Ketorolac is considered the most effective non-steroidal anti-inflammatory and analgesic . It is found in many drugs, one of which is Dolak. Instructions for use describe this tool as a medicine of choice for severe pain symptoms in the joints and soft tissues. Most often used "Dolak" for the treatment of diseases of the musculoskeletal system. The drug is available in tablets and a solution for intramuscular administration. There is also a form of release of the drug "Dolak" - ointment. Instructions for use recommend using it for the complex treatment of arthrosis, arthritis, pain relief after injuries and operations.
What effect does the drug have?
One of the most powerful painkillers is Dolak. Instructions for use therefore it is recommended to use it for acute pain of high intensity. Patient reviews note that its analgesic effect is comparable to morphine, although the result is not immediately noticeable, but after 30-45 minutes. In addition to stopping pain, "Dolak" has the following effect:
- effectively relieves inflammation;
- lowers temperature;
- improves blood flow;
- does not cause drowsiness or respiratory depression.
The result of using the drug is not immediately noticeable - the pain subsides somewhere after 45 minutes. And the maximum analgesic effect occurs in a couple of hours. The mechanism of action of the drug is associated with the ability of ketorolac to block prostaglandins and arachidonic acid, which increase pain sensitivity and are involved in the development of the inflammatory reaction.
The scope of the drug
Dolak is a remedy for symptomatic therapy. It does not cure any disease, only relieves inflammation. Most often in emergency cases in a hospital, when you need to remove severe pain, use the drug "Dolak". Its use is advisable in such conditions:
- during severe pain after injuries, operations or childbirth;
- with oncological diseases;
- neuralgia, accompanied by very severe pain;
- muscle pain due to overwork, trauma, or inflammation;
- for the treatment of radiculitis, arthritis, arthrosis, osteochondrosis;
- for temporary relief of toothache;
- with rheumatism.
Contraindications to the use of the drug
But not all people suffering from pain can use this effective remedy. There are many contraindications to the use of the drug "Dolak". The instruction does not recommend using it for treatment in such cases:
- if the patient has an individual intolerance to ketorolac;
- with serious pathologies in the work of the kidneys or liver;
- in the presence of bleeding;
- for patients with gastric ulcer, as well as with inflammation of the intestine;
- children under 16 years old;
- with hemophilia, a violation of the composition of the blood;
- with intolerance to "Aspirin";
- with hypovolemia or dehydration;
- pregnant and lactating women.
There are also conditions in which the drug is used only for strict indications. In patients with cholecystitis, hypertension, bronchial asthma, diabetes mellitus, heart failure, hepatitis, alcoholism, Dolac can only be used with great caution. Instructions for use recommend that you do this under the supervision of a doctor to avoid side effects. Do not use "Dolak" for the treatment of patients older than 65 years and with the simultaneous use of other NSAIDs. And it should also be remembered that this medicine is indicated only for short-term use. Therefore, it can not be used in the treatment of chronic pain.
Different forms of the drug
Dolak is best known in the form of tablets for oral administration and a solution for injection. The external effect of the drug is not so strong, therefore, for the relief of severe pain, ointments are not so effective. One Dolaka tablet contains 10 mg of trometamine Ketorolac. It is important to pay attention to this, especially in cases where the drug is taken on its own. It is necessary to calculate the dose so that the drug works, but does not cause negative consequences.
A higher concentration of ketorolac is contained in the Dolak liquid preparation. Ampoules are recommended for use in ampoules only in medical institutions in order to prevent overdose. After all, 1 ml of this form of the drug contains 30 mg of ketorolac, which is the maximum single dose for intramuscular use. Injections are used in emergency cases, since the effect of such a drug is twice as fast.
"Dolak": instructions for use
Injections, reviews of which are mostly positive both among doctors and patients, are most often done in a hospital setting. They are effective for relieving acute severe pain, as well as severe inflammation. In outpatient treatment, Dolak tablets are used to relieve severe pain in the joints, spine and muscles. Instructions for use recommend that you continue treatment for no more than 5 days. When determining the dosage, it is necessary to pay attention to the weight and age of the patient. The recommended amount is designed for people from 16 to 65 years old and weighing more than 50 kg.
How to take "Dolak"? Instructions for use of the tablet recommends drinking no more than 6 hours later. A maximum of 40 mg is permissible per day, so take 1 tablet. The first technique is permissible to double. When using tablets and injections together, a single dosage should not be more than 60 mg per day.
