Ketanov is a drug related to non-steroidal anti-inflammatory drugs.
It is used as an analgesic and weak antipyretic( with a low rise in body temperature).
In most cases it is used in the postoperative period and during treatment and rehabilitation after trauma.
Table of contents
- Pharmacological action
- Pharmacokinetics of the drug
- Composition of the preparation
- Mechanism of action
- Indications for use
- This drug can easily become a poison
- Dosage selection is the most important point
- Cases of overdose
- Special instructions
- Interaction with other drugs
- An important source of information is the opinion of doctors
- Opinion of ordinary people
- Is the drug in the world and RF forbidden?
- Purchase and storage of medication
- How can I replace a medicine?
Pharmacological action
The active ingredient of Ketanov is ketorolac.
This entails the following effects on the human body:
- analgesic( analgesic);
- anti-inflammatory;
- antipyretic.
Because of its composition, Ketanov has wide contraindications for use and special instructions in dosage.
Pharmacokinetics of the drug
When using tablets, digestion takes place through the gastrointestinal tract. The flow of components into the blood takes place after 40-50 minutes.
The same time is allocated for the introduction of the drug intramuscularly. Biological availability of components for any form of ingestion reaches 99%.
The drug is excreted from the body by urine and intestines. The most part is derived by habitual activity of the urinary system - 90%.The rest of the drug is "disposed" with the help of intestinal work.
Composition of the preparation
The main component in the composition of Ketanov is ketorolac, containing: 
- in tablet form - 10 mg;
- in solution - 30 mg per 1 ml.
Among the auxiliary components are:
- corn starch;
- microcrystalline cellulose;
- silica;
- magnesium stearate;
- hydroxypropylmethylcellulose;
- macrogol 400;
- purified talc;
- purified water.
To the solution are added:
- sodium chloride( table salt);
- edetate disodium;
- ethyl alcohol;
- sodium hydroxide;
- water for injection.
It is also recommended to consult a doctor.
Mechanism of action
After penetration of the drug into the body and entering the blood, a particular enzyme of arachidonic acid metabolism is suppressed.
Acid is the precursor of prostaglandins and has a negative effect on the body, provoking the pathogenesis of inflammation of pain and fever.
Indications for use
Ketanov is used to eliminate pain of any nature and type of origin.
The effect and intensity of the form used is independent. To a greater extent, patients choose what is more convenient for them, be they injections or Ketanov tablets.
Use the tool in the following situations:
- as an anesthetic after surgery of any kind;
- as an analgesic after the injury of muscles, bones and soft tissues;
- can be used as an anesthetic for a brief manifestation of pain.
The drug is also used in cases where the patient has:
- toothache;
- after planned and emergency dental treatment;
- renal colic;
- after childbirth, if cuts of perineum have been made;
- otitis media;
- muscle pain;
- joint pain;
- pain in the occurrence of malignant tumors;
- ischialgia;
- osteochondrosis and other pathologies of the spine.
For severe pain, the use of the drug on critical days is permitted. It is not recommended for use to eliminate pain in the gastrointestinal tract.
This medicine can easily become a poison
To contraindications of consumption of Ketans should be taken seriously.
Here are the following aspects that completely prohibit the use of the drug:
- Do not use the product if there is an individual intolerance to one of the component components.
- It is not recommended to use the drug for people with erosive and ulcerative gastrointestinal lesions, especially at the stage of exacerbation. With caution should be approached in the use of tablets with the presence of gastritis and an increase in the pancreas.
- When diagnosed with hepatic or renal insufficiency.
- After a stroke or during a recovery period.
- Forbidden to children under 16 years of age.
- Not recommended for use as an anesthetic for symptomatic of chronic diseases.
With caution and only after consultation with a doctor apply Ketanov with arterial pressure, heart failure, bronchial asthma, sepsis, cholecystitis and other diseases.
Selection of dosage - the most important moment of
It is clear that with so many contraindications to Ketanov, the selection of the correct dosage in accordance with the instructions for use is a priority.
The dosage of the drug directly depends on the form of release of the drug.
