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Ketorolac vs. Tramadol

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Ketorolac

(Toradol)

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Tramadol

 

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Summary for Ketorolac

Prescription only

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

Prescription only

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

Prices with our coupons for Ketorolac vs. Tramadol

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Ketorolac20 tablets / 10mg
$17.00-
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Tramadol60 tablets / 50mg
$15.27$41.75
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