Ketorolac
(Toradol)
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Summary for Ketorolac
Ketorolac (Toradol) is a prescription non-steroidal anti-inflammatory drug (NSAID). It provides pain relief by blocking certain chemicals in your body that cause pain and inflammation. But ketorolac (Toradol) is meant for short-term use only due to the risk for severe side effects, such as heart attack and stomach ulcers. Typically, ketorolac (Toradol) is first given as an injection in a hospital or clinic setting. After that, you'll likely continue treatment with the oral tablets, which are taken every 4 to 6 hours for a maximum of 5 days. Your care team will help you transition to a safer alternative pain medication as soon as possible.
Indications for Ketorolac
- Short-term, moderate to severe pain in adults
Pros and Cons for Ketorolac
Pros
- Works well to treat short-term pain
- Available as tablets and as an injection
- Has been shown to work as well as morphine for treating pain due to certain conditions, so might be a good option for people who can't take opioid pain medications
Cons
- Not recommended during pregnancy
- Might not be the best option if you're 65 years or older, or have kidney, heart, liver, or bleeding problems
- Can only use for up to 5 days
Common Side Effects for Ketorolac
The following side effects occurred in at least 10% of people during clinical studies:
- Stomach pain
- Nausea
- Indigestion
- Headache
Warnings for Ketorolac
- Serious bleeds
- Heart attack and stroke
- Kidney damage
- Don't take with other NSAIDs
- Higher risk of serious side effects
- High blood pressure and heart failure
- Liver damage
- Severe allergic reactions
Summary for Tramadol
Tramadol is an opioid pain medication used when non-opioid medications aren't working well enough to control pain. Compared to other opioids, tramadol might have a lower risk of misuse and dependency. But tramadol is a controlled substance and has a lot of potentially serious risks, so it must be used with caution.
Indications for Tramadol
- Pain that isn't relieved by non-opioid pain medications alone
Pros and Cons for Tramadol
Pros
- Extended-release tablets and ConZip capsules are taken once per day and last throughout the day.
- Immediate-release tablets are available as a lower-cost generic.
- Possible lower risk of misuse and dependency compared to other opioids
Cons
- A controlled medication, so there are special requirements to get a prescription filled
- Must slowly lower the dose to stop the medication after long-term use to avoid withdrawal symptoms
- Can't use in some children due to higher risk of potentially severe and life-threatening side effects
- Not recommended while breastfeeding
Common Side Effects for Tramadol
- Constipation (up to 46%)
- Nausea (up to 40%)
- Dizziness (up to 33%)
- Headache (up to 32%)
- Sleepiness (up to 25%)
- Vomiting (up to 17%)
Warnings for Tramadol
- Potential for addiction and misuse
- Dangerously slow breathing (respiratory depression)
- Overdose
- Harm to newborn babies
- Drug interactions
- Difficulty concentrating and extreme sleepiness
- Serotonin syndrome
- Seizures
- Low blood pressure
- Low adrenal hormone levels
- Physical dependence and withdrawal
- Low blood sodium levels
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