Page last updated: 2024-10-29

ketorolac and Abdominal Cramps

ketorolac has been researched along with Abdominal Cramps in 22 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Research Excerpts

ExcerptRelevanceReference
" The parameters considered as prognostic factors were pain relief with ketorolac (K) or ketorolac plus opiate treatment (KO), and stone size (>or= or <6 mm)."3.71Comparison of stone size and response to analgesic treatment in predicting outcome of patients with renal colic. ( Prina, LD; Rancatore, E; Secic, M; Weber, RE, 2002)
"In the patients with renal colic the average resistive index (RI) was significantly greater on the side of the colic after administration of either indomethacin or ketorolac (p<0."2.71Resistive index in patients with renal colic: differences after medical treatment with indomethacin and ketorolac. ( Bertolotto, M; Calderan, L; Gasparini, C; Pozzi Mucelli, R; Quaia, E, 2003)
"Ketorolac tromethamine is a well-tolerated, effective medication in the treatment of acute biliary colic."2.70Comparison of intravenous ketorolac and meperidine in the treatment of biliary colic. ( Henderson, SO; Newton, E; Swadron, S, 2002)
"Ketorolac is a nonsteroidal anti-inflammatory medication that is used widely for pain management."2.70A prospective study comparing i.m. ketorolac with i.m. meperidine in the treatment of acute biliary colic. ( Anderson, R; Dula, DJ; Wood, GC, 2001)
"Ketorolac was significantly (P < ."2.69Efficacy of ketorolac tromethamine versus meperidine in the ED treatment of acute renal colic. ( Blair, GA; D'Amico, F; Larkin, GL; Peacock, WF; Pearl, SM, 1999)
" The time to first administration of rescue analgesic, up to 24 h following dosing with the study medication, was recorded."2.67A comparison of intramuscular ketorolac and pethidine in the alleviation of renal colic. ( Arkell, DG; Fletcher, MS; Iacovou, JW; Kaisary, AV; Philip, NH; Sandhu, DP, 1994)
"Twenty-five patients with renal colic were participants."1.29The use of intravenous ketorolac for the treatment of renal colic in the emergency department. ( Allegra, JR; Larsen, LS; Miller, A, 1993)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's12 (54.55)18.2507
2000's7 (31.82)29.6817
2010's0 (0.00)24.3611
2020's3 (13.64)2.80

Authors

AuthorsStudies
Togo, K1
Ono, S1
Matsui, R1
Watanabe, J1
Razi, A1
Farrokhi, E1
Lotfabadi, P1
Hosseini, SS1
Saadati, H1
Haghighi, R1
Rameshrad, M1
Barry, HC1
Olsen, JC1
McGrath, NA1
Schwarz, DG1
Cutcliffe, BJ1
Stern, JL1
Prina, LD1
Rancatore, E1
Secic, M1
Weber, RE1
Henderson, SO1
Swadron, S1
Newton, E1
Bertolotto, M1
Quaia, E1
Gasparini, C1
Calderan, L1
Pozzi Mucelli, R1
Meyers, D1
Feldstein, DA1
Safdar, B1
Degutis, LC1
Landry, K1
Vedere, SR1
Moscovitz, HC1
D'Onofrio, G1
Sandhu, DP1
Iacovou, JW1
Fletcher, MS1
Kaisary, AV1
Philip, NH1
Arkell, DG1
Larsen, LS1
Miller, A1
Allegra, JR1
Cordell, WH1
Wright, SW1
Wolfson, AB1
Timerding, BL1
Maneatis, TJ1
Lewis, RH1
Bynum, L1
Nelson, DR1
Stein, A1
Ben Dov, D1
Finkel, B1
Mecz, Y1
Kitzes, R1
Lurie, A1
Bergus, GR1
Smally, AJ1
Mofenson, HC1
Caraccio, TR1
Benson, DM1
Cohen, E1
Hafner, R1
Rotenberg, Z1
Fadilla, M1
Garty, M1
Larkin, GL1
Peacock, WF1
Pearl, SM1
Blair, GA1
D'Amico, F1
Nicolás Torralba, JA1
Rigabert Montiel, M1
Bañón Pérez, V1
Valdelvira Nadal, P1
Pérez Albacete, M1
Di Trolio, RN1
Sing, RF1
Bates, GM1
Dula, DJ1
Anderson, R1
Wood, GC1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Assessment of the Analgesic Efficacy of Intravenous Ibuprofen in Biliary Colic[NCT02268955]22 participants (Actual)Interventional2014-09-09Completed
A Randomized Trial Comparing the Combination of Intravenous Lidocaine and Ketorolac to Either Analgesics Alone for ED Patients With Acute Renal Colic[NCT02902770]Phase 4150 participants (Actual)Interventional2016-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Pain Score 120 Minutes After Study Medication Administration

Pain is measured on a visual analog scale 0=no pain and 10=worst pain imaginable. (NCT02268955)
Timeframe: 120 minutes post medication administration

Interventionscore on a scale (Median)
Control Group: Adults Age 18-55 Years3.0
IV Ibuprofen: Adults Age 18-55 Years0.3

Pain Score at 30 Minutes

The trial will compare the patient's pain score on a 11 point Likert scale, ranging from 0 to 10 with 0 being no pain, 5 moderate pain and 10 very severe pain, at 30 minutes (NCT02902770)
Timeframe: 30 minutes

