Page last updated: 2024-10-29

ketorolac and Fractures, Bone

ketorolac has been researched along with Fractures, Bone in 7 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Fractures, Bone: Breaks in bones.

Research Excerpts

ExcerptRelevanceReference
"To investigate the cost effectiveness of intravenous ketorolac compared with intravenous morphine in relieving pain after blunt limb injury in an accident and emergency department."9.09Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. ( Cheung, NK; Cocks, RA; Jacobs, P; Lam, PK; Ng, YC; Rainer, TH; Tam, M; Wong, R, 2000)
"To investigate the cost effectiveness of intravenous ketorolac compared with intravenous morphine in relieving pain after blunt limb injury in an accident and emergency department."5.09Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. ( Cheung, NK; Cocks, RA; Jacobs, P; Lam, PK; Ng, YC; Rainer, TH; Tam, M; Wong, R, 2000)
"Ketorolac was better tolerated than meperidine."2.68Ketorolac versus meperidine for pain relief after orthopaedic surgery. ( Brown, J; Bynum, L; Cardea, J; Chang, YL; DeAndrade, JR; Howe, D; Maneatis, T; Maslanka, M; Rasmussen, GL; Reines, HD; Shefrin, A, 1996)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (28.57)18.2507
2000's3 (42.86)29.6817
2010's2 (28.57)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Neri, E1
Maestro, A1
Minen, F1
Montico, M1
Ronfani, L1
Zanon, D1
Favret, A1
Messi, G1
Barbi, E1
Ortiz, MI1
Monroy-Maya, R1
Soto-Ríos, M1
Carrillo-Alarcón, LC1
Ponce-Monter, HA1
Rangel-Flores, E1
Loo-Estrada, JJ1
Izquierdo-Vega, JA1
Sánchez-Gutiérrez, M1
Gerstenfeld, LC1
Al-Ghawas, M1
Alkhiary, YM1
Cullinane, DM1
Krall, EA1
Fitch, JL1
Webb, EG1
Thiede, MA1
Einhorn, TA1
Eipe, N1
Kay, J1
DeAndrade, JR1
Maslanka, M1
Reines, HD1
Howe, D1
Rasmussen, GL1
Cardea, J1
Brown, J1
Bynum, L1
Shefrin, A1
Chang, YL1
Maneatis, T1
Pierce, MC1
Fuchs, S1
Rainer, TH1
Jacobs, P1
Ng, YC1
Cheung, NK1
Tam, M1
Lam, PK1
Wong, R1
Cocks, RA1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized Controlled Trial on Effectiveness of Ketorolac and Tramadol in Not Compound Fractures of Child[NCT00560443]Phase 4133 participants (Actual)Interventional2008-02-29Completed
Prospective, Randomized, Allocation-Concealed, Blinded Study Designed to Compare Ketorolac Sublingual and Fentanyl Intranasal in Pain Control for Bilateral Myringotomy and Tubes (BMT) Placement in Children[NCT02653742]Phase 4150 participants (Anticipated)Interventional2015-05-31Recruiting
A Randomized, Double-blinded, Placebo-controlled Study of Ketorolac Use in Pediatric Patients Undergoing Tonsillectomy[NCT03453541]Phase 4600 participants (Anticipated)Interventional2017-11-21Recruiting
Effectiveness of Corticosteroid vs Ketorolac Shoulder Injections: a Prospective Double-Blinded Randomized Trial[NCT04895280]Phase 4400 participants (Anticipated)Interventional2024-04-30Not yet recruiting
Effectiveness of Corticosteroid vs. Ketorolac Shoulder Injections: A Prospective Double-Blinded Randomized Trial[NCT04115644]Phase 482 participants (Actual)Interventional2017-05-01Terminated (stopped due to Covid-19 and we failed to submit annual report for 2017 and 2018)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Visual Analog Scale

Pain as measured by the Visual Analog Scale after first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - immediately after the injection

Interventionscore on a scale (Mean)
Group 1 (Control)3.197
Group 2 (Ketorolac)3.577
Group 3 (Kenalog)3.677

