But I always have Ketanov at home, just in case. And sometimes there are situations where you can’t do without it. Just last month I had to take a couple of pills because nothing else... I know that Ketanov is a very strong painkiller and not so harmless. Its side effects can be quite serious. But I always have Ketanov at home, just in case. And sometimes there are situations where you can’t do without it.
Just last month I had to take a couple of pills because nothing else was helping. My period was about to start, and my lower abdomen hurt so much that I almost climbed the wall. At first I tried to get by with regular painkillers, but nothing helped. And then I took Ketanov’s pill, and that’s all that helped.

Anneta

I agree and, of course, I will not argue about the fact that Ketanov is an absolutely unsafe drug, it definitely has side effects and it also harms the body very much. But, you must admit, there are situations when the pain is terribly unbearable and you just need time for this pain to go away, but you can’t stand it... I agree and, of course, I will not argue about the fact that Ketanov is an absolutely unsafe drug, it definitely has side effects and it also harms the body very much.
But, you must admit, there are situations when the pain is terribly unbearable and you just need time for this pain to go away, but you can’t stand it, then such a drug is really needed.
Now Ketanov should be sold in pharmacies only by prescription, but not everyone does this. Here, in fact, I am a living example. I bought it about two weeks ago, the pharmacist did not ask me for a prescription. Of course, as they say, she knows me by sight. Since the pharmacy is located in our house and when necessary, I buy medicine there.
I also bought Ketanov about six months ago at another pharmacy and they didn’t ask me for the recipe either.
But this is a secondary issue.
Of course, resorting to the help of Ketanov as a pain reliever - I think this is the last option. There is a good alternative - for example - Nimid or Nimesulide. Also quite a strong pain reliever. But again, it may not help.
I bought Ketanov the other day literally for my husband. When he caught a cold, in addition to a runny nose, he also had a severe cold in his ear. Was severe inflammation and the pain was terrible. He couldn't sleep that night. I took Spaszmalgon, Tempalgin, and Nimid, by the way, too, but the first two drugs didn’t help at all, and Nimid somehow only slightly and not for long.
That’s when I had to buy Ketanov, which only helped.
It is produced by many manufacturers. I bought this one.


If I'm not mistaken, the manufacturer is Sanfarma. The price is not expensive.
There are 10 tablets in a package. For three days terrible pain in the ear, my husband took 3 tablets. n patient and did not abuse them. I took it when I couldn’t stand it anymore.

It also seems to me that Ketanov is the most strong drug among those indicated for pain relief. This drug will relieve even the most severe pain in a few minutes and it will not return for several hours. Ketanov helped me a lot after an injury I received at the skating rink. I had a bad fall and was badly hurt, and only Ketanov was able to... It also seems to me that ketanov is the most powerful drug among those indicated for pain relief. This drug will relieve even the most severe pain in a few minutes and it will not return for several hours. Ketanov helped me a lot after an injury I received at the skating rink. I fell unsuccessfully and was badly hurt, and only Ketanov was able to alleviate my condition.

I used to take ketans, and then I found out that its danger level is 3 out of 5. This is a lot, now I take Unispaz N, with drotaverine (no-shpa also contains it) and paracetomol in the composition. So now I just drink it. I completely forget about the pain.

And it’s good that he can’t be found anymore. Health is the most valuable thing in our lives, except for our loved ones, of course. So you shouldn’t spoil them with the help of Ketanov. As for Unispaz N. I agree with you here. An excellent drug. Quite safe and the price is quite reasonable.

I would like to draw the attention of women that for the treatment of algodismenorrhea - painful menstruation, Ketanov is not accepted, otherwise many accept it, not knowing what the consequences may be, and in gynecological practice There is an excellent drug called Unispaz that will help you without difficulty.

1956 0

Ketorol is a non-steroidal anti-inflammatory drug with a pronounced analgesic and antipyretic effect. It is prescribed for destructive and inflammatory diseases of the musculoskeletal system and joints.

The medicine begins to act within half an hour after entering the body, maximum effectiveness is observed within two hours.

Ketorol injections, tablets and gel are prescribed for the complex treatment of inflammatory processes in the joints.

The drug is prescribed once, 1 dose; for chronic pain, the course of treatment is 5 days, the patient drinks 1 tablet up to 3 times a day.

Applicable in inpatient treatment. The patient is prescribed 30 ml of medication, the maximum daily dose is 60 ml.

Apply externally three times a day to the inflamed area.

Pros and cons of the drug

Ketorol has the following positive and negative features:

• has a complex analgesic, antipyretic and anti-inflammatory effect;
• used in dentistry, neurology, gynecology, rheumatology, traumatology, neuropathology, osteopathy, orthopedics, surgery;
• has many adverse reactions from the central nervous system, gastrointestinal tract, excretory organs, skin, lungs and cardiovascular system;
• the drug is contraindicated under the age of 16 years, during pregnancy and breastfeeding.

You can take the medicine after examination by a doctor, who prescribes the dosage and duration of treatment.

Similar products in tablet form

The medicine Ketorol has the following analogues in tablets:

It should be noted such analogues as Ketorolac-OBL, Ketorolac-Eskom, Ketofril. These medicines contain the same basic active substance– ketorolac trometamol. These drugs are prescribed for diseases of the musculoskeletal system and disorders of the musculoskeletal system.

Injection substitutes

Ketorol analogues available in injection ampoules:

Similar products for topical use

Ketorol has the following analogues in ointment form:

• – anti-inflammatory ointment for local treatment joints, relieves inflammation, swelling and pain, available without a prescription also in the form of rectal suppositories, gel, solution and tablets;
• – indicated for the treatment of inflammatory diseases of the musculoskeletal system, joints, and injuries to muscles and ligaments;
• – indications and contraindications of the drug are similar to Ketorol gel; it is used to treat joints and the spine;
• Indomethacin ointment– used to treat joints, neuralgic pain;
• – is a cream for relieving inflammation of joints, used in complex treatment pathologies of the musculoskeletal system;
• Nise– available in the form of gel, tablets and solution, has a pronounced anti-inflammatory effect in joint pathologies;
• – the gel has an irritating and anti-inflammatory effect.

Golden ten

Ten the best analogue drugs, which can replace Ketorol:

Which drug is better?

Medicines with one active ingredient work in the body according to the same principle. Their difference lies in the form of release, additional components, and cost. The number and risk of adverse reactions, popularity in a particular branch of medicine will depend on this.

