Page last updated: 2024-10-29

ketorolac and Nausea

ketorolac has been researched along with Nausea in 21 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Nausea: An unpleasant sensation in the stomach usually accompanied by the urge to vomit. Common causes are early pregnancy, sea and motion sickness, emotional stress, intense pain, food poisoning, and various enteroviruses.

Research Excerpts

ExcerptRelevanceReference
" This study has attempted to assess postoperative analgesic consumption and nausea and vomiting after general anaesthesia for tonsillectomy using either paracetamol premedication, paracetamol plus a NSAID or intravenous morphine to provide postoperative analgesia."9.08Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques. ( Mather, SJ; Peutrell, JM, 1995)
"To determine whether postoperative pain and nausea after laparoscopic sterilization can be reduced with a combination of bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning."9.08Reduction of pain and nausea after laparoscopic sterilization with bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning. ( Bradford, TH; Meeks, GR; Norman, PF; Robertson, K, 1995)
" ketorolac and morphine in paediatric outpatients undergoing strabismus surgery."9.07Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery. ( Lewis, IH; Munro