Visual Analog Scale

Pain as measured by the Visual Analog Scale prior to first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - pre-injection

Interventionscore on a scale (Mean)
Group 1 (Control)5.77
Group 2 (Ketorolac)4.57
Group 3 (Kenalog)4.67

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Day 2

Interventionscore on a scale (Mean)
Group 1 (Control)2.347
Group 2 (Ketorolac)2.837
Group 3 (Kenalog)2.67

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 1

Interventionscore on a scale (Mean)
Group 1 (Control)3.397
Group 2 (Ketorolac)3.7
Group 3 (Kenalog)3.257

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 12

Interventionscore on a scale (Mean)
Group 1 (Control)3.447
Group 2 (Ketorolac)1.417
Group 3 (Kenalog)2.027

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 2

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.57

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 4

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.317

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 6

Interventionscore on a scale (Mean)
Group 1 (Control)3.357
Group 2 (Ketorolac)2.757
Group 3 (Kenalog)2.687

Trials

5 trials available for ketorolac and Fractures, Bone

ArticleYear
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Sublingual ketorolac versus sublingual tramadol for moderate to severe post-traumatic bone pain in children: a double-blind, randomised, controlled trial.
    Archives of disease in childhood, 2013, Volume: 98, Issue:9

    Topics: Administration, Sublingual; Adolescent; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal;

2013
Effectiveness of diclofenac, ketorolac and etoricoxib in the treatment of acute pain from ankle fracture.
    Proceedings of the Western Pharmacology Society, 2010, Volume: 53

    Topics: Acute Pain; Adult; Ankle Injuries; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind

2010
Ketorolac versus meperidine for pain relief after orthopaedic surgery.
    Clinical orthopaedics and related research, 1996, Issue:325

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Analgesics, Opioid; Double-Bli

1996
Evaluation of ketorolac in children with forearm fractures.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 1997, Volume: 4, Issue:1

    Topics: Adolescent; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Child; Child, Prescho

1997
Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial.
    BMJ (Clinical research ed.), 2000, Nov-18, Volume: 321, Issue:7271

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Cost-Benefit A

2000

Other Studies

2 other studies available for ketorolac and Fractures, Bone

ArticleYear
Selective and nonselective cyclooxygenase-2 inhibitors and experimental fracture-healing. Reversibility of effects after short-term treatment.
    The Journal of bone and joint surgery. American volume, 2007, Volume: 89, Issue:1

    Topics: Animals; Biomechanical Phenomena; Bony Callus; Cyclooxygenase 2 Inhibitors; Cyclooxygenase Inhibitor

2007
Selective and nonselective cyclooxygenase-2 inhibitors and experimental fracture-healing. Reversibility of effects after short-term treatment.
    The Journal of bone and joint surgery. American volume, 2007, Volume: 89, Issue:1

    Topics: Animals; Biomechanical Phenomena; Bony Callus; Cyclooxygenase 2 Inhibitors; Cyclooxygenase Inhibitor

2007
Selective and nonselective cyclooxygenase-2 inhibitors and experimental fracture-healing. Reversibility of effects after short-term treatment.
    The Journal of bone and joint surgery. American volume, 2007, Volume: 89, Issue:1

    Topics: Animals; Biomechanical Phenomena; Bony Callus; Cyclooxygenase 2 Inhibitors; Cyclooxygenase Inhibitor

2007
Selective and nonselective cyclooxygenase-2 inhibitors and experimental fracture-healing. Reversibility of effects after short-term treatment.
    The Journal of bone and joint surgery. American volume, 2007, Volume: 89, Issue:1

    Topics: Animals; Biomechanical Phenomena; Bony Callus; Cyclooxygenase 2 Inhibitors; Cyclooxygenase Inhibitor

2007
Spontaneously breathing technique for opioid tolerance.
    Acta anaesthesiologica Scandinavica, 2008, Volume: 52, Issue:4

    Topics: Adult; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Inhalation; Anti-Inflammatory

2008