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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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The publisher does not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein, including any injury and/or damage to any person or property as a matter of product liability, negligence, or otherwise. No warranty, expressed or implied, is made in regard to the contents of this material. No claims or endorsements are made for any drugs or compounds currently marketed or in investigative use. This material is not intended as a guide to self-medication. The reader is advised to discuss the information provided here with a doctor, pharmacist, nurse, or other authorized healthcare practitioner and to check product information (including package inserts) regarding dosage, precautions, warnings, interactions, and contraindications before administering any drug, herb, or supplement discussed herein.
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