Quite a popular modern drug, presented in almost any modern pharmacy - Ketanov tablets. Instruction, reviews unanimously claim that the tool is one of the effective ones. When is it worth using and what is the peculiarity of this drug? Consider the composition and specificity of the activity of the components in more detail.
general information
As follows from the instructions for use, "Ketanov" - painkillers that can lower the temperature. The active components of the drug stop inflammatory processes. The tool is not only in the form of tablets, there is also a solution for injection injected on sale. The tablet form is small capsules, coated, convex on both sides. Normally they are perfectly round, have no color or the shade is very close to white. One side of the tablet is individually engraved. A cardboard box contains up to a dozen blisters, each of which contains ten tablets.
As indicated in the instructions for use, the Ranbaxi Ketanov tablets contain not only the active compound, but also additional ingredients. It is especially important to familiarize yourself with the complete list of persons suffering from allergic reactions to compounds used in the pharmaceutical industry. The main substance that ensures the activity of the drug is called ketorolac tromethamine. Each tablet contains this component in an amount of 10 mg. The list of auxiliary compounds is quite extensive, including starch, cellulose, magnesium stearate, silicon dioxide.
When will it help?
All indications for use are clearly stated in the instructions of the Ketanov tablets (10 mg - dosage of the active compound). Doctors recommend having a remedy on hand for the relief of pain. The medication is effective for sensations provoked by a variety of factors, it helps even with intense pain. It is reasonable to use it for pain of medium intensity.
As can be seen from the instructions for use, Ketanov tablets help to ease the pain caused by malignant neoplasms. Sometimes the remedy is used for strong dental poly. You can use the medication in the rehabilitation period after surgery, if the patient recovers hard.
Sometimes you can’t
In the instructions for Ketanov painkillers, the manufacturer pays attention to contraindications that limit the possibility of using the drug. In particular, if erosion, gastrointestinal ulcers are detected, it is absolutely impossible to use Ketanov during the period of exacerbation of the disease. It is not allowed to use the drug with peptic ulcer, insufficiency of the liver and kidneys. The medication is not intended for the treatment of people suffering from hemophilia and other problems of blood coagulation, in case of impaired hematopoietic function of the body. Contraindications include hemorrhagic diathesis, stroke - not only established, but also presumed.
The instructions for the use of Ketanov tablets contain limitations regarding the possibility of combining the drug with some other drugs. In particular, the name in question is categorically not combined with non-steroidal drugs for the relief of inflammatory processes. Do not use tablets if the chance of bleeding is increased. This is especially true for people undergoing rehabilitation after surgery.
Limitations: continuing the list
Since the drug in question is one of quite strong medicines with a pronounced effect, there are many contraindications regarding the possibility of its use. In particular, as can be seen from the instructions for use, Ketanov pain pills are not intended for people suffering from dehydration and aspirin asthma. The drug is dangerous for angioedema, hypovolemia, and it does not matter what factor caused this condition, as well as bronchospasm and chronic pain.
"Ketanov" is not used to relieve pain during surgery, since the use of a medication increases the risk of bleeding. Normally, the drug is not used for the treatment of minors. Of course, sometimes the doctor can give instructions on the use of Ketanov tablets to children, but there is no official information about the absence of negative consequences for such patients, no studies have been conducted. The manufacturer recommends abstaining from Ketanov to pregnant women, women in childbirth and nursing mothers. The tool is not intended for the treatment of persons whose body is characterized by an increased susceptibility of stopping the inflammatory processes of non-steroidal drugs in general, Ketanova in particular.
Possible but neat
As can be seen from the instructions for use, Ketanov tablets are approved for limited use by persons suffering from asthma, cholecystitis, high blood pressure and insufficient functioning of the kidneys and heart. Very accurate hepatitis in acute form, lupus in the system format. Occasionally, “Ketanov” is prescribed for blood poisoning, but this condition requires constant monitoring of vital signs of the patient’s body.
Certain restrictions on the use of the drug are imposed by the presence of polyps in the nasal cavity, nasopharynx. As can be seen from the instructions for use, Ketanov tablets are generally well tolerated by patients, but in the treatment of people 65 years of age and older, it is necessary to monitor the body's indicators to prevent a negative response of internal systems and organs.
