Ketorol gel is effective in various inflammatory diseases of the musculoskeletal system: rheumatism, radiculitis, trauma, arthritis, arthrosis, etc. It is released without a doctor’s prescription. Before use, you must familiarize yourself with the rules of application, instructions, compatibility with other medicines.
Material Content:
The composition of the drug
The main component is ketorolac tromethamine containing 0.02 g. It refers to NSAIDs, relieves pain and signs of inflammation (redness, swelling). It fights morning stiffness in joints, stiffness.
Auxiliary components improve the action of the main substance, contributes to its rapid penetration into tissues and more effective treatment. These include propylene glycol, dimethyl sulfoxide, carbomer, sodium propyl parahydroxybenzoate, tromethamine, Dreamonde flavor, ethanol, glycerol.
In the form of a gel, the medicine is used in the complex treatment of diseases of the musculoskeletal system.
What helps Ketorol gel
Indications for use of the drug are inflammation, degenerative-dystrophic pathologies.
Ketorol gel helps in the following cases:
- various types of arthritis, arthrosis;
- osteochondrosis - lumbosacral, cervical, thoracic;
- muscle pain
- bursitis, synovitis;
- intervertebral hernia and protrusion;
- neuralgia;
- rheumatism, radiculopathy and other inflammations;
- injuries, dislocations, bruises, ruptures of tendons, ligaments and muscles.
Areas of medicine in which the pain medication Ketorol gel is used - traumatology, neurology, orthopedics, surgery.
Instructions for use
The maximum course of therapy without the appointment of a specialist should not exceed 10 days. It is also necessary to visit a doctor if there are no improvements when using the drug, symptoms intensify or persist.
The gel is intended exclusively for external application to clean, dry skin. To do this, squeeze a strip of medicine in 1-2 cm, apply it to the painful area, spread with soft massage movements.
The duration of the drug is 4-6 hours. Frequency of use - not earlier than 4 hours after the last application and no more than 4 times a day. If the use and dosing regimen are not observed, undesirable reactions may occur.
During pregnancy and lactation
Lactation and the third trimester of pregnancy are strict contraindications. According to the doctor's prescription, with caution, it is possible to apply the medication to painful areas in the first and second trimester. The risk of systemic side effects is low, because the drug is used topically, enters the bloodstream in a minimal amount.
Other drug compatibility
Accuracy requires the combined use of the gel with the following medicines:
- non-steroidal anti-inflammatory drugs (Ibuprofen, Paracetamol, Nimesulide, Diclofenac, etc.);
- drugs that reduce blood pressure (Kapoten, Bisoprolol, Enalapril, Amlodipine, etc.);
- drugs with elevated glucose levels, diabetes mellitus (Glibenclamide, Diabeton, Metformin, etc.);
- Digoxin-based alkaloids;
- antiepileptic drug phenytoin;
- Cyclosporin, methotrexate, lithium preparations;
- diuretics (Furosemide, Veroshpiron, Diuver and other diuretics).
When taking these groups of drugs, you must inform your doctor.
Contraindications, side effects and overdose
After applying the medicine, peeling at the treatment site, urticaria and itching are possible. When treating large areas of the skin, serious side effects can occur: stomach pain, stool, nausea, vomiting, ulceration on the gastric mucosa, headaches, thrombocytopenia, anemia, severe allergic manifestations, fluid retention and other systemic reactions.
If these undesirable effects occur, the medicine cannot be used.
The gel is intended for external use, no cases of overdose have been identified. However, if you accidentally or intentionally use the drug inside, you need to take an adsorbent (Polyphepan, Enterosgel, Polysorb, activated charcoal), and rinse your stomach. It is possible to carry out symptomatic treatment (antipyretic, analgesic, antidiarrheal, etc.).
The gel can not be used in the following cases:
- violation of the integrity of the integument, skin diseases (weeping dermatitis, eczema, abrasions, wounds);
- bronchial asthma, hay fever, intolerance to NSAIDs and aspirin;
- pregnancy (3 trimester) and lactation;
- age up to 16 years;
- individual intolerance of the main and auxiliary components.
Cautious use of the drug is required in the 1st and 2nd trimester of pregnancy, in old age, with diseases of the liver, kidneys, gastrointestinal tract, heart failure in a chronic form.
Analogs
If the medication does not help, undesirable effects occur, the price does not suit, analogues of Ketorol gel are used to relieve the pain syndrome. The most common and commonly prescribed drugs: Amelotex, Voltaren, Aertal, Dikloran Plus, Deep Rilif, Dolgit, Pentalgin extra-gel, Dolobene.
Amelotex is a Russian drug against inflammation and pain, based on the substance meloxicam. Used twice a day, easily absorbed, leaves no residue on clothing. Has a subtle smell. It can not be used during pregnancy, under the age of 15 years, renal failure, acute forms of gastrointestinal tract diseases, liver, NSAID intolerance.
Voltaren is available in two dosages: 1% and 2%. The medicine with the first concentration is used 3 times a day, the second remedy is more effective - it is used in the morning and in the evening.The main component is diclofenac. A new form appeared in pharmacies - 2% gel with a special triangular cap and applicator for application.
Aertal cream is based on diclofenac derivative - aceclofenac. It is prescribed exclusively for adults 3 times a day.
Dicloran plus is a combination of pain medication (diclofenac and methyl salicylate), cooling and soothing (levomenthol), anti-inflammatory (flax seed oil) components. It is approved for use from the age of 6, is applied 2-3 times a day.
Deep Reelif is similar to Dicloran Plus. It contains the analgesic and anti-inflammatory component ibuprofen. The action is supplemented by the cooling substance levomenthol, which removes irritation from nerve endings. Frequency of use should not exceed 4 times a day.
Dolgit is based on ibuprofen, presented in the assortment of pharmacies with ointment and gel. The first form is used for chronic joint diseases. The gel has a light texture, is quickly absorbed and is recommended for acute pain, trauma, dislocation. Especially appreciated by active, young people.
Pentalgin extra-gel is a unique drug with a combined composition:
- analgesic, anti-inflammatory, decongestant ketoprofen;
- tincture of capsicum, peppermint oil and camphor, warming, distracting from unpleasant sensations;
- anti-inflammatory dimexide, which improves the flow of the main substance to the tissues and enhances the effectiveness of the drug as a whole.
Dolobene is a drug that is chosen for injuries, bruises, neuralgia. It includes three components. Dimexide anesthetizes and improves the penetration of other substances to the tissues, enhances the effectiveness as a whole. Heparin fights swelling, hemorrhages, removes bumps, hematomas, relieves inflammation and improves the healing processes of damaged tissues. Dexpanthenol is involved in epithelization.
Ketorol gel and its analogues are an additional measure in the complex treatment of inflammation of the musculoskeletal system for the relief of pain.