The following are distinguished:
- Ampoules are used for intramuscular use of .The initial dose should not exceed 10 mg. In the future, the administration is carried out for 10-30 mg with severe pain, but not more than 4-6 hours later. The norm per day is calculated as 90 mg for an adult and 60 mg for the elderly. Intramuscularly, Ketanov is administered only in the first 2 days of the disease. Subsequently, the tablet form is used.
- Tablets are administered orally every 4 to 6 hours in one piece with a ketorolac content of 10 mg. The use of tablets takes no more than a week. Patients who have a body weight less than 50 kg, and citizens in old age use tablets in a lower dosage, which only the attending physician will determine by diagnosing the disease.
The exact dosage of the drug is prescribed only by the attending physician in accordance with the detected disease and the intensity of its manifestation.
Cases of overdose
Drug use above the norm leads to an overdose and side effects, which include:
- drowsiness;
- nausea and vomiting;
- dry mouth;
- increased sweating;
- in rare cases of hallucinations;
- is an unexplained anxiety;
- heartbeat.
Depending on the form, side effects are somewhat different. When using tablets, pain and spasms in the abdomen can be noted, and with intramuscular management, pain in the muscles.
Special instructions
During the application of the Ketan, it is not recommended to drive a car and perform any actions that require a high degree of coordination.
Drug is incompatible with alcohol. This combination leads to the formation of ulcers and internal bleeding of the gastrointestinal tract. 
Prohibited to consume if there is a marked impairment of renal and hepatic functions, with the likelihood of a kidney failure.
With special caution, it is allowed to apply Ketanov to patients with impaired renal function, and only under the close supervision of the attending physician and in a hospital.
The drug is prohibited for use during pregnancy and during lactation. It is authorized to use only from the age of 16 and only as prescribed by the doctor.
Interaction with other drugs
In complex application of various drugs with Ketanov, the following unpleasant manifestations are distinguished:
- use with acetylsalicylic acid, antibiotics of all groups and other nonsteroidal anti-inflammatory diseases increases the risk of internal bleeding of the gastrointestinal tract;
- compatibility with paracetamol increases the risk of intoxication of the body;
- use of Ketanov reduces the effect of diuretics used.
The appointment is carried out only by the attending physician and in accordance with a set of already used drugs.
An important source of information is the opinion of
physicians. The comments of doctors who use Ketanov for the treatment of their patients provide comprehensive information on the effectiveness and precautions for taking the medication.
The use of Ketones is possible only in the postoperative period. This remedy, in spite of its high intensity analgesic effect, is not used as an anesthetic. Also prohibited for use during childbirth, because it may entail an increase in the first cycle of delivery.
In principle, this drug is the best and most effective anesthetic. Its operation is designed for several hours, which is claimed by the manufacturers. In practice, it turns out that the statements are true.
Arkady Malyshkin, anesthesiologist, Astrakhan
The opinion of ordinary people
But what ordinary people think - athletes, patients. ..
I'm an athlete. Pulled in training muscle, a long time recovered, of course. I used Ketanov's pills in the early days.
On the first day, I broke the dosage and felt dizzy and nauseous. Then everything stabilized. I took pills a week. It's all right.
Vera Tamova, 28, Syktyvkar
I was pricked by the Ketanov after the operation. There were no side effects, but the whole day without pain. I liked the drug.
Alexander Shapochkin, 48, Moscow
It follows from the feedback that the main aspect in the use of the Ketanov drug is the compliance with the dosage. Minor deviations lead to manifestations of side effects. Is the drug in the world and the Russian Federation banned?
According to the legislation, Ketanov is banned for sale in Russia without a prescription. The ban was based on the composition and side effects of the 
drug.
The first aspect served as a prohibition because of its use by drug addicts, because in large doses the medicine causes hallucinations.
The second aspect is based on frequent cases of malaise and internal bleeding through the use of the drug without the permission of a physician.
All over the world Ketanov is also released only on prescription.
Purchase and storage of medication
Price Ketanova:
- in tablets - from 30 rubles;
- ampoules - from 100 rubles.
Ketones are stored at a temperature of 0 to +25 degrees Celsius. Shelf life of ampoules is 2 years, tablets - 3 years.
The drug in any form should be protected from children and exposure to sunlight.
How can I replace a medicine?
At the moment the most popular and available analogues of Ketanov are:
- Ketorol;
- Ketokam;
- Ketorolac;
- Dolak.