Eat standard circuits treatment of joint diseases, which are prescribed for each drug, but sometimes you have to turn to analogues.

It is possible to determine which drug is better only after using several treatment tactics. For each patient this will be a specific remedy. Which is better, Ketorol or its analogues (we analyzed the most popular drugs Ketanov, Ketonal, Nise, Diclofenac) can only be assessed according to a standard set of indications, contraindications, and adverse reactions. The possibility of use for the treatment of children and pregnant women is also important.

Ketorol VS Ketanov

• cope with pain of moderate intensity, act quickly, indicated after soft tissue injuries, with neurological symptoms;
• you can drink when pain occurs before the doctor arrives, they are low-toxic, so they can be taken until the diagnosis is clarified;
• It is strictly forbidden to take these tablets during pregnancy, there is a risk of intrauterine fetal death, and they are also contraindicated under the age of 16 years;
• The medicine should not be taken if you have gastrointestinal diseases. intestinal tract, disruption of the hematopoietic organs.

About Ketonal in passing

Ketonal tablets have the same indications as Ketorol, but they are safer and have fewer adverse reactions. Like Ketorol, they are contraindicated during pregnancy.

Nice is Nice?

Nise tablets are an effective remedy against inflammation. They can be used to treat degenerative processes in joints.

The drug is strictly contraindicated during pregnancy; treatment during lactation is allowed, but on the condition that breastfeeding stops for a while. It is prescribed to children over 12 years of age in the form of tablets; after 2 years it can be used in the form of a suppository.

Diclofenac is the head of everything

The medicine Diclofenac is administered intramuscularly, it acts faster than Ketorol, relieves inflammation and pain. Contraindicated during pregnancy and children under 12 years of age.

Cheap analogues

The cheapest analogues of Ketorol available on the market:

Ketorol itself costs about 40 rubles in a pharmacy, which makes it one of the cheapest drugs.

Over-the-counter analogues

You can buy the following analogues of Ketorol at a pharmacy without a prescription:

• Nise;
• Diclofenac;
• Diclogen;
• Piroxicam;
• Indomethacin.

It is important to note that all of the listed non-steroidal anti-inflammatory drugs are available without a prescription only in dosage form for local application– ointments, gels, sprays.

Some similar painkillers are already available without a prescription. You can take painkillers or NSAIDs on your own only once.

Treatment is prescribed by a doctor after a medical examination. Each drug has contraindications and side effects, which, if self-medicated, can become life-threatening.

– Ketorolac. The drug belongs to the pharmaceutical group Non-steroidal anti-inflammatory drugs, ATC code - M01AB15.

Analogues of Ketanov

Analogs are medicines that have the same international generic name or the same ATC code is assigned.

However, in order to replace a drug prescribed by a doctor with an analogue, you should definitely consult with a specialist, for example, a pharmacist.

Analogues of the drug Ketanov include the following:

Ketalgin, which is prescribed in the presence of severe and moderate pain, occurring mainly after injuries or operations. In addition, the drug is used as a symptomatic remedy to overcome acute pain in myalgia, arthralgia, tumor disease and similar diseases.

Ketalginlong used to relieve moderate to severe pain after surgery for a short period. It is also used for the same purposes Ketorol, Novalket.

Ketolak also used for severe and moderate pain after injuries and operations.

Ketolex prescribed not only for the relief of moderate and acute postoperative pain, but also for toothache, acute renal colic, traumatic and visceral pain, as well as for cancer.

Means Ketorolac-Norton prescribed for use over a short period of time to relieve moderate to severe pain that may occur after surgery (injections will be prescribed initially, and then switched to tablets). This applies to abdominal, surgical, gynecological, urological, orthopedic, dental, ENT and other operations. In addition, the remedy is used for acute pain of musculoskeletal origin, which can occur with acute dislocations, sprains, fractures and soft tissue injuries. The drug is also used for toothache, including dental interventions, postpartum pain (but not during childbirth), for rapid pain relief during exacerbation of pain due to cancer, sciatica, radiculitis, otitis media, fibromyalgia, osteoarthritis, chronic pathology of soft tissues, osteochondrosis.

Emodol has the same scope.

Oftanal used to reduce pain after cataract removal surgery and other surgical interventions on the anterior segment of the eye, inflammatory pain syndrome with non-communicable diseases anterior part of the eye, including chronic. The drug is also used to suppress miosis during cataract extraction.

Indications: For short-term use for pain relief in moderate to severe pain, such as: post-operative pain after abdominal, gynecological, orthopedic operations, acute pain syndrome with sprains, dislocations, fractures and soft tissue injuries (fibromyalgia, non-globular pain syndrome in chronic pathology soft tissues), osteoarthritis, sciatica; toothache, including after dental interventions, pain due to cancer.

2. Call the city information center, they will tell you which pharmacy has the lowest prices.

3. The drug is in a different form of release - it may be cheaper.

4. Medicines Russian production- always cheaper.

5. It is more profitable to buy packaging with a large number of tablets, capsules, apmuls, etc.

6. Know how to spot a fake.

How to spot a fake

To avoid buying a fake, you need to look carefully at your purchase.

For each of these drugs, average prices for the minimum volume are given, regularly updated taking into account market conditions.

1. Ketanov in different forms of release may vary in price. This is the norm.

2. Its analogues with the same medicinal properties- can be both expensive and cheap. This is the norm.

Why are analogues more expensive or cheaper than Ketanov?

For example: A lot of time and money are spent on the production of the chemical formula of a medicine, and tests are carried out. Then pharmaceutical company buys a patent and puts it on sale.

The price of the drug is high (it is necessary to recoup the investment). Other medicines of the same composition, less known and time-tested, are several times cheaper.

Ketanov - instructions for use, reviews, analogs and release forms (10 mg tablets, injections in injection ampoules) medications for the treatment of pain (headache, toothache, menstruation) in adults, children and pregnancy

In this article you can read the instructions for use of the drug Ketanov. Reviews of site visitors - consumers of this medicine, as well as the opinions of specialist doctors on the use of Ketanov in their practice are presented. We kindly ask you to actively add your reviews about the drug: whether the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not stated by the manufacturer in the annotation. Analogues of Ketanov in the presence of existing structural analogues. Use for the treatment of pain (headache, dental pain, menstruation) in adults, children, as well as during pregnancy and lactation. Mechanism of analgesic effect.