How to use "Dolak" in ampoules
Especially often manifested systemic side effects when using the drug for injection. Indeed, in this case, ketorolac quickly enters the bloodstream and spreads throughout the body. Therefore, it is very important to accurately observe the dosage for the drug "Dolak". Instructions for the use of injections are recommended to be done intramuscularly. Only in some cases, intravenous administration with a reduction in dosage is halved.
Injections are acceptable for patients from 16 to 65 years old and weighing more than 50 kg. In this case, the drug can be administered in 1-2 ampoules 3-4 times a day. Between two injections, at least 6 hours should pass. Moreover, it is necessary to ensure that the maximum dose per day does not exceed 90 mg.
If the patient’s body weight is less than 50 kg, his age is more than 65 years, or he suffers from kidney disease, the dosage of the drug is reduced. It is permissible to administer no more than 60 mg of Dolaka per day to such patients.
Side effects of the drug
Usually "Dolak" is used only in emergency cases. Therefore, the benefit from it most often exceeds the harm done. But still, many reviews note that the drug can cause unpleasant, and sometimes dangerous side effects:
- nausea, vomiting, bloating, pain in the epigastric region;
- indigestion, flatulence, constipation, rectal bleeding;
- decreased appetite, stomatitis;
- fluctuations in blood pressure, tachycardia;
- impaired breathing, cough, shortness of breath and bronchospasm;
- rash, itching, urticaria;
- nose bleed;
- impaired vision and concentration, hearing loss;
- depression, hallucinations;
- tremor, convulsions, hyperactivity;
- swelling, weight gain;
- anaphylactic shock, Quincke's edema.
What can be with an overdose
If the drug is used strictly according to the instructions, then an overdose is impossible. Usually the course of treatment with Dolak cannot be more than 5 days. But in the case when the medicine is drunk without a doctor's prescription or exceeds the recommended dosage, serious consequences are possible:
- ulcerative lesion of the mucous membrane of the gastrointestinal tract;
- serious renal impairment;
- metabolic acidosis.
Improper use of the drug can cause the development of diseases such as gastritis, pancreatitis, anemia, rhinitis, aseptic meningitis, bronchial asthma.
Interaction with other medicines
Ketorolac is preferably used separately from other drugs. After all, it does not fit well with many of them.
- If used together with corticosteroids, calcium preparations or ethanol, there is a high risk of bleeding in the gastrointestinal tract.
- Drinking Dolac and Paracetamol together can cause kidney damage.
- The combined use of this drug and other NSAIDs can lead to increased pressure, swelling and impaired heart function.
- When treating with insulin, it is necessary to reconsider its dosage, since Dolak enhances its hypoglycemic effect.
- Ketorolac should not be used during treatment with anticoagulants, such as Aspirin or Heparin. In this case, the development of severe bleeding is possible.
- When taking Dolak, the effectiveness of diuretics and antihypertensive drugs decreases.
Most often, the drug is prescribed together with narcotic analgesics. This increases their effectiveness.
Special instructions for taking the drug
Not always with severe pain, you can use "Dolak". Instructions for use notes that a drug is not prescribed to maintain anesthesia before surgery. It can not be used also in the postoperative period, since ketorolac can cause increased bleeding. It is not recommended to use "Dolak" and for pain relief of childbirth.
To prevent the development of ulcers on the gastric mucosa and gastropathy, you can take antacids, such as Almagel or Omeprazole.
Ketorolac often causes a decrease in concentration, drowsiness, dizziness, so during treatment it is advisable not to drive, and also not to perform potentially dangerous work with different mechanisms.
In addition, many serious side effects and complications can cause the use of this drug. Therefore, instructions for use are so important for studying before using the drug "Dolak".
Reviews
Analogues of this tool are better known to consumers. Such drugs as Ketorolac, Ketanov, Ketorol are popular. But "Dolak" has an equally strong analgesic effect, and costs no more than 80 rubles. Many patients who have tried this treatment note that even the most severe pains respond to ketorolac, and although the pain does not go away immediately, it does not return for a long time.
Especially a lot of positive reviews about "Dolak" from those who suffer from arthritis, radiculitis, neuralgia, muscle pain. After all, such pains are almost impossible to remove with conventional analgesics. And "Dolak" in this case is the most effective.