Interventionscore on a scale (Mean)
Lidocaine and Normal Saline Push5.52
Ketorolac and Normal Saline Drip3.88
Lidocaine and Ketorolac3.14

Trials

13 trials available for ketorolac and Abdominal Cramps

ArticleYear
Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial.
    The American journal of emergency medicine, 2022, Volume: 62

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colic; Dexamethasone; Double-Blind Method; Humans; Ketorola

2022
A double-blind randomized clinical trial evaluating the analgesic efficacy of ketorolac versus butorphanol for patients with suspected biliary colic in the emergency department.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2008, Volume: 15, Issue:8

    Topics: Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Biliary Tract Diseases; Butorpha

2008
Comparison of intravenous ketorolac and meperidine in the treatment of biliary colic.
    The Journal of emergency medicine, 2002, Volume: 23, Issue:3

    Topics: Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Biliary Tract Diseases; Colic; D

2002
Resistive index in patients with renal colic: differences after medical treatment with indomethacin and ketorolac.
    La Radiologia medica, 2003, Volume: 106, Issue:4

    Topics: Acute Disease; Anti-Inflammatory Agents, Non-Steroidal; Colic; Humans; Indomethacin; Ketorolac; Kidn

2003
Intravenous morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic.
    Annals of emergency medicine, 2006, Volume: 48, Issue:2

    Topics: Adolescent; Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Colic; Double-Blind

2006
A comparison of intramuscular ketorolac and pethidine in the alleviation of renal colic.
    British journal of urology, 1994, Volume: 74, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Colic; Double-B

1994
Comparison of intravenous ketorolac, meperidine, and both (balanced analgesia) for renal colic.
    Annals of emergency medicine, 1996, Volume: 28, Issue:2

    Topics: Adult; Aged; Analgesia; Analgesics, Non-Narcotic; Analgesics, Opioid; Colic; Double-Blind Method; Dr

1996
Single-dose intramuscular ketorolac versus diclofenac for pain management in renal colic.
    The American journal of emergency medicine, 1996, Volume: 14, Issue:4

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Colic; Diclofenac; Double-Blind Method; Female

1996
Pain relief for renal colic.
    The Journal of family practice, 1996, Volume: 43, Issue:5

    Topics: Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Colic; Double-Blind Method; Drug

1996
Comparison of ketorolac and diclofenac in the treatment of renal colic.
    European journal of clinical pharmacology, 1998, Volume: 54, Issue:6

    Topics: Adult; Analgesics, Non-Narcotic; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Coli

1998
Efficacy of ketorolac tromethamine versus meperidine in the ED treatment of acute renal colic.
    The American journal of emergency medicine, 1999, Volume: 17, Issue:1

    Topics: Acute Disease; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Analgesics, Opioid; Colic;

1999
[Intramuscular ketorolac compared to subcutaneous tramadol in the initial emergency treatment of renal colic].
    Archivos espanoles de urologia, 1999, Volume: 52, Issue:5

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Colic; Emergencies; Humans; Injections, Intramuscular;

1999
A prospective study comparing i.m. ketorolac with i.m. meperidine in the treatment of acute biliary colic.
    The Journal of emergency medicine, 2001, Volume: 20, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Biliary Tract

2001

Other Studies

9 other studies available for ketorolac and Abdominal Cramps

ArticleYear
Dexamethasone and ketorolac vs ketorolac in acute renal colic: The authors reply.
    The American journal of emergency medicine, 2022, Volume: 62

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colic; Dexamethasone; Humans; Ketorolac; Renal Colic

2022
Ketorolac Plus Dexamethasone Is More Effective for Pain Relief Than Ketorolac Alone in Adults With Renal Colic.
    American family physician, 2023, Volume: 107, Issue:2

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Colic; Dexamethasone; Double-Blind Method; Humans; K

2023
Comparison of stone size and response to analgesic treatment in predicting outcome of patients with renal colic.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2002, Volume: 9, Issue:2

    Topics: Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Colic; Emergency Service, Hospital; Fem

2002
Initial treatment of biliary colic: are NSAIDs better than opiates?
    WMJ : official publication of the State Medical Society of Wisconsin, 2005, Volume: 104, Issue:4

    Topics: Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Biliary Tract Diseases; Cholecystitis;

2005
The use of intravenous ketorolac for the treatment of renal colic in the emergency department.
    The American journal of emergency medicine, 1993, Volume: 11, Issue:3

    Topics: Adult; Analgesics; Colic; Emergencies; Humans; Injections, Intravenous; Ketorolac; Kidney Diseases;

1993
Analgesia in renal colic.
    Annals of emergency medicine, 1997, Volume: 29, Issue:2

    Topics: Analgesics; Analgesics, Non-Narcotic; Analgesics, Opioid; Colic; Humans; Ketorolac; Kidney Calculi;

1997
Analgesia in renal colic.
    Annals of emergency medicine, 1997, Volume: 29, Issue:2

    Topics: Acute Kidney Injury; Analgesics, Non-Narcotic; Colic; Humans; Ketorolac; Kidney Calculi; Tolmetin

1997
Analgesia in renal colic.
    Annals of emergency medicine, 1997, Volume: 29, Issue:2

    Topics: Analgesics, Non-Narcotic; Analgesics, Opioid; Colic; Drug Therapy, Combination; Humans; Ketorolac; K

1997
Use of ketorolac in renal colic.
    The Journal of the American Osteopathic Association, 1999, Volume: 99, Issue:11

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colic; Humans; Ketorolac; Kidney Diseases; Male; Middle Age

1999