Ketanov is a non-steroidal anti-inflammatory drug, a derivative of pyrrolysine-carboxylic acid. It has a pronounced analgesic effect, and also has anti-inflammatory and moderate antipyretic effects. The mechanism of action is associated with inhibition of the activity of COX, the main enzyme in the metabolism of arachidonic acid, which is a precursor of prostaglandins, which play a major role in the pathogenesis of inflammation, pain and fever. The active ingredient of the drug is Ketorolac.

When taken orally, it is absorbed from the gastrointestinal tract. Eating does not affect absorption. More than 90% of the dose is excreted in the urine, unchanged - 60%; the remaining amount is through the intestines.

• for short-term relief of moderate to severe pain of various origins.

Film-coated tablets 10 mg.

Solution for intramuscular administration (injections in injection ampoules) 30 mg/ml.

Other forms of the drug (whether suppositories or suspension) are either fakes original drug, or other forms and trade names of the active substance Ketorolac.

Instructions for use and dosage regimen

For adults, when taken orally - 10 mg every 4-6 hours, if necessary - 20 mg 3-4 times a day.

At intramuscular injection single dose, interval between injections. The maximum duration of use is 2 times a day.

Maximum doses: when taken orally or intramuscularly - 90 mg per day; for patients weighing up to 50 kg, with impaired renal function, as well as for persons over 65 years of age - 60 mg per day.

• erosive and ulcerative lesions of the gastrointestinal tract in the acute phase;
• presence or suspicion of gastrointestinal bleeding and/or cranial hemorrhage;
• history of blood clotting disorders;
• conditions with a high risk of bleeding or incomplete hemostasis;
• hemorrhagic diathesis;
• moderate and severe renal dysfunction (serum creatinine content more than 50 mg/l);
• the risk of developing renal failure due to hypovolemia and dehydration;
• "aspirin triad";
• bronchial asthma;
• nasal polyps;
• history of angioedema;
• preventive pain relief before and during surgery;
• children's and adolescence up to 16 years old;
• pregnancy;
• childbirth;
• lactation;
• hypersensitivity to ketorolac, acetylsalicylic acid and other NSAIDs.

Use during pregnancy and breastfeeding

Contraindicated during pregnancy, during childbirth and during lactation (breastfeeding).

Ketanov is contraindicated for use as a means for premedication, maintenance of anesthesia and for pain relief in obstetric practice, since under its influence it is possible to increase the duration of the first stage of labor. In addition, ketorolac may inhibit uterine contractility and fetal circulation.

Use with caution in patients with impaired liver and kidney function, chronic heart failure, arterial hypertension, in patients with erosive and ulcerative lesions of the gastrointestinal tract and a history of bleeding from the gastrointestinal tract.

Ketanov should be used with caution in the postoperative period in cases where particularly careful hemostasis is required (including after resection of the prostate gland, tonsillectomy, in cosmetic surgery), as well as in patients old age, because The half-life of ketorolac is prolonged and plasma clearance may be reduced. In this category of patients, it is recommended to use ketorolac in doses close to the lower limit of the therapeutic range. If symptoms of liver damage appear, skin rash, eosinophilia, ketorolac should be discontinued. Ketorolac is not indicated for use in chronic pain syndrome.

Impact on the ability to drive vehicles and operate machinery

If drowsiness, dizziness, insomnia or depression appear during treatment with ketorolac, special care must be taken when engaging in potentially hazardous activities that require increased attention and speed of psychomotor reactions.

At simultaneous administration with ethanol (alcohol) may cause bleeding from the gastrointestinal tract.

With the simultaneous use of Ketanov with other NSAIDs, the development of additive side effects; with pentoxifylline, anticoagulants (including heparin in low doses) - the risk of bleeding may increase; With ACE inhibitors- possible increase in the risk of developing renal dysfunction; with probenecid - the plasma concentration of ketorolac and its half-life increase; with lithium preparations - a decrease in the renal clearance of lithium and an increase in its concentration in plasma is possible; with furosemide - reducing its diuretic effect.

When using ketorolac, the need for the use of opioid analgesics for pain relief is reduced.

Analogues of the drug Ketanov

Structural analogues of the active substance:

Used to treat diseases: pain

Ketanov - analogues

Sometimes the pain is so severe that even the biggest fan cannot cope with it on his own. non-drug methods treatment. Ketanov and its analogues are considered the most powerful painkillers. The principle of action of these drugs is similar to other painkillers. But the use of Ketanov provides a more powerful and rapid effect.

Indications and contraindications for the use of Ketanov and its analogues

Ketanov is produced on the basis of pyrrolysine-carboxylic acid. The main active ingredients of the drug, when entering the body, prevent the formation of inflammatory enzymes and make the patient feel better.

Ketanov is appointed for special severe pain of different origins, which other analgesics and anti-inflammatory drugs cannot cope with.

You need to take Ketanov tablets and medication analogues very carefully. This potent drug and its abuse increases the risk of side effects. The daily dose of Ketanov should not be more than 90 mg. It is important to note that the maximum permissible duration of treatment with this drug is five days.

Ketanov has many contraindications:

1. The drug is not suitable for people with heart failure.
2. Patients suffering from kidney disease should think about what to replace Ketanov with.
3. It is not recommended to be treated with medication for people with erosions and stomach ulcers.
4. Ketanov is contraindicated for women during pregnancy and breastfeeding.
5. Treatment with this drug should be avoided in case of myasthenia gravis and porphyria.
6. Ketanov is not suitable for people with hypersensitivity to the components of the medicine.

What can replace Ketanov?

Fortunately, today almost all drugs have analogues or similar substitutes. Ketanov also has generic medications. There are quite a few of them, and the list of the most effective is as follows:

Unlike Ketanov, which is almost impossible to buy without a prescription, most of its analogues can be found over the counter in pharmacies.

Over-the-counter analogues of Ketanov tablets

Non-steroidal anti-inflammatory drugs have been the best sellers in the world for several years now. pharmacy chains world, which is quite natural. Medicines in this group have widest spectrum use, effective and relatively inexpensive.

The drug Ketanov (ketorolac) is one of the most popular when prescribed to patients, but recently this drug is sold in Russian pharmacies only by prescription. Below we will describe in detail analogues of Ketanov tablets and options for replacing it with over-the-counter drugs.

Instructions for use

The active substance, ketorolac, belongs to non-steroidal anti-inflammatory drugs (NSAIDs). Available both in tablet form and as a solution for injection.

It has an anti-inflammatory and pronounced analgesic effect by blocking mediators (substances that mediate) inflammation.

