{"id":57854,"date":"2024-02-27T18:04:28","date_gmt":"2024-02-27T18:04:28","guid":{"rendered":"https:\/\/medsname.com\/ketanov-injection\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"ketanov-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/bg\/product\/ketanov-injection\/","title":{"rendered":"\u041a\u0435\u0442\u0430\u043d\u043e\u0432 Injection"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Ketanov Injection?<\/h3>\n<p style=\"margin:0;\"><strong>\u041a\u0435\u0442\u0430\u043d\u043e\u0432 Injection<\/strong> \u0435 <strong>ketorolac tromethamine 30&nbsp;mg\/ml ampoule<\/strong> \u0437\u0430 <strong>intramuscular or intravenous<\/strong> administration. It is one of the most potent parenteral NSAIDs available and is used in emergency rooms, day-case surgery, and post-operative recovery for <strong>moderate to severe acute pain<\/strong>. \u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u0430\u0442\u0430 \u0434\u043e\u0437\u0430 \u0437\u0430 \u0432\u044a\u0437\u0440\u0430\u0441\u0442\u043d\u0438 \u0435 <strong>30&nbsp;mg IM every 6 hours<\/strong> (maximum 120&nbsp;mg\/day for \u2264 2 days parenteral, \u2264 5 days total including any oral ketorolac). It is <strong>\u043d\u0435<\/strong> used chronically.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u041a\u0430\u043a\u0432\u043e \u043f\u043e\u043b\u0443\u0447\u0430\u0432\u0430\u0442\u0435 \u0441 MedsBase:<\/strong> \u041f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b, \u0441\u0435\u0440\u0442\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d \u043e\u0442 WHO-GMP \u00b7 \u0414\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u00b7 \u0414\u043e\u0441\u0442\u0430\u0432\u043a\u0430 \u043f\u043e \u0446\u0435\u043b\u0438\u044f \u0441\u0432\u044f\u0442 \u00b7 \u041d\u0430\u0434 1400 \u043f\u043e\u0442\u0432\u044a\u0440\u0434\u0435\u043d\u0438 <a href=\"https:\/\/medsbase.com\/bg\/reviews\/\">\u043e\u0442\u0437\u0438\u0432\u0430 \u043e\u0442 \u043a\u043b\u0438\u0435\u043d\u0442\u0438<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u0412\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430 \u0435 \u043f\u043e\u043a\u0440\u0438\u0442\u0430 \u043e\u0442 \u043d\u0430\u0448\u0430\u0442\u0430 <a href=\"https:\/\/medsbase.com\/bg\/medsbase-re-shipment-assurance-policy\/\"><strong>\u041f\u043e\u043b\u0438\u0442\u0438\u043a\u0430 \u0437\u0430 \u043f\u043e\u0432\u0442\u043e\u0440\u043d\u0430 \u0438\u0437\u043f\u0440\u0430\u0442\u043a\u0430<\/strong><\/a> \u2014 \u0430\u043a\u043e \u0432\u0430\u0448\u0430\u0442\u0430 \u043f\u0440\u0430\u0442\u043a\u0430 \u043d\u0435 \u043f\u0440\u0438\u0441\u0442\u0438\u0433\u043d\u0435 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 20 \u0440\u0430\u0431\u043e\u0442\u043d\u0438 \u0434\u043d\u0438, \u043d\u0438\u0435 \u044f \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u043c\u0435 \u043e\u0442\u043d\u043e\u0432\u043e.<\/p>\n<h3>\u0417\u0430\u0449\u043e \u0434\u0430 \u043f\u043e\u0440\u044a\u0447\u0432\u0430\u0442\u0435 \u043e\u0442 MedsBase<\/h3>\n<p>\u041d\u0430\u0448\u0438\u0442\u0435 \u0433\u0435\u043d\u0435\u0440\u0438\u0447\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0441\u0435 \u0434\u043e\u0441\u0442\u0430\u0432\u044f\u0442 \u043e\u0442 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b\u0438, \u0441\u0435\u0440\u0442\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d\u0438 \u043e\u0442 WHO-GMP, \u0438 \u0441\u0435 \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u0442 \u043f\u043e \u0446\u0435\u043b\u0438\u044f \u0441\u0432\u044f\u0442 \u0432 \u0434\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0430, \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u2014 \u0431\u0435\u0437 \u0438\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e \u0432\u044a\u043d\u0448\u043d\u043e \u043d\u0430 \u043f\u0440\u0430\u0442\u043a\u0430\u0442\u0430. \u041f\u043b\u0430\u0449\u0430\u043d\u0438\u044f\u0442\u0430 \u0441 \u043a\u0430\u0440\u0442\u0430 \u0441\u0435 \u043e\u0431\u0440\u0430\u0431\u043e\u0442\u0432\u0430\u0442 \u0447\u0440\u0435\u0437 \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0430\u043d \u043f\u0440\u043e\u0446\u0435\u0441\u043e\u0440 (\u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435\u0442\u043e \u043d\u0430 \u0438\u0437\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u0432\u043a\u043b\u044e\u0447\u0432\u0430 \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0430\u043d \u043f\u0440\u043e\u0446\u0435\u0441\u043e\u0440 \u0437\u0430 \u043f\u043b\u0430\u0449\u0430\u043d\u0435 \u0441 \u043a\u0430\u0440\u0442\u0430 \u2014 \u043d\u0438\u043a\u043e\u0433\u0430 \u201cMedsBase\u201d \u0438\u043b\u0438 \u0438\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e). \u041f\u0440\u0438\u0435\u043c\u0430\u0442 \u0441\u0435 \u0441\u044a\u0449\u043e \u043a\u0440\u0438\u043f\u0442\u043e\u0432\u0430\u043b\u0443\u0442\u0438 \u0438 \u0431\u0430\u043d\u043a\u043e\u0432 \u043f\u0440\u0435\u0432\u043e\u0434 SEPA. \u0412\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430 \u0435 \u043f\u043e\u0434\u043a\u0440\u0435\u043f\u0435\u043d\u0430 \u043e\u0442 \u043d\u0430\u0448\u0430\u0442\u0430 \u043f\u043e\u043b\u0438\u0442\u0438\u043a\u0430 \u0437\u0430 \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0440\u0430\u043d\u043e \u043f\u0440\u0435\u0438\u0437\u043f\u0440\u0430\u0449\u0430\u043d\u0435.<\/p>\n<p><strong>\u041a\u0435\u0442\u0430\u043d\u043e\u0432 Injection<\/strong> is an ampoule of <strong>ketorolac tromethamine 30&nbsp;mg\/ml<\/strong>, manufactured by Cipla. Ketorolac injection is used in acute-care settings where strong, fast, non-opioid pain control is needed &mdash; emergency rooms for renal colic and major trauma, post-operative recovery areas, day-case surgery units, and peri-operative pain protocols that aim to reduce opioid requirement.<\/p>\n<p>Ketorolac&#8217;s parenteral analgesic potency is comparable to low-dose morphine: 30&nbsp;mg IM ketorolac is broadly equivalent to 6&ndash;12&nbsp;mg IM morphine for moderate post-operative pain, without the sedation, respiratory depression, or abuse potential.<\/p>\n<h2 class=\"wp-block-heading\">What Is Ketanov Injection Used For?<\/h2>\n<ul>\n<li><strong>Post-operative pain<\/strong> &mdash; particularly in day-case surgery and orthopaedic procedures; often combined with paracetamol for an &ldquo;opioid-sparing&rdquo; regimen<\/li>\n<li><strong>Renal colic<\/strong> &mdash; kidney-stone pain; parenteral ketorolac is a first-line agent in many ED protocols<\/li>\n<li><strong>Biliary colic<\/strong><\/li>\n<li><strong>Acute musculoskeletal trauma<\/strong> &mdash; fractures before definitive treatment, severe soft-tissue injury<\/li>\n<li><strong>Severe acute migraine<\/strong> &mdash; when oral therapy fails or vomiting precludes oral dosing<\/li>\n<li><strong>Severe dysmenorrhoea<\/strong> &mdash; when oral NSAID is not tolerated<\/li>\n<li><strong>Acute-on-chronic cancer pain<\/strong> &mdash; short-term adjunct to opioid therapy under specialist supervision<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">How Does Ketorolac Work?<\/h2>\n<p>Ketorolac is a <strong>non-selective NSAID<\/strong> &mdash; it blocks both <strong>COX-1<\/strong> (which maintains stomach lining, platelet function, and kidney perfusion) and <strong>COX-2<\/strong> (which is upregulated at sites of inflammation). This broad action explains both its strong anti-inflammatory effect and its well-known gastrointestinal and renal side-effect profile.