Very often, many of us use painkillers. So, with headache, toothache, muscle pain, analgesics help soothe it for several minutes or hours. Although they are often used in practice, which of them is the most effective, it is possible to find out only by the method of samples.
Very often with severe pain, a medicine such as Ketorol is used. Let's look at its properties and select similar effective drugs to it.
Anesthetic drug "Ketorol": release form
This analgesic is very strong. Many even believe that this is a narcotic substance. This is by no means an erroneous opinion. The drug "Ketorol" (an analogue must also have such properties) relieves inflammation and lowers the temperature. But still, the main characteristic of this drug is anesthesia. A strong analgesic effect allows you to influence a moderate and severe pain syndrome, it occurs a few minutes after the use of the drug. A very significant effect of the drug is noticeable with traumatic tissue damage.
The drug "Ketorol" is available in three therapeutic forms.
So, you can find gel on the pharmacy shelf, it is often called ointment, it is produced in tubes of 30 grams, green tablets in a blister pack of 20 pieces, a solution in ampoules of 1 ml for intramuscular injection (injections).
The gel is a transparent mass that is applied externally. The ampoules in which the injection solution is placed have a white or brown color, the solution itself is either transparent or yellowish.
If you select an analog to the Ketorol medicine, then you need to attach it to a certain form of the drug.
The composition of the drug
The main active substance included in the composition of the gel, and tablets, and the solution for injection is ketorolac. It is it that is effective in stopping moderate to severe pain.
The most potent form of the drug is a solution, 30 mg of active ingredient per 1 ml of liquid, gel in second place, the concentration of ketorolac per 1 gram is 20 mg, one tablet of the drug contains 10 mg of the active element.
Looking at such a distribution, it can be noted that injections are used for severe pain, but either gel or tablets can cope with moderate pain.
Auxiliary components of the solution: ethyl alcohol, sodium chloride, disodium edetate, propylene glycol, sodium hydroxide, deionized water and octoxynol.
Auxiliary components of the gel: purified water, ethyl alcohol, tromethamine, carbomer, flavor, glycerol, propylene glycol and dimethyl sulfoxime.
Auxiliary components of tablets: corn starch, magnesium stearate, propylene glycol, lactose, hypromellose, colloidal silicon dioxide.
If you select an analog to the Ketorol analgesic, you need to do this by comparing the composition of the drugs and the similarity of their effect on the human body.
Dosage and administration
Ketorol tablets are taken orally. Dosage - 1 tablet once every 8 hours.
The injection is injected into the body intramuscularly to relieve pain in 1 ml (one ampoule), if necessary, the injection is repeated every 6 hours.
The Ketorol gel is rubbed into the external areas of the skin several times (3-4) per day.
Therapeutic properties of the drug "Ketorol"
To the medicine "Ketorol" analogues instructions for use does not indicate. Doctors select them based on the therapeutic properties of the drug. The Ketorol medicine also has such effects: the drug has a threefold effect on the human body - anesthetizes, relieves inflammation and lowers the temperature, and at the same time, this must be borne in mind when choosing an analogue for the medicine. "Ketorol" to a greater extent still stands out anesthesia function.
This drug blocks the cyclooxygenase enzyme. It is this element in the human body that is responsible for the formation of substances that cause pain, inflammation and fever. After its blocking, the production of these stops, so the person ceases to feel pain.
This tool does not cause respiratory depression, does not increase blood pressure, does not affect the functioning of the kidneys, does not cause intestinal colic, does not affect the central nervous system like a drug.
Analgesic Ketorol is able to thin the blood, so it is not suitable for patients with hemophilia and a stomach ulcer.
The above properties apply to all forms of Ketorol.
Indications for admission
You should know that the medicine "Ketorol" is prescribed only if it is necessary to relieve moderate or acute pain of a periodic nature. It does not cure chronic pain syndromes.
So, the gel is prescribed for bruises, sprains, tissue damage, against the background of which inflammation has developed, for pain in joints and muscles, with radiculitis, arthritis.
The solution "Ketorol" is prescribed if necessary, a quick effect of relieving pain, and also if the person can not physically take the pill, for example, a stomach ulcer or vomiting reflex prevents it.
Tablets are taken for toothache , menstrual, headache, muscle, bone, joint. They help well in the postoperative period. Often prescribed for the relief of pain in cancer.
Since the drug “Ketorol” is an analgesic, it is not able to treat the cause of pain, but to soothe it for a while.
Contraindications
It is not recommended to take the drug "Ketorol" during pregnancy, breastfeeding. This analgesic is not used in the treatment of children.
You can not use the gel if the skin has wounds, eczema, dermatosis.
Ketorol solution and tablets cannot be used for asthma, low blood coagulation, liver failure, strokes, diathesis, damage to the digestive system, dehydration and the manifestation of allergic reactions to the components of this analgesic.
What should I look for when using the Ketorol medicine?
The ability to influence blood coagulation is observed two days after discontinuation of the drug. It is not recommended to abuse this medicine to people over sixty years old.
The drug "Ketorol" can be combined with narcotic analgesics only if it can not cope with the relief of severe pain.