The result is a reduction in pain, swelling and hyperemia of the affected area of ​​the patient’s body.

Indicated for use in pain syndromes of various origins, including after operations and in cancer patients.

The price of this medicine: tablets - from 70, packaging of ampoules - from 110 rubles.

Analogues of the drug

In Russian pharmacies there are many cheap analogues of Ketanov in various forms of use. Tablet drugs – Ketorol, Ketorolac (several types of domestic manufacturers and the Belarusian plant “Belmedpreparaty”), Ketocam, Ketofril. They have the same indications for use and a standard dosage of 10 mg. The price starts from 50 rubles per package.

There is also variety in injectable forms. Ketorolac in ampoules is available for purchase under the trade names Ketorol, Ketorolac, Dolak. A package of 10 ampoules costs from 85 rubles.

For external use under trade name Ketorol gel (Doctor Reddis company). The price for a tube of ointment is about 230 rubles.

In the shape of eye drops There is a drug called Acular. Used by ophthalmologists in the postoperative period in patients. Price 350 rubles.

What to replace it with?

It is not always possible to quickly write out a prescription for Ketanov from a doctor. The way out of this situation is to replace it with another medicine from its group, approved for sale from pharmacies without a prescription.

Ibuprofen

Properties: NSAIDs with a wide range of uses. In addition to pain relief, it has a pronounced antipyretic effect. Effective as a substitute for Ketanov, helping with pain after dental treatment.

Indications for use: pain of various localizations, postoperative period, hyperthermic syndrome (increased body temperature).

Release forms: in the form of gels (Ibuprofen Gel, Deep Relief), cream (Dolgit), tablets (Ibufen, MIG 200, MIG 400 and others), as well as in the form of suspensions for use in children (Maxicold, Ibuprofen - Akrikhin).

The price range is very wide, the most inexpensive ones are made in Russia.

Naproxen

The properties of this replacement are similar to Ketanov and Ibuprofen described above. Used in rheumatology, neurology to relieve long-term pain syndrome, helps with algodismenorrhea.

Available for purchase in tablet form (Naproxen-Acri, Nalgesin), it is also part of combined analgesics (Pentalgin).

There are also gels and ointments (Naproxen, Naproxen EMO). Prices for tablet forms start from 100 rubles; a tube of gel will cost the buyer about twice as much.

Analgin, aspirin, paracetamol

It is also necessary to mention these medications that belong to the category of NSAIDs. It should be remembered that they have a less pronounced anti-inflammatory and analgesic effect compared to the drug Ketanov. However, they are widely sold without a prescription, which makes them more accessible to the average person.

Combination drugs

They have a quick and pronounced analgesic effect due to the combination of various components that enhance each other’s effect. Common brands:

1. Spazmalgon is a combination of an antispasmodic (fenpiverinium bromide), analgin and pitofenone (NSAID). Effective for headaches, toothache, and algodismenorrhea. Price – 120 Russian rubles per package of 10 tablets.
2. Novalgin - contains caffeine (stimulant of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated body temperature, relieves joint pain and headaches. The cost is about 170 rubles.
3. Novigan is a drug produced in India. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). Widely prescribed for headaches, arthralgia, and after injuries. Relieves pain in renal colic and dysmenorrhea. The price of a unit of goods is about 160 rubles.

What do you need to remember?

The medications described above have an extensive list of contraindications; before taking, you should carefully study the instructions. The most common for NSAIDs are:

• erosive lesions of the esophagus, stomach and intestines;
• the presence of bleeding from the gastrointestinal tract in the patient's medical history;
• severe forms coronary disease hearts (sharp and chronic failure, previous myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have proven cardiotoxic effects;
• bronchial asthma (especially in the presence of the “aspirin form”);
• pregnancy and early postpartum period;
• severe renal and liver dysfunction (end-stage chronic renal failure, liver cirrhosis);
• Prescription is not recommended in any condition accompanied by a risk of bleeding (perioperative period, taking anticoagulants).
• not assigned to childhood(exceptions are some forms of paracetamol and ibuprofen, used to reduce body temperature in children from the first days of life).

Side effects

More often, undesirable manifestations from Ketanov and other non-steroidal anti-inflammatory drugs occur with prolonged and uncontrolled use.

• Acute erosion of the stomach and intestines, leading to bleeding and anemia of varying severity. This complication can be avoided by taking drugs that protect the mucous membrane of the gastrointestinal tract (omeprazole, ranitidine and others);
• Exacerbation of gastritis, peptic ulcer in a patient;
• Diarrhea;
• Nausea and vomiting;
• Promotion blood pressure in patients with hypertension (dosage adjustment of antihypertensive drugs is often required);
• NSAIDs interfere with blood clotting, which can lead to subcutaneous hematomas, petechiae.

Before you start taking any drug in this series, carefully read the instructions, paying attention to contraindications and side effects. It is also recommended to discuss the possibility of treatment with a specialist. In this case, it will be possible to help the body without harm.

How to replace ketans?

• baralgin, which will perfectly relieve pain of almost any nature, however, there is still no consensus on the side effects of this remedy, even among eminent medical scientists;

Ketanov analogues

Cheap analogues of Ketanov

Similar in indication and method of use

Analogue in composition and indication

When calculating the cost of cheap analogs of Ketanov, we took into account minimum price, which was found in price lists provided by pharmacies

Popular analogues of Ketanov

Similar in indication and method of use

Analogue in composition and indication

Similar in indication and method of use

This list of drug analogues is based on statistics of the most requested drugs

All analogues of Ketanov

Analogues in composition and indications for use

The above list of drug analogues, which indicate Ketanov substitutes, is the most suitable, since they have the same composition of active ingredients and coincide in indications for use

The best analogue of Ketorol: list of drugs and reviews

Pain is a symptom of many injuries and diseases, which is why the need for painkillers in modern society is so high. Considered a good choice medicine"Ketorol". Of course, treatment should be aimed at eliminating primary cause. However, the pain can sometimes be unbearable, so patients need this medicine or its equivalent. "Ketorol" is considered quite effective means. Naturally, patients collect Additional information about the drug.

In particular, it is worth learning about how the medicine affects the body. In what cases does the drug or its analogue help? Is Ketorol safe or can it cause any side effects? Are there any contraindications? The answers to these questions are of interest to many readers.

The drug "Ketorol": composition and release forms

Of course, first you should familiarize yourself with the list of ingredients and other useful information. This drug is produced in the form of round convex tablets with a green hard shell (on the cut you can see a white or slightly grayish tablet core).