<\/p>\n<p>\u0422\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u043d\u0430\u0442\u0430 \u0432\u0435\u0440\u0438\u0433\u0430 \u043e\u0442 \u0441\u044a\u0431\u0438\u0442\u0438\u044f \u0435 \u0435\u0434\u043d\u0430 \u0438 \u0441\u044a\u0449\u0430 \u0437\u0430 \u0432\u0441\u0438\u0447\u043a\u0438 NSAID:<\/p>\n<ol>\n<li>\u0422\u044a\u043a\u0430\u043d\u043d\u0430\u0442\u0430 \u043d\u0430\u0440\u0430\u043d\u044f\u0432\u0430\u043d\u0435 \u0438\u043b\u0438 \u0432\u044a\u0437\u043f\u0430\u043b\u0435\u043d\u0438\u0435\u0442\u043e \u043e\u0441\u0432\u043e\u0431\u043e\u0436\u0434\u0430\u0432\u0430 \u0444\u043e\u0441\u0444\u043e\u043b\u0438\u043f\u0438\u0434\u0438 \u043e\u0442 \u043a\u043b\u0435\u0442\u044a\u0447\u043d\u0438\u0442\u0435 \u043c\u0435\u043c\u0431\u0440\u0430\u043d\u0438<\/li>\n<li>\u0424\u043e\u0441\u0444\u043e\u043b\u0438\u043f\u0430\u0437\u0430 A\u2082 \u0433\u0438 \u043f\u0440\u0435\u0432\u0440\u044a\u0449\u0430 \u0432 \u0430\u0440\u0430\u0445\u0438\u0434\u043e\u043d\u043e\u0432\u0430 \u043a\u0438\u0441\u0435\u043b\u0438\u043d\u0430<\/li>\n<li>\u0426\u0438\u043a\u043b\u043e\u043e\u043a\u0441\u0438\u0433\u0435\u043d\u0430\u0437\u0430\u0442\u0430 (COX-1\/COX-2) \u043f\u0440\u0435\u043e\u0431\u0440\u0430\u0437\u0443\u0432\u0430 \u0430\u0440\u0430\u0445\u0438\u0434\u043e\u043d\u043e\u0432\u0430\u0442\u0430 \u043a\u0438\u0441\u0435\u043b\u0438\u043d\u0430 \u0432 <strong>\u043f\u0440\u043e\u0441\u0442\u0430\u0433\u043b\u0430\u043d\u0434\u0438\u043d\u0438<\/strong> \u2014 \u043c\u043e\u043b\u0435\u043a\u0443\u043b\u0438\u0442\u0435, \u043e\u0442\u0433\u043e\u0432\u043e\u0440\u043d\u0438 \u0437\u0430 \u0431\u043e\u043b\u043a\u0430, \u043f\u043e\u0434\u0443\u0432\u0430\u043d\u0435 \u0438 \u0442\u0440\u0435\u0441\u043a\u0430<\/li>\n<li>Ketorolac blocks the COX enzymes, so less prostaglandin is produced, so there is less pain and inflammation<\/li>\n<\/ol>\n<p>\u0422\u044a\u0439 \u043a\u0430\u0442\u043e \u043f\u0440\u043e\u0441\u0442\u0430\u0433\u043b\u0430\u043d\u0434\u0438\u043d\u0438\u0442\u0435 \u0441\u044a\u0449\u043e \u0437\u0430\u0449\u0438\u0442\u0430\u0432\u0430\u0442 \u0441\u0442\u043e\u043c\u0430\u0448\u043d\u0430\u0442\u0430 \u043b\u0438\u0433\u0430\u0432\u0438\u0446\u0430, \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0430\u0442 \u043a\u0440\u044a\u0432\u043d\u0438\u044f \u043f\u043e\u0442\u043e\u043a \u0432 \u0431\u044a\u0431\u0440\u0435\u0446\u0438\u0442\u0435 \u0438 \u0432\u043b\u0438\u044f\u044f\u0442 \u043d\u0430 \u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0442\u0430 \u043d\u0430 \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u0438\u0442\u0435, \u0441\u044a\u0449\u0438\u044f\u0442 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u044a\u043c, \u043a\u043e\u0439\u0442\u043e \u043e\u0431\u043b\u0435\u043a\u0447\u0430\u0432\u0430 \u0431\u043e\u043b\u043a\u0430\u0442\u0430, \u0435 \u043e\u0442\u0433\u043e\u0432\u043e\u0440\u0435\u043d \u0438 \u0437\u0430 \u043e\u0441\u043d\u043e\u0432\u043d\u0438\u0442\u0435 \u0441\u0442\u0440\u0430\u043d\u0438\u0447\u043d\u0438 \u0435\u0444\u0435\u043a\u0442\u0438 \u043d\u0430 \u041d\u0421\u041f\u0412\u0421: \u0441\u0442\u043e\u043c\u0430\u0448\u043d\u043e \u0434\u0440\u0430\u0437\u043d\u0435\u043d\u0435, \u0437\u0430\u0434\u044a\u0440\u0436\u0430\u043d\u0435 \u043d\u0430 \u0442\u0435\u0447\u043d\u043e\u0441\u0442\u0438, \u0432\u0438\u0441\u043e\u043a\u043e \u043a\u0440\u044a\u0432\u043d\u043e \u043d\u0430\u043b\u044f\u0433\u0430\u043d\u0435 \u0438 (\u043f\u0440\u0438 \u043d\u044f\u043a\u043e\u0438 \u0445\u043e\u0440\u0430) \u043d\u0430\u0442\u043e\u0432\u0430\u0440\u0432\u0430\u043d\u0435 \u043d\u0430 \u0431\u044a\u0431\u0440\u0435\u0446\u0438\u0442\u0435.<\/p>\n<h2 class=\"wp-block-heading\">Ketanov Injection Dosing<\/h2>\n<ul>\n<li><strong>Adult (&gt; 50 kg, under 65):<\/strong> 30&nbsp;mg IM or slow IV every 6 hours; maximum 120&nbsp;mg\/day<\/li>\n<li><strong>Elderly (&gt; 65), body weight &lt; 50 kg, mild renal impairment:<\/strong> 15&nbsp;mg every 6 hours; maximum 60&nbsp;mg\/day<\/li>\n<li><strong>Single-dose IM:<\/strong> 60&nbsp;mg (under 65, normal weight) or 30&nbsp;mg (elderly, low weight)<\/li>\n<li><strong>Single-dose IV:<\/strong> 30&nbsp;mg slow IV push over at least 15 seconds<\/li>\n<li><strong>Maximum parenteral duration:<\/strong> 2 \u0434\u043d\u0438<\/li>\n<li><strong>Maximum total (parenteral + oral) duration:<\/strong> 5 \u0434\u043d\u0438<\/li>\n<\/ul>\n<p>The injection is given by a healthcare professional. Self-administration is not appropriate for ketorolac.