Page last updated: 2024-10-29

ketorolac and Kidney Diseases

ketorolac has been researched along with Kidney Diseases in 13 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Kidney Diseases: Pathological processes of the KIDNEY or its component tissues.

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, which may cause renal vasoconstriction by cyclooxygenase inhibition, is often administered to patients anesthetized with sevoflurane that is metabolized to inorganic fluoride (F(-)), another potential nephrotoxin."2.70Ketorolac is not nephrotoxic in connection with sevoflurane anesthesia in patients undergoing breast surgery. ( Eriksson, H; Koivusalo, AM; Laisalmi, M; Lindgren, L; Pere, P; Rosenberg, P, 2001)
" 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)
"Ketorolac proved safe for short-term intravenous use in children more than 1 year of age when patients with known contraindications to the use of non-steroidal antiinflammatory drugs were excluded."1.29Safety of intravenous ketorolac therapy in children and cost savings with a unit dosing system. ( Berde, CB; Houck, CS; McDermott, JS; Sethna, NF; Wilder, RT, 1996)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's9 (69.23)18.2507
2000's4 (30.77)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Prina, LD1
Rancatore, E1
Secic, M1
Weber, RE1
Bertolotto, M1
Quaia, E1
Gasparini, C1
Calderan, L1
Pozzi Mucelli, R1
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
Houck, CS1
Wilder, RT1
McDermott, JS1
Sethna, NF1
Berde, CB1
Stein, A1
Ben Dov, D1
Finkel, B1
Mecz, Y1
Kitzes, R1
Lurie, A1
Bergus, GR1
Cohen, E1
Hafner, R1
Rotenberg, Z1
Fadilla, M1
Garty, M1
Nicolás Torralba, JA1
Rigabert Montiel, M1
Bañón Pérez, V1
Valdelvira Nadal, P1
Pérez Albacete, M1
Di Trolio, RN1
Sing, RF1
Bates, GM1
Laisalmi, M1
Eriksson, H1
Koivusalo, AM1
Pere, P1
Rosenberg, P1
Lindgren, L1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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 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

9 trials available for ketorolac and Kidney Diseases

ArticleYear
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
[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
Ketorolac is not nephrotoxic in connection with sevoflurane anesthesia in patients undergoing breast surgery.
    Anesthesia and analgesia, 2001, Volume: 92, Issue:4

    Topics: Acetylglucosaminidase; Adult; Anesthetics, Inhalation; Anti-Inflammatory Agents, Non-Steroidal; Biom

2001

Other Studies

4 other studies available for ketorolac and Kidney Diseases

ArticleYear
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
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
Safety of intravenous ketorolac therapy in children and cost savings with a unit dosing system.
    The Journal of pediatrics, 1996, Volume: 129, Issue:2

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

1996
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