What components does the medicine “Ketorol” consist of? Compound - important point. The main active substance is ketorolac tromethamine (each tablet contains 10 mg). Other components are also present, in particular corn starch, lactose, magnesium stearate, microcrystalline cellulose, sodium carboxymethyl starch and silicon dioxide (colloidal) are excipients. The film shell contains propylene glycol, green dye and hypromellose.

By the way, you can also buy Ketorol injection solution at the pharmacy. Injections are indicated for severe pain. This product is also produced in the form of a gel for external treatment of tissues.

Mechanism of action on the body

How does this medicine (or its analogue) affect the body? "Ketorol" is a non-steroidal anti-inflammatory drug. The drug is also able to relieve fever and has a pronounced analgesic effect.

The mechanism of its effect is associated with non-selective inhibition of cyclooxygenase activity. The medicine does not affect opioid receptors in any way and, accordingly, does not cause addiction. The drug is not a sedative and does not depress the patient's breathing.

In what cases is the drug indicated?

Of course, it is worth learning about the main indications for use. In what cases is it advisable to take Ketorol tablets? What does the medicine help with? Doctors prescribe the drug in the presence of moderate or severe pain:

• the drug helps with injuries, including fractures, sprains and dislocations of joints;
• it is taken for severe toothache;
• indications include radiculitis, neuralgia, myalgia and arthralgia, regardless of their origin;

In what other cases modern medicine is the drug "Ketorol" used? What does the remedy help with? It is prescribed to patients in the postoperative period, as well as to women after childbirth - it helps relieve pain and give the patient time to rest. Naturally, the drug eliminates only pain and depresses inflammatory process, but this is symptomatic therapy - it is impossible to eliminate the root cause in this way.

The drug "Ketorol": instructions for use (tablets)

How to take the medicine correctly? You should not use it yourself. Only a doctor can determine the effective and safe dose of Ketorol. Instructions for use (tablets) indicate that if pain occurs, patients take one tablet once.

In case of severe pain, the drug can be taken repeatedly. The maximum daily dose is 40 mg of the active ingredient, which is equal to four tablets. When taken orally, therapy should not last more than five days, as the risk of complications increases.

How to properly use Ketorol injection solution? The injections are given intramuscularly, and the patient is prescribed minimal, but effective dose. Typically, a person over 16 years of age whose weight exceeds 50 kg is either given 60 ml of the medicine once or divided daily dose for two doses (30 ml each). The injection should be done slowly, and it is important to inject the solution deep into the muscle. How quickly does pain disappear after taking Ketorol? Reviews say that the condition begins to improve minutes after the injection. Maximum effect occurs within 1-2 hours and lasts approximately 4-6 hours.

Contraindications to taking pain medications

According to the instructions, research results and reviews, the drug “Ketorol” for pain is quite effective. On the other hand, this is a rather powerful drug, so not all patients can take it. Tablets (as well as injection solutions) have contraindications:

• Intolerance to non-steroidal anti-inflammatory drugs (including acetylsalicylic acid), especially if it is combined with bronchial asthma varying degrees of severity or nasal polyposis, which worsens from time to time.
• This drug should not be used in patients with ulcers or erosive lesions mucous membrane digestive tract, since pills can only worsen the situation.
• Contraindications include gastrointestinal bleeding (pain in this case is relieved with other drugs).
• The drug is not prescribed for chronic inflammatory lesions of the digestive tract at the acute stage (for example, ulcerative colitis, Crohn's disease).
• This pain reliever should not be taken if you have decompensated heart failure.
• Blood clotting disorders are also included in the list of contraindications.
• The drug should not be taken by patients with liver and kidney diseases (including renal and liver failure).
• Since the tablets contain lactose, they should not be taken by people suffering from glucose-galactose malabsorption, lactase enzyme deficiency or lactose intolerance.
• Of course, the list should include increased sensitivity not only to lactose, but also to any component of the drug (it is recommended to study the composition before starting use).
• There are also age restrictions. For patients under sixteen years of age, it is better to choose another pain reliever.
• The medicine is not prescribed during pregnancy. Since the active ingredient passes into breast milk, you should stop feeding your baby while taking the pills.

In some cases, the drug can be taken, but with careful monitoring of the patient's condition. To the list relative contraindications include arterial hypertension, smoking, diabetes mellitus, severe somatic diseases, alcohol abuse, cerebrovascular diseases.

Are there any possible complications while taking it?

What complications can result from taking Ketorol tablets? Reviews from doctors indicate that the drug is well tolerated at the correct dosage. But the possibility of side effects cannot be ruled out. These include:

• Disorders of the digestive system, in particular nausea, diarrhea, cramps and burning in the stomach, abdominal pain. Some patients develop hepatitis, acute pancreatitis, cholestatic jaundice, and stomatitis while taking it. Constipation and the development of peptic ulcers are possible.
• Adverse reactions from the urinary organs appear much less frequently. Some patients complain of an increased urge to urinate and note a decrease or increase in the daily volume of urine. While taking the pills, swelling and pain in the lower back may appear. It is extremely rare that the drug can trigger the development of acute renal failure.
• Therapy is sometimes accompanied by disruption of the sensory organs and nervous system. After taking the pill, you may experience a headache. Side effects include increased drowsiness, depressive states, hyperactivity, the appearance of hallucinations and psychosis. Sometimes patients complain of ringing in the ears, decreased hearing and visual acuity.
• The development of allergic reactions is possible. Sometimes patients' skin breaks out in a rash. It is possible to develop urticaria, swelling, and even severe anaphylactic shock.
• Other violations are also possible. Peripheral edema often appears while taking the medication. Rarely there is an increase in body temperature and increased sweating. Adverse reactions also include the appearance of rhinitis, shortness of breath, and bronchospasm. A sharp increase in blood pressure and loss of consciousness are possible. While using the medicine, the patient may develop anemia, nasal and rectal bleeding.

Any deterioration after taking the drug should be reported to your doctor as soon as possible.

Ketanov tablets as a substitute

What should you do if, for one reason or another, the medicine described above does not suit you? In fact, the modern pharmacological market offers simply a huge amount of painkillers. And often doctors prescribe Ketanov or Ketorol to patients. What's better? By and large, these are one and the same tool.