<\/p>\n<p>When transitioning from injection to oral: first oral dose is given at the time the next parenteral dose would have been due. Total combined therapy still must not exceed 5 days.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u0413\u0430\u0441\u0442\u0440\u043e\u0438\u043d\u0442\u0435\u0441\u0442\u0438\u043d\u0430\u043b\u043d\u0430 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442 \u2014 \u043f\u0440\u043e\u0447\u0435\u0442\u0435\u0442\u0435 \u0442\u043e\u0432\u0430 \u043f\u0440\u0435\u0434\u0438 \u043f\u044a\u0440\u0432\u0430\u0442\u0430 \u0434\u043e\u0437\u0430.<\/strong> Every NSAID, including Ketanov Injection, carries a real risk of gastritis, peptic ulcer, and upper-GI bleeding. The risk is highest in patients over 65, in those with prior ulcer disease, and in anyone also taking low-dose aspirin, corticosteroids, SSRIs, or anticoagulants. Take Ketanov Injection <em>\u0441 \u0445\u0440\u0430\u043d\u0430<\/em>, \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u0439\u0442\u0435 <em>\u043d\u0430\u0439-\u043d\u0438\u0441\u043a\u0430\u0442\u0430 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0430 \u0434\u043e\u0437\u0430 \u0437\u0430 \u043d\u0430\u0439-\u043a\u0440\u0430\u0442\u043a\u043e\u0442\u043e \u0440\u0430\u0437\u0443\u043c\u043d\u043e \u0432\u0440\u0435\u043c\u0435<\/em>, \u0438 \u043f\u043e\u043f\u0438\u0442\u0430\u0439\u0442\u0435 \u043b\u0435\u043a\u0430\u0440\u044f \u0441\u0438 \u0437\u0430 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0438\u043d\u0445\u0438\u0431\u0438\u0442\u043e\u0440 \u043d\u0430 \u043f\u0440\u043e\u0442\u043e\u043d\u043e\u0432\u0430\u0442\u0430 \u043f\u043e\u043c\u043f\u0430 (\u043e\u043c\u0435\u043f\u0440\u0430\u0437\u043e\u043b, \u043f\u0430\u043d\u0442\u043e\u043f\u0440\u0430\u0437\u043e\u043b), \u0430\u043a\u043e \u0433\u043e \u043d\u0443\u0436\u0434\u0430\u0435\u0442\u0435 \u0437\u0430 \u043f\u043e\u0432\u0435\u0447\u0435 \u043e\u0442 2\u20134 \u0441\u0435\u0434\u043c\u0438\u0446\u0438.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Who Should Not Receive Ketanov Injection?<\/h2>\n<ul>\n<li>Known hypersensitivity to Ketorolac or any NSAID<\/li>\n<li>Active or recurrent peptic ulcer, GI bleed, or GI perforation<\/li>\n<li>Asthma, urticaria, or rhinitis precipitated by aspirin or another NSAID (&ldquo;aspirin-exacerbated respiratory disease&rdquo;)<\/li>\n<li>Severe heart failure (NYHA class IV)<\/li>\n<li>\u0422\u0435\u0436\u043a\u043e \u0443\u0432\u0440\u0435\u0436\u0434\u0430\u043d\u0435 \u043d\u0430 \u0447\u0435\u0440\u043d\u0438\u044f \u0434\u0440\u043e\u0431 (Child\u2013Pugh C)<\/li>\n<li>\u0422\u0435\u0436\u043a\u043e \u0443\u0432\u0440\u0435\u0436\u0434\u0430\u043d\u0435 \u043d\u0430 \u0431\u044a\u0431\u0440\u0435\u0446\u0438\u0442\u0435 (CrCl &lt; 30 mL\/min)<\/li>\n<li>Third trimester of pregnancy (risk of premature ductus arteriosus closure and oligohydramnios)<\/li>\n<li>Recent coronary artery bypass graft surgery (CABG) &mdash; absolute contraindication for all NSAIDs<\/li>\n<\/ul>\n<p><strong>Parenteral ketorolac-specific:<\/strong><\/p>\n<ul>\n<li>Suspected or actual cerebrovascular bleeding, intracranial surgery, or bleeding diathesis<\/li>\n<li>Incomplete haemostasis or high bleeding risk (e.g. on anticoagulants)<\/li>\n<li>Neuraxial (spinal\/epidural) administration &mdash; formulation is not intended for this route<\/li>\n<li>Labour and delivery<\/li>\n<li>Severe volume depletion &mdash; rehydrate first<\/li>\n<li>Children &lt; 16 years in most jurisdictions<\/li>\n<li>Prophylaxis before major surgery with high bleeding risk<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">\u0421\u044a\u0440\u0434\u0435\u0447\u043d\u043e-\u0441\u044a\u0434\u043e\u0432 \u0440\u0438\u0441\u043a<\/h3>\n<p>\u0412\u0441\u0438\u0447\u043a\u0438 \u041d\u0421\u041f\u0412\u0421 (\u0441 \u0438\u0437\u043a\u043b\u044e\u0447\u0435\u043d\u0438\u0435 \u043d\u0430 \u0430\u0441\u043f\u0438\u0440\u0438\u043d\u0430 \u0432 \u043d\u0438\u0441\u043a\u0438 \u0434\u043e\u0437\u0438) \u043d\u043e\u0441\u044f\u0442 \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u043e \u043f\u043e\u0432\u0438\u0448\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0440\u0438\u0441\u043a\u0430 \u043e\u0442 \u0438\u043d\u0444\u0430\u0440\u043a\u0442 \u0438 \u0438\u043d\u0441\u0443\u043b\u0442 \u0438 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0432\u043b\u043e\u0448\u0430\u0442 \u0441\u044a\u0440\u0434\u0435\u0447\u043d\u0430\u0442\u0430 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u044a\u0447\u043d\u043e\u0441\u0442. \u0420\u0438\u0441\u043a\u044a\u0442 \u0435 \u0437\u0430\u0432\u0438\u0441\u0438\u043c \u043e\u0442 \u0434\u043e\u0437\u0430\u0442\u0430 \u0438 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442\u0442\u0430 \u0438 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u0435 \u043d\u0430\u0439-\u0432\u0438\u0441\u043e\u043a \u043f\u0440\u0438 COX-2 \u0441\u0435\u043b\u0435\u043a\u0442\u0438\u0432\u043d\u0438\u0442\u0435 \u0430\u0433\u0435\u043d\u0442\u0438 \u0438 \u043f\u0440\u0438 \u0434\u0438\u043a\u043b\u043e\u0444\u0435\u043d\u0430\u043a\u0430. \u041f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441 \u0443\u0441\u0442\u0430\u043d\u043e\u0432\u0435\u043d\u0430 \u0438\u0441\u0445\u0435\u043c\u0438\u0447\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442 \u043d\u0430 \u0441\u044a\u0440\u0446\u0435\u0442\u043e, \u043f\u0435\u0440\u0438\u0444\u0435\u0440\u043d\u0430 \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442, \u0438\u043d\u0441\u0443\u043b\u0442 \u0438\u043b\u0438 \u043d\u0435\u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0430\u043d\u0430 \u0445\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u0442 \u043d\u0435\u0441\u0435\u043b\u0435\u043a\u0442\u0438\u0432\u043d\u0438 \u041d\u0421\u041f\u0412\u0421 (\u0438\u0431\u0443\u043f\u0440\u043e\u0444\u0435\u043d \u0438\u043b\u0438 \u043d\u0430\u043f\u0440\u043e\u043a\u0441\u0435\u043d) \u0432 \u043d\u0430\u0439-\u043d\u0438\u0441\u043a\u0430\u0442\u0430 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0430 \u0434\u043e\u0437\u0430 \u0438\u043b\u0438 \u0434\u0430 \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u0442 \u043f\u0430\u0440\u0430\u0446\u0435\u0442\u0430\u043c\u043e\u043b \u0432\u043c\u0435\u0441\u0442\u043e \u0442\u044f\u0445, \u043a\u043e\u0433\u0430\u0442\u043e \u0435 \u0432\u044a\u0437\u043c\u043e\u0436\u043d\u043e.<\/p>\n<h3 class=\"wp-block-heading\">\u0411\u044a\u0431\u0440\u0435\u0447\u043d\u0430 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442<\/h3>\n<p>\u041d\u0421\u041f\u0412\u0421 \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0442 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0441\u0442\u0432\u043e\u0442\u043e \u043d\u0430 \u0431\u044a\u0431\u0440\u0435\u0447\u043d\u0438 \u043f\u0440\u043e\u0441\u0442\u0430\u0433\u043b\u0430\u043d\u0434\u0438\u043d\u0438, \u043a\u043e\u0435\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u0440\u0438\u0447\u0438\u043d\u0438 \u0437\u0430\u0434\u044a\u0440\u0436\u0430\u043d\u0435 \u043d\u0430 \u0441\u043e\u043b \u0438 \u0432\u043e\u0434\u0430, \u043f\u043e\u0432\u0438\u0448\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u043a\u0440\u044a\u0432\u043d\u043e\u0442\u043e \u043d\u0430\u043b\u044f\u0433\u0430\u043d\u0435 \u0438 \u2014 \u043f\u0440\u0438 \u0443\u044f\u0437\u0432\u0438\u043c\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438 \u2014 \u043e\u0441\u0442\u0440\u043e \u0443\u0432\u0440\u0435\u0436\u0434\u0430\u043d\u0435 \u043d\u0430 \u0431\u044a\u0431\u0440\u0435\u0446\u0438\u0442\u0435. \u0413\u0440\u0443\u043f\u0438\u0442\u0435 \u0441 \u0432\u0438\u0441\u043e\u043a \u0440\u0438\u0441\u043a \u0441\u0430 \u0432\u044a\u0437\u0440\u0430\u0441\u0442\u043d\u0438\u0442\u0435 \u0445\u043e\u0440\u0430, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043d\u0430 