Side effects
All forms of medication can cause side effects. So, Ketorol gel can cause itching and peeling of the skin, dizziness, hematuria, anemia, diarrhea, nausea, vomiting, heartburn.
Tablets and injections can cause nausea, jaundice, hepatitis, bronchospasm, rhinitis, depression, tinnitus, pulmonary edema, urticaria, shortness of breath, eyelid edema, sweating, itching.
Reviews of people about the drug "Ketorol"
Since this is an effective tool, most of the reviews about it are positive. Patients often note that after taking the drug, the pain calms down quickly, despite its intensity.
Most often, the medicine is applicable for aching toothache, headache and during the menstrual cycle by women.
Negative reviews are few, and almost all of them relate to descriptions of side effects. But, in spite of them, it’s still possible to calm the pain, even against the background of unpleasant discomfort.
Cost of medicine
The cost of Ketorol gel is 240 rubles per tube of 30 grams. The price of packing ampoules in the amount of 10 pieces is 180 rubles, the packaging of tablets in the amount of 20 pieces is 70 rubles.
Knowing all the properties of the Ketorol preparation, it’s easy to find cheap analogues for it.
Analogs of Ketorol gel
We begin the selection of a replacement with the most expensive form of the drug. Given the properties of the drug "Ketorol" (gel), its analogues are as follows:
- Voltaren gel - 220 rubles,
- Dolgit cream - 120 rubles,
- "Fastum gel" - 220 rubles,
- Diclogen gel - 240 rubles,
- “Ketoprofen gel” - 60 rubles.
The list of substitutes is large, the most common analgesics are indicated here.
These are Ketorol substitutes (gel), analogues do not contain Ketorolac, but they affect pain as effectively as the original drug. Let us dwell on one of them.
So, Voltaren gel is an analgesic containing diclofenac as an active analgesic substance. The principle of its operation is the same as ketorolac. The effect occurs half an hour after applying to the site of the bruise.
It is used externally, it is recommended to use it for arthritis, pain in muscles and joints, edema of varying complexity, radiculitis. This medication can be used to treat children.
Possible side effects during use are skin itching, urticaria, eczema.
A substitute for the Ketorol gel is the Ketonal gel. This medicine, similar in composition and effect on the human body.
Considering how much Ketorol ointment costs, analogues are still not much, but cheaper. However, low price is not always a guarantee of quality.
Analogues of Ketorol tablets
Knowing everything about Ketorol (tablets), it’s also easy to find an analogue. These are Aertal tablets - 300 rubles, Naklofen Duo capsules - 113 rubles, Indomethacin tablets - 30-45 rubles, as well as cheap synonyms - Ketanov tablets - 60 rubles and Ketokam - 40-60 rubles .
Let's take a closer look at the Ketorol analogue in tablets - the Indomethacin drug. This is a substitute containing not ketorolac, but the active substance indomethacin, similar in action to it.
Pills are prescribed for headaches and toothaches, arthritis of varying complexity, soft tissue damage.
Indomethacin also has antipyretic, anti-inflammatory and analgesic properties. Full relief of pain occurs two hours after taking the pill.
It is not recommended to take this drug for people with high blood pressure, patients with a stomach ulcer, who have vision problems, pregnant women, nursing mothers, children under 18 years of age.
The medicine “Indomethacin” can cause insomnia, dizziness, skin itching, increased pressure, bronchospasm, tinnitus, changes in taste perceptions, and increased sweating.
Ketorol Injection Analogs
The most potent are, as indicated by the Ketorol preparation, instructions for use, injections. Analogs - cheap synonyms - Ketofril solution - 100 rubles, Dolomin injections - 80 rubles. They contain ketorolac.
Replacement can also be selected based on a comparison of the effects of analgesics on the human body containing other active components. So, we will pick up analogues for Ketorol injections. Anesthetic injections can be done with the use of analgesics containing diclofenac: Diclogen solution - 30-40 rubles, Diclofenac injections - 40-50 rubles.
Let's dwell on the last of them. Diclofenac injections are prescribed after an operable intervention, for edema caused by bruises and soft tissue damage, arthrosis, polyarthritis, sprain.
These injections are contraindicated in children, pregnant women, breastfeeding mothers. Its use is undesirable for people with diseases such as stomach ulcers, intestinal inflammation, pathological changes in the blood.
The pain syndrome with this drug can be removed within five days, no more.
Diclofenac injections can be the cause of tissue edema, increased blood pressure, headache, eczema, anemia, nausea, constipation, skin itching, rash.
As you can see, substitutes are not without drawbacks, as, however, the Ketorol preparation itself in ampoules. Analogs also cause side effects and are not suitable for all people.
It should be noted that pain medication alone can not be taken. They should be prescribed by a doctor. If you neglect this rule, then you can stop the pain all the time, but aggravate the very reason that causes it. This can lead to the fact that even potent drugs will not effectively affect the soothing of pain, bringing severe suffering to a person.
Cheap analgesic drugs can save costs on the purchase of medicines, but are not always the best option if you want to achieve a tangible quick effect. An analog is selected by a doctor if an expensive medication does not suit him because of the contraindications indicated in the recommendation, or at the request of the patient himself.