The main active substance is ketorolac. The drug is available in the form of tablets and solution for intramuscular or intravenous injections. The drug has pronounced anti-inflammatory and analgesic properties. Today it is considered one of the most powerful analgesics. On the other hand, the medicine is only suitable for short-term control of pain, since otherwise the risk of side effects increases, including ulcerative lesions of the walls of the digestive tract.

So what to take - “Ketanov” or “Ketorol”? What's better? There is no definite answer to this question, since everything depends on the patient’s condition and the severity of the pain syndrome. The decision here can only be made by the attending physician. By the way, Ketanov tablets cost patients much less, although taking them is associated with great risks.

Description of the drug "Ketorolac"

What is the drug "Ketorolac"? It is produced in the form of tablets and belongs to the group of anti-inflammatory and antirheumatic drugs (non-steroidal). The main active ingredient is ketorolac tromethamine.

As you can see, it practically does not matter whether the patient takes Ketorol or Ketorolac, since the main active component is the same and they have the same effect on the body. The medicine copes well with toothache, myalgia, neuralgia, and pain from injuries. It is often prescribed to patients with oncological diseases who suffer from constant discomfort.

Painkiller "Nise": instructions

The drug "Nise" or "Ketorol" - which is more suitable? In fact, "Nise" is quite effective analogue. The composition of these drugs is different, since in this case the main active component is nimesulide. However, the mechanism of action is similar, since the main active ingredient is selective inhibitor cyclooxygenase.

This medicine is available in the form of tablets, oral suspension and gel for external use. The drug also helps with pain syndromes arising from injuries, arthritis and radiculitis. In addition, it is prescribed to patients suffering from sciatica, osteoarthritis, lumbago and osteochondrosis with radicular syndrome.

The drug "Baralgin" and its properties

Many patients ask questions about what is better to choose - Baralgin or Ketorol? In fact, these are different means of action, despite the fact that both of them provide an analgesic effect.

"Baralgin" is available in the form of tablets and solution. This is a complex drug that contains three active substances:

• Metamizole sodium has antipyretic properties and provides an analgesic effect;
• fenpiverinium bromide acts on smooth muscles;
• Pitophenone is another component that causes smooth muscle relaxation.

You can see that the drug "Baralgin" does not have anti-inflammatory properties, but acts as an antispasmodic. Therefore, it is more suitable for pain caused by spasm of smooth muscles. Indications include renal, intestinal and biliary colic, ureteral spasm, chronic colitis and some other disorders of internal organs.

Naturally, you need to understand that only a specialist can prescribe a drug containing tromethamine or select its effective analogue. Ketorol, if used incorrectly, can lead to extremely unpleasant complications, so you should not self-medicate.

How to replace ketans?

How to replace ketans?

The purpose of replacing the drug is not entirely clear - if it has stopped helping, and you are ready to take new prescriptions at the clinic, then very effective painkillers are Pentalgin Plus, Piralgin, Solpadeine, Tetralgin - they all contain codeine, and polyclinic luminaries are extremely reluctant to write prescriptions for them. If the reason for the replacement is precisely the lack of a prescription, you can take regular Pentalgin (without codeine) - however, the dose of Prima will have to be increased.

Ketanov is a strong pain reliever, but has many contraindications. Analogs, such as ketorol, analgesics (pentalgin, tetralgin, baralgin) differ little in their effect and are not effective for severe pain. I know from myself that the drug katadonol 100 mg helps a lot. One tablet helps get rid of pain for 12 hours. It can be taken for up to 2 months without consequences for the body. There is also tebantin 300 mg, but this is for very severe pain and is better if prescribed by the attending physician. All the drugs that I indicated in dispensed in pharmacies without a prescription (according to at least I bought them in Moscow without any problems).

Recently, neurologists have been very fond of prescribing Lyrica as a strong analgesic. The name confused me the first time, the medicine is available only by prescription, but the drug itself is very, very virgin. In any case, inflammation of the trigeminal nerve helped to survive

If you need to replace Ketanov due to side effects, unavailability in the pharmacy, or a doctor’s prohibition on this drug, you can purchase the following painkillers without a prescription:

• baralgin, which will perfectly relieve pain of almost any nature, however, there is still no consensus on the side effects of this remedy, even among eminent medical scientists;
• Dexalgin is a fast-acting medicine for toothache and pain syndromes of the musculoskeletal system, but again there are a lot of side effects.
• bellasthesin - tablets containing belladonna extract, very effective remedy for pain in the gastrointestinal tract - however, they are contraindicated for many diseases.

Therefore, it is very difficult to decide what to replace ketans with. And before using an unknown medicine, be sure to read its detailed instructions.

Ketanov really helps a lot, but if you suddenly don’t have it or can’t get it due to lack of a prescription, then you have to look for a replacement.

In this case, we can recommend the following options: Pentalgin, Ketarol or Baralgin.

Yes, it is now extremely difficult to buy ketans without a prescription, which is why people ask this question. There are less serious painkillers, for example, ketorol. There are completely harmless ones, such as Nurofen and paracetamol.

But I don’t know that (more precisely why) ketanov was considered a good pain reliever, when I had a bad toothache, then Pentalgin helped me better than ketanov, Baralgin too powerful tool, and the substitute for Ketanov is Ketarol, I haven’t tried it yet (there was no reason), but I heard from people that it is a good remedy.

This medicine is available either in tablet form or as an injection solution.

It has a strong analgesic, anti-inflammatory and at the same time antipyretic effect. Often used in the postoperative period to relieve pain syndromes.

How to replace ketanes in its absence?

Here is a list of analogues of this drug:

Contraindicated in children under 16 years of age, pregnant and lactating women. it is also not used for chronic diseases. Use with caution in elderly people (over 65 years of age).

You can take Tempalgin or Pentalgin, they are also pain relievers.

an analogue of ketanov is ketarol, you can also inject the same ketanov and ketaroll in tablets intramuscularly. but do you know that it should not be used for more than three days - is it actually a post-operative medicine?

I take Ketorol, they act faster than Tempalgin. There is also Ketorolac, but I’ve never taken it myself.

Ketanov has a very bad effect on the heart; it is a strong drug that many use unnecessarily. It can often be replaced with regular Solpadeine or ibuprofen-based drugs at a dosage of 400 mg (Imet, Mig, etc.). If you need a substitute with a similar composition, you can buy Ketorol, Ketorolac, Dolomin or Dolak.

This is actually a very strong pain reliever. It was not given to me without a prescription; it was prescribed to my husband for a broken rib and to my daughter after surgery. They wrote out a prescription, however, for ketolong, but it was not available and I replaced it with ketanov. There is also ketalgin (Kharkov) and ketorol (India).