ACE \u0438\u043d\u0445\u0438\u0431\u0438\u0442\u043e\u0440\u0438\/ARB \u043f\u043b\u044e\u0441 \u0434\u0438\u0443\u0440\u0435\u0442\u0438\u0446\u0438 (\u201c\u0442\u0440\u043e\u0439\u043d\u0438\u044f\u0442 \u0443\u0434\u0430\u0440\u201d), \u0432\u0441\u0435\u043a\u0438 \u0434\u0435\u0445\u0438\u0434\u0440\u0430\u0442\u0438\u0440\u0430\u043d (\u043f\u043e\u0432\u0440\u044a\u0449\u0430\u043d\u0435, \u0434\u0438\u0430\u0440\u0438\u044f, \u0433\u043e\u0440\u0435\u0449\u0438\u043d\u0430, \u0442\u0435\u0436\u043a\u043e \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u043e \u043d\u0430\u0442\u043e\u0432\u0430\u0440\u0432\u0430\u043d\u0435) \u0438 \u0442\u0435\u0437\u0438 \u0441 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u043d\u043e \u0441\u044a\u0449\u0435\u0441\u0442\u0432\u0443\u0432\u0430\u0449\u0430 \u0445\u0440\u043e\u043d\u0438\u0447\u043d\u0430 \u0431\u044a\u0431\u0440\u0435\u0447\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442 (CKD). \u0421\u043f\u0440\u0435\u0442\u0435 \u041d\u0421\u041f\u0412\u0421 \u0438 \u043f\u043e\u0442\u044a\u0440\u0441\u0435\u0442\u0435 \u043b\u0435\u043a\u0430\u0440\u0441\u043a\u0438 \u043f\u0440\u0435\u0433\u043b\u0435\u0434, \u0430\u043a\u043e \u0440\u0430\u0437\u0432\u0438\u0435\u0442\u0435 \u043d\u0430\u043c\u0430\u043b\u0435\u043d\u043e \u043e\u0442\u0434\u0435\u043b\u044f\u043d\u0435 \u043d\u0430 \u0443\u0440\u0438\u043d\u0430, \u043f\u043e\u0434\u0443\u0432\u0430\u043d\u0435 \u0438\u043b\u0438 \u043d\u0435\u043e\u0431\u044f\u0441\u043d\u0438\u043c\u043e \u043f\u043e\u043a\u0430\u0447\u0432\u0430\u043d\u0435 \u043d\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e.<\/p>\n<h2 class=\"wp-block-heading\">Side Effects of Ketanov Injection<\/h2>\n<ul>\n<li><strong>\u0427\u0435\u0441\u0442\u0438:<\/strong> pain at the IM injection site, nausea, dyspepsia, drowsiness, dizziness, sweating, headache<\/li>\n<li><strong>\u041d\u0435\u0447\u0435\u0441\u0442\u043e \u0441\u0440\u0435\u0449\u0430\u043d\u0438, \u043d\u043e \u0432\u0430\u0436\u043d\u0438:<\/strong> peptic ulcer and GI bleeding, acute kidney injury (especially in volume-depleted or elderly patients), hypertension, post-operative wound bleeding, elevated liver enzymes<\/li>\n<li><strong>\u0420\u044f\u0434\u043a\u043e:<\/strong> anaphylaxis, severe hepatotoxicity, Stevens-Johnson syndrome, bronchospasm, aseptic meningitis<\/li>\n<\/ul>\n<p>Seek urgent review for: signs of GI bleeding, breathing difficulty, facial swelling, severe wound bleeding after surgery, reduced urine output, or a widespread rash.<\/p>\n<h2 class=\"wp-block-heading\">\u041f\u043e\u0440\u044a\u0447\u043a\u0430 \u0438 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430<\/h2>\n<p>MedsBase \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430 \u0441\u0432\u0435\u0442\u043e\u0432\u043d\u0430 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430 \u043d\u0430 \u0432\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430. \u041f\u043e\u0440\u044a\u0447\u043a\u0438\u0442\u0435 \u0441\u0435 \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u0442 \u0432 \u0434\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u0438 \u043f\u0440\u0438\u0441\u0442\u0438\u0433\u0430\u0442 \u0432 \u043e\u0440\u0438\u0433\u0438\u043d\u0430\u043b\u043d\u0438 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b\u043d\u0438 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0438. \u0410\u043a\u043e \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0430\u0442\u0430 \u043e\u0442 \u0432\u0430\u0441 \u0434\u043e\u0437\u0430 \u0438\u043b\u0438 \u0440\u0430\u0437\u043c\u0435\u0440 \u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430\u0442\u0430 \u0435 \u0438\u0437\u0447\u0435\u0440\u043f\u0430\u043d, \u0441\u0432\u044a\u0440\u0436\u0435\u0442\u0435 \u0441\u0435 \u0441 \u043f\u043e\u0434\u0434\u0440\u044a\u0436\u043a\u0430\u0442\u0430 \u043d\u0430 \u043a\u043b\u0438\u0435\u043d\u0442\u0438 \u0437\u0430 \u043e\u0447\u0430\u043a\u0432\u0430\u043d\u043e \u0432\u0440\u0435\u043c\u0435 \u0437\u0430 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0430 \u0434\u0435\u043a\u043b\u0430\u0440\u0430\u0446\u0438\u044f.