How to use?
To minimize the risk of side effects, it is important to use the drug strictly in accordance with the instructions for the Ketanov tablets. Improper use, overdose significantly increase the risk of a negative response of the body - up to unpredictable and severe reactions. The manufacturer advises using one capsule of the drug at a time. A day can be repeated no more than 4 times, that is, the maximum daily dosage is 40 mg of the active compound.
Several other restrictions are provided for the means in the form of a solution. In muscle tissue, the substance should be administered in a minimum dosage, showing the desired effect. In each individual case, the doctor selects the dose individually, focusing on the strength of the pain syndrome, the patient's response. If the situation is very difficult, Ketanov can be combined with painkillers of the opioid series. Injectively, “Ketanov” can be administered in an amount of not more than 30 mg at a time. If the patient is 65 years of age or older, a single dosage is reduced to 15 mg. Similar restrictions are imposed on patients with impaired renal function.
Important Features
When changing the form of the drug from injective to tablet, it is important to take into account the restrictions on the maximum dosage, otherwise there is a high probability of the manifestation of negative side effects mentioned in the instructions for the Ketanov tablets. On the day on which the change in the form of the drug occurs, the maximum daily volume is 30 mg.
The duration of the therapeutic course is five days or less. This applies to all forms of release. If necessary, longer pain relief, the doctor evaluates the patient’s body parameters and selects the optimal replacement, effective in a particular case.
Troubles: what to prepare for?
As can be seen from the instructions for tablets "Ketanov", the tool can provoke negative responses of the body, and some occur in three patients out of every hundred, but most of the side effects develop in only one percent of patients or even less. Of the common reactions, headache is worth noting. Many complain that during the course they constantly become sleepy, dizzy. With a probability of 1-3%, aseptic meningitis may develop, expressed as convulsions, headaches, and muscle rigidity. There is a risk of depression or increased activity associated with mood swings and anxiety. There are cases when, against the background of taking "Ketanov", psychosis developed, hallucinations were observed.
Also, in the instructions for Ketanov tablets, the manufacturer draws attention to the possibility of stool and gastrointestinal tract disorders. To a greater extent, this is noted in people 65 years of age and older, suffering from ulcers, erosion. Possible abdominal pain, vomiting, jaundice. Rarely, "Ketanov" provokes a runny nose, laryngeal edema, bronchospasm, problems in the functioning of the kidneys, urinary system. In some patients, the urge to urinate increases. There are situations when taking the medication provoked fainting conditions, increased pressure, tinnitus and bleeding, allergic reactions.
Important to consider
As the instructions say, Ketanov tablets (analogues often also) affect platelet aggregation within a day from the time of administration. Sometimes the duration is doubled. The drug can be combined with narcotic painkillers, but under the supervision of a treating doctor. If the patient is diagnosed with hypovolemia, the risk of developing a negative renal response is increased.
The manufacturer categorically does not recommend the use of Ketanov tablets (instructions for the use of analogues usually also contain such restrictions) as a measure of maintaining the analgesic effect. The tool is not intended for obstetric care, preliminary medical events. You can not use "Ketanov" for more than five days, especially in combination with paracetamol. If a patient has problems with blood coagulation, the medication should be used with constant monitoring of platelet concentration. This is more important for people undergoing a rehabilitation period after surgery.
Accuracy will not hurt
As can be seen from the reviews, instructions for use, Ketanov tablets are not recommended for persons who are forced to work in high-risk conditions during the course. If necessary, treatment is recommended to refrain from performing tasks of this kind. This is especially true regarding transport management, interaction with mechanisms requiring a quick reaction, speed and accuracy of control.
You should refrain from any work that forces you to concentrate. Such limitations are explained in the instructions for use of Ketanov tablets. Ketorolac (a popular analogue) has the same conditions of use. The reason is a certain risk of impaired functioning of the central nervous system, which can cause increased drowsiness. Some patients feel dizzy during therapy and have a headache.
Compatibility and incompatibility
As can be seen from the instructions for the use of Ketanov tablets (a headache will also help, but should be taken only under the supervision of a doctor), taking the drug is associated with an increased risk of side effects if you combine it with certain groups of medicines. Most often, negative reactions are observed in combination with paracetamol, glucocorticosteroids, aspirin, non-steroidal drugs for stopping inflammation. In some cases, the simultaneous administration of "Ketanova" and "Probenecid" can cause an incorrect distribution of ketorolac in the patient's body, increasing the elimination half-life.
Medical tests have shown that “Ketanov” can be used simultaneously with “Methotrexate”, but only in a small dosage of the second name and with a regular check of the main blood counts, since the combination is toxic to the kidneys and circulatory system. Insulin, drugs from a number of hypoglycemic drugs, require special care, since their activity increases under the influence of the components of the Ketanov tablets, so it is important to correctly adjust the dosage. A specific approach requires the simultaneous use of drugs and painkillers of the opioid series, diuretics, drugs to reduce blood pressure, and also dangerous for the kidneys. This applies to medications based on gold, as there is an increased risk of adverse effects on renal function.
How to replace?
If you compare the instructions for use of "Ketanov" and tablets for toothache "Dolak", you can see that these funds are based on the same active component. Having coordinated the replacement with the attending physician, this name can be used for pain relief. However, it is worth remembering that both medicines are not designed to relieve toothache, so the use for this purpose requires agreement with the doctor.
Ketorol and Ketalgin are worth mentioning as effective analogues. Many similar items are on sale, among which are “Ketokam”, “Ketonal”. All these medicines are intended for sale strictly upon presentation of the prescription of the attending doctor. The manufacturer recommends storing the drug away from sunlight at an air temperature within 25 degrees Celsius. In such conditions, from the moment of production, the medicine retains its properties for a three-year period. The cost of one package is about 60 rubles.
What is going on in the body?
"Ketanov" is intended to relieve pain, at the same time relieves inflammatory processes, inhibits the activity of cyclooxygenase. Almost immediately after it enters the human body, the drug is completely absorbed into the circulatory system. The adsorption rate may slightly decrease if the drug is ingested with food, but this fact does not affect the degree of process efficiency. The maximum concentration of the active compound in the circulatory system is observed half an hour or an hour after taking the pill. If you use the solution for intramuscular injection, the interval is from 45 minutes to one hour.
Ketanova pharmacokinetics is linear, the plasma concentration of the active compound is similar to the dose received by the patient. No cumulative effect. The equilibrium concentration is fixed 6 hours after the drug is ingested. The component binds to plasma proteins 99% and higher. The substance may penetrate the placenta. Medical studies have found it in breast milk. Up to 90% of the medication received leaves the body through the urinary system, of which 60% are unchanged. The elimination half-life on average is from 4 to 6 hours from the moment a tablet is ingested.
Impact Features
The relief of pain begins in half an hour from the moment the agent enters the patient’s body, and the duration of such exposure is no more than six hours. The maximum result can be observed in an hour or two from the moment of taking the pill. The product is not sedative, does not have anxiolytic effects, does not affect opioid receptor systems, does not depress the respiratory center, and does not activate such effects from other drugs (including opioid painkillers). Ketanov does not become a source of addiction. A sharp cessation of admission does not provoke withdrawal.
The remedy can cause more prolonged bleeding than it could be. This effect is associated with inhibition of platelet aggregation. A complete restoration of the circulatory system functionality is observed in a day or two from the moment the active compound ceases to enter the patient's body.
Use wisely
"Ketanov" is intended strictly for short-term effect. It can be taken with a dislocation or the need to alleviate the condition of the patient with a fracture, rupture of ligaments. "Ketanov" will help with bruising, sprain. It is used after surgery in gynecology, but only if we are not talking about a woman in labor, a nursing mother. The tool is intended to alleviate the condition of patients with osteochondrosis, arthrosis, neuralgia. The drug helps with pain provoked by dental procedures. It is used to alleviate the condition for pain caused by pulpitis, periodontitis.
Quite widespread is the practice of using Ketanov tablets for headaches. , , , , «» .
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