It is better not to use such a strong painkiller unless absolutely necessary, otherwise weaker ones will not work later.

Ketanov: instructions for use

The drug Ketanov is a drug with a pronounced analgesic effect. The medicine has a moderate anti-inflammatory and slight antipyretic effect.

Release form and composition of the drug

The drug Ketanov is available in the form of tablets for oral use, 10 pieces in blisters of 1 or 2 blisters per cardboard box with the accompanying detailed instructions.

The main active ingredient of the drug is tromethamine ketorolac; 1 tablet contains 10 mg of this component. As excipients are corn starch, magnesium stearate, microcrystalline cellulose.

Pharmacological properties

Ketanov tablets belong to the group of non-steroidal anti-inflammatory drugs - a derivative of pyrrolysine-carboxylic acid. When taking the tablet orally, a pronounced analgesic effect on the body is observed. The drug has some anti-inflammatory and moderate antipyretic effects.

Indications

The drug is prescribed to patients to relieve pain of various origins and intensity in cases where other painkillers have proven ineffective:

• After tooth extraction;
• After small surgical interventions;
• After caesarean section and surgical abortion in women.

Contraindications

Before you start using this drug, you should carefully read the accompanying instructions. Ketanov tablets have a number of the following contraindications:

• Diseases of the digestive tract chronic with existing ulcerative lesions;
• Suspicion of gastrointestinal bleeding;
• Brain hemorrhages or suspected hemorrhagic stroke;
• Genetic blood diseases - hemophilia, coagulation disorders, bleeding tendency;
• Severe renal failure;
• Severe liver diseases accompanied by impaired liver function;
• Individual intolerance to drugs from the group of non-steroidal anti-inflammatory drugs;
• Violation of water-electrolyte balance, dehydration;
• Bronchial asthma or history of depression respiratory function;
• Age up to 16 years;
• Pregnancy and breastfeeding;
• History of angioedema in response to drugs from the group of non-steroidal anti-inflammatory drugs.

Ketanov is not prescribed to patients as a prophylactic pain reliever before upcoming operations; the tablets are indicated only for pain relief.

Directions for use and doses

Adult patients are prescribed 1 tablet of Ketanov for severe pain of various origins. The drug can be taken no more than 4 times a day, and the interval between the use of the drug should be at least 6 hours. You should not take this medicine for more than 2-3 days; if there is no expected therapeutic effect, you should consult a specialist. Long-term use of Ketanov can lead to toxic damage to the liver and the development of liver and kidney failure.

Use during pregnancy and lactation

Tablets are not prescribed for pain relief in pregnant women. This drug should not be used for premedication during labor contractions, as this can lead to circulatory problems in the fetus, inhibition of uterine contractility and prolongation of the first stage of labor. Mechanism of action active substance tablets on the intrauterine development of the fetus has not been fully studied, therefore, in order to avoid complications and congenital pathologies in a child, Ketanov should not be used by expectant mothers.

The active substance of the tablets may be released from breast milk, penetrating the child’s body, therefore the drug is not prescribed during lactation. If necessary use this tool A woman is advised to stop breastfeeding for a while, while expressing milk in order to maintain lactation.

Side effects

When using tablets in patients with increased individual sensitivity, the following side effects may develop:

• From the cardiovascular system - slowing heart rate, changes in blood pressure, fainting;
• From the gastrointestinal tract - exacerbation chronic diseases organs of the digestive canal, gastrointestinal bleeding, diarrhea, nausea, vomiting, stomach pain, liver dysfunction, heaviness in the stomach, flatulence, stomatitis, dry mouth, increased thirst;
• From the nervous system - irritability, weakness, sleep disturbance, headaches, in rare cases, the development of depression, paresthesia;
• From the respiratory system - bronchospasm, depression of respiratory function, a feeling of lack of oxygen, in rare cases, suffocation;
• From the urinary system - polyuria, the appearance increased amount red blood cells in the urine, severe azotemia, development of acute renal failure;
• Allergic reactions - skin rash, urticaria, facial redness, in rare cases, the development of Quincke's edema or anaphylactic shock.

Overdose

When taken orally large doses drug or using tablets for more than 3 days, the patient develops signs of overdose, which are expressed in an increase in the above-described adverse reactions and the development of severe liver and kidney failure. In severe cases, respiratory depression and cardiac arrest may occur.

When the first signs of overdose develop, the patient’s stomach is immediately washed and sorbents are given orally. If necessary, symptomatic therapy is carried out aimed at restoring the lost functions of vital organs.

Drug interactions

Ketanov tablets cannot be used simultaneously with other drugs from the group of non-steroidal anti-inflammatory drugs, as this increases the risk of developing systemic side effects and signs of overdose.

Patients with a history of kidney disease should monitor the functioning of this organ during drug therapy.

When the drug Ketanov is combined with furosemide, a decrease in the diuretic effect of the latter is observed.

The use of the drug Ketanov allows one to avoid the use of narcotic analgesics to relieve pain in patients.

special instructions

The drug is used with particular caution in patients with depressed liver function and cardiac dysfunction. Patients with erosive gastritis or a history of gastric ulcer, treatment with drugs can only be carried out with the permission of a specialist after a preliminary examination.

In the postoperative period, Ketanov should be used with caution, while monitoring blood clotting ability. This is due to the high risk of bleeding in the postoperative period.

Since hypersensitive patients may complain of dizziness, headaches and drowsiness while using the drug, they should avoid driving a car and operating complex mechanisms that require increased concentration.

Analogues of Ketanov tablets

Analogues of the drug Ketanov include the following:

Conditions of release and storage

The drug is approved for over-the-counter release. The tablets should be stored away from small children at room temperature. The expiration date of the tablets is indicated on the packaging, after which the drug cannot be taken orally.

Ketanov tablets price

The average cost of Ketanov in tablet form in Moscow pharmacies is 60 rubles per pack of 10 pieces.

Ketanov (tablets, injections) – instructions for use, analogues, reviews, price

Names and forms of release

1. Tablets for oral administration.

2. Solution for intramuscular injection.

Ketanov - composition

• Corn starch;
• Microcrystalline cellulose;
• Silica;
• Magnesium stearate;
• Hydroxypropyl methylcellulose;
• Macrogol 400;
• Purified talc;
• Purified water.

Tablets are available in packages of 10, 20 and 100 pieces per pack.