<\/strong> \u0418\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f\u0442\u0430 \u043d\u0430 \u0442\u0430\u0437\u0438 \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430 \u0435 \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u0430\u0432\u0435\u043d\u0430 \u0441\u0430\u043c\u043e \u0437\u0430 \u043e\u0431\u0449\u043e \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435. \u0422\u044f \u043d\u0435 \u0435 \u0437\u0430\u043c\u0435\u0441\u0442\u0438\u0442\u0435\u043b \u043d\u0430 \u0441\u044a\u0432\u0435\u0442\u0430 \u043e\u0442 \u0432\u0430\u0448\u0438\u044f \u043b\u0435\u043a\u0430\u0440 \u0438\u043b\u0438 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442. \u041d\u041f\u0412\u0421 \u0438\u043c\u0430\u0442 \u0434\u043e\u0431\u0440\u0435 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0438\u0440\u0430\u043d\u0438 \u0441\u0442\u043e\u043c\u0430\u0448\u043d\u043e-\u0447\u0440\u0435\u0432\u043d\u0438, \u0441\u044a\u0440\u0434\u0435\u0447\u043d\u043e-\u0441\u044a\u0434\u043e\u0432\u0438 \u0438 \u0431\u044a\u0431\u0440\u0435\u0447\u043d\u0438 \u0440\u0438\u0441\u043a\u043e\u0432\u0435 \u2014 \u043c\u043e\u043b\u044f, \u0433\u043e\u0432\u043e\u0440\u0435\u0442\u0435 \u0441 \u043a\u0432\u0430\u043b\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d \u0437\u0434\u0440\u0430\u0432\u0435\u043d \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442 \u043f\u0440\u0435\u0434\u0438 \u0434\u0430 \u0437\u0430\u043f\u043e\u0447\u043d\u0435\u0442\u0435, \u0441\u043f\u0440\u0435\u0442\u0435 \u0438\u043b\u0438 \u043f\u0440\u043e\u043c\u0435\u043d\u0438\u0442\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u044f\u0442\u0430, \u043e\u0441\u043e\u0431\u0435\u043d\u043e \u0430\u043a\u043e \u0438\u043c\u0430\u0442\u0435 \u0438\u0441\u0442\u043e\u0440\u0438\u044f \u043d\u0430 \u044f\u0437\u0432\u0435\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442, \u0441\u044a\u0440\u0434\u0435\u0447\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442, \u0431\u044a\u0431\u0440\u0435\u0447\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442, \u0430\u0441\u0442\u043c\u0430 \u0438\u043b\u0438 \u0441\u0442\u0435 \u0431\u0440\u0435\u043c\u0435\u043d\u043d\u0430.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u0427\u0435\u0441\u0442\u043e \u0437\u0430\u0434\u0430\u0432\u0430\u043d\u0438 \u0432\u044a\u043f\u0440\u043e\u0441\u0438<\/h2>\n<h3 class=\"wp-block-heading\">What is Ketanov Injection used for?<\/h3>\n<p>Ketanov Injection (ketorolac 30&nbsp;mg\/ml) is used for short-term treatment of moderate to severe acute pain &mdash; post-operative, renal colic, biliary colic, acute trauma, severe migraine, and severe dysmenorrhoea.<\/p>\n<h3 class=\"wp-block-heading\">How is Ketanov Injection different from Ketorol DT?<\/h3>\n<p>Same molecule (ketorolac). Ketanov is the 30&nbsp;mg\/ml IM\/IV injection used in emergency rooms and post-operative care; Ketorol DT is the 10&nbsp;mg oral disintegrating tablet for step-down or home use. Total combined therapy must stay within 5 days.<\/p>\n<h3 class=\"wp-block-heading\">How fast does Ketanov Injection work?<\/h3>\n<p>Onset is 10&ndash;30 minutes IM and within minutes IV. Peak effect at 45&ndash;60 minutes IM; duration 4&ndash;6 hours per dose.<\/p>\n<h3 class=\"wp-block-heading\">Is Ketanov Injection as strong as morphine?<\/h3>\n<p>For moderate post-operative pain, 30&nbsp;mg IM ketorolac is comparable to 6&ndash;12&nbsp;mg IM morphine in most studies, without sedation, respiratory depression, or addiction risk. Many hospitals use ketorolac as part of an opioid-sparing regimen.<\/p>\n<h3 class=\"wp-block-heading\">Can I give Ketanov Injection at home?<\/h3>\n<p>No. Ketanov is an IM\/IV injection that should be given by a trained healthcare professional. Self-administration is not appropriate because of bleeding risk, potential injection-site problems, and the need for clinical monitoring.<\/p>\n<h3 class=\"wp-block-heading\">Why can&#8217;t I have ketorolac for more than 5 days?<\/h3>\n<p>The risk of GI ulcer, GI bleeding, and acute kidney injury rises sharply beyond 5 days of continuous ketorolac therapy. This is a regulatory and clinical limit. After 5 days, your pain should be managed with other NSAIDs, paracetamol, or &mdash; if truly necessary &mdash; opioids, under medical supervision.<\/p>\n<h3 class=\"wp-block-heading\">Can Ketanov Injection be combined with paracetamol?<\/h3>\n<p>Yes &mdash; this combination is standard peri-operative care. Paracetamol 1&nbsp;g IV or oral plus ketorolac 30&nbsp;mg IM gives additive, multimodal pain relief.<\/p>\n<h3 class=\"wp-block-heading\">Can Ketanov Injection be given before surgery?<\/h3>\n<p>Usually not as a pre-emptive analgesic in procedures with high bleeding risk. In lower-bleeding-risk surgery, an intra-operative dose is sometimes used under the surgeon&#8217;s judgement.<\/p>\n<h3 class=\"wp-block-heading\">Is Ketanov Injection safe in elderly patients?<\/h3>\n<p>Use a reduced dose (15&nbsp;mg every 6 hours, maximum 60&nbsp;mg\/day) and the shortest possible duration. Elderly patients are particularly at risk of GI and renal side effects.<\/p>\n<h3 class=\"wp-block-heading\">Does Ketanov Injection cause drowsiness or sedation?<\/h3>\n<p>Mild drowsiness is possible, but ketorolac does not cause the heavy sedation seen with opioids.<\/p>\n<h3 class=\"wp-block-heading\">Is Ketanov Injection safe in pregnancy?<\/h3>\n<p>No &mdash; ketorolac is contraindicated during labour and delivery and should be avoided from 20 weeks of pregnancy onward. Paracetamol or morphine-equivalent analgesia is preferred.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u0421\u0432\u044a\u0440\u0437\u0430\u043d\u0438 \u0430\u043b\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u0438<\/h3>\n<p>\u0414\u0440\u0443\u0433\u0438 \u043f\u0440\u043e\u0434\u0443\u043a\u0442\u0438 \u0432 <strong>\u0425\u0440\u043e\u043d\u0438\u0447\u043d\u0438 \u0437\u0430\u0431\u043e\u043b\u044f\u0432\u0430\u043d\u0438\u044f<\/strong> \u043a\u043e\u0438\u0442\u043e \u043a\u043b\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441\u044a\u0449\u043e \u0440\u0430\u0437\u0433\u043b\u0435\u0436\u0434\u0430\u0442:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/bg\/cort-s-injection\/\">\u041a\u043e\u0440\u0442-\u0421 \u0438\u043d\u0436\u0435\u043a\u0446\u0438\u044f<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/syndopa\/\">Syndopa<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/glinil-m\/\">Glinil M<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/azoran\/\">Azoran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/efavir\/\">\u0415\u0444\u0430\u0432\u0438\u0440<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rapid pain relief<br \/>\n\u2705 Powerful anti-inflammatory<br \/>\n\u2705 Injectable convenience<br \/>\n\u2705 Effective post-surgery<br \/>\n\u2705 Analgesic action<\/p>\n<p>Ketanov Injection contains Ketorolac.<\/p>","protected":false},"featured_media":57855,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4371,4370],"class_list":{"0":"post-57854","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-pain-relief-medication","9":"product_tag-ketanov-injection","10":"product_tag-ketorolac","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product\/57854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/comments?post=57854"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/media\/57855"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/media?parent=57854"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_brand?post=57854"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_cat?post=57854"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_tag?post=57854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}