• Sodium chloride (table salt);
• Edetate disodium;
• Ethanol;
• Sodium hydroxide;
• Water for injections.

The solution is available in 1 ml ampoules of 5 or 10 pieces per pack.

Ketanov - therapeutic effect and scope of application

• Compared to Aspirin, the analgesic effect of Ketanov is 350 times stronger;
• Compared to Indomethacin - 5 times;
• Compared to Butadion - 435 times;
• Compared to Nalgesin - 50 times.

Among those available on pharmaceutical market non-narcotic painkillers that do not affect the central nervous system, Ketanov is the most powerful. Thanks to the powerful peripheral action, Ketanov is an ideal analgesic drug for relieving severe and moderate pain, especially caused by injuries and operations.

• Does not depress breathing;
• Does not cause depression of the central nervous system;
• Does not have a pronounced sedative effect;
• Does not provoke nausea and vomiting;
• Does not cause urinary retention;
• Does not weaken intestinal motility;
• Does not change heart rate;
• Does not change blood pressure.

However, Ketanov reduces blood clotting, so the drug should be used with caution if there is a high risk of bleeding, for example, in people suffering from diseases of the gastrointestinal tract.

Ketanov (tablets and injections) - indications for use

1. Relief of pain after surgical interventions (general surgical, gynecological, orthopedic, urological, dental and ENT organs).

2. Relief of pain that occurs after traumatic injuries to muscles, bones and soft tissues (for example, sprains, dislocations, fractures, bruises, etc.).

3. Short-term pain relief for the following conditions:

• Pain after withdrawal of narcotic analgesics;
• Toothache for any dental diseases(for example, pulpitis, caries, periodontitis, etc.);
• Pain during dental procedures;
• Biliary or renal colic (in combination with antispasmodic drugs);
• Pain after childbirth and episiotomy (perineal incision);
• Otitis;
• Fibromyalgia (muscle pain);
• Pain due to osteoarthritis or osteoarthritis;
• Pain due to malignant tumors;
• Sciatica (pain along the sciatic nerve);
• Radicular syndrome;
• Osteochondrosis.

It should be remembered that Ketanov cannot be used to relieve sharp and acute abdominal pain, as this can mask the symptoms of a disease that requires urgent surgical intervention.

Instructions for use

Ketanov tablets - instructions for use

Ketanov injections - instructions

• Person under 65 years of age– first and subsequent injections of 10 – 30 mg (0.3 – 1 ml of solution);
• Person over 65 years old or suffering from renal failure - administer 10 - 15 mg (0.3 - 0.5 ml of solution).

Maximum permissible daily dosage Ketanova for people under 65 years of age is 90 mg (3 ml of solution), and for patients over 65 years of age or suffering from kidney disease - 60 mg (2 ml of solution). When using the “as needed” regimen, the solution is administered as soon as pain appears. And when using the “according to schedule” regime, Ketanov’s solution in the indicated dosages should be administered every 4 to 6 hours, regardless of whether there is a feeling of pain at the time of the next injection.

Precautionary measures

Impact on the ability to operate machinery

Overdose

To eliminate an overdose, perform gastric lavage and give sorbents ( Activated carbon, Polysorb, Polyphepan, etc.), after which they carry out symptomatic therapy aimed at maintaining normal functioning vital organs.

Ketanov – compatibility with other drugs

• Saline;
• 5% dextrose solution;
• Ringer's solution;
• Plasmalit solution;
• A solution of Aminophylline, Lidocaine, Dopamine, Insulin and Heparin.

Ketanov: composition, indications, instructions for use, dosages, precautions - video

Using a drug for toothache

Use for headaches

Ketanov for children

Use during pregnancy and breastfeeding

Is Ketanov banned?

Ketanov and alcohol

Side effects

• Acute renal failure;
• Pain in the lumbar region;
• Blood in the urine;
• Hemolytic uremic syndrome (anemia + renal failure + purpura + decreased blood platelet count);
• Frequent urination;
• Increase or decrease in urine volume;
• Nephritis;
• Swelling (face, legs, ankles, fingers, feet, tongue).

3.Sense organs:

• Anemia;
• Leukopenia (decrease in the total number of leukocytes in the blood);
• Eosinophilia (increased number of eosinophils in the blood);
• Bleeding from the wound;
• Nose or rectal bleeding.

8.Skin covering:

• Rash;
• Purpura;
• Exfoliative dermatitis (fever, redness, thickening and flaking of the skin, swelling and tenderness of the tonsils);
• Hives;
• Stevens-Johnson syndrome;
• Lyell's syndrome;
• Burning and pain in the area where the solution was administered (for injection only).

9.Allergic reactions: Anaphylactic shock (swelling of the face, larynx, itching of the skin, difficulty breathing, heaviness in the chest, etc.).10. Other:

Contraindications to the use of Ketanov

Relative contraindications to the use of Ketanov tablets and solution are the following conditions or diseases:

• Bronchial asthma;
• Cholecystitis;
• Chronic heart failure;
• Hypertonic disease;
• Impaired renal function with plasma creatinine concentrations less than 50 mg/l;
• Cholestasis;
• Active hepatitis;
• Sepsis;
• Systemic lupus erythematosus;
• Polyps on the mucous membrane of the nose and nasopharynx.

Ketanov - analogues

• Adolor tablets;
• Dolak solution and tablets;
• Dolomin solution;
• Ketalgin solution and tablets;
• Ketorol solution, tablets and gel;
• Ketolac tablets;
• Ketorolac solution and tablets;
• Ketofril solution and tablets;
• Ketocam tablets.

Analogues of Ketanov are the following drugs:

• Arthrotek tablets;
• Asinak tablets;
• Aertal tablets;
• Bioran solution and tablets;
• Voltaren solution, tablets and rectal suppositories;
• Diclak solution, rectal suppositories and tablets;
• Diclovit rectal suppositories;
• Diclogen solution and tablets;
• Diclonate P solution, tablets and rectal suppositories;
• Dicloran solution and tablets;
• Diclofenac solution, tablets and rectal suppositories;
• Indomethacin tablets and rectal suppositories;
• Methindol retard tablets;
• Naklofen tablets, solution and rectal suppositories;
• Naklofen Duo capsules;
• Neurodiclovit capsules;
• Ortofen solution and tablets;
• Orthofer solution and tablets;
• Panoxen tablets;
• Rapten Duo and Rapten Rapid tablets;
• Rantudil Forte and Rantudil Retard capsules;
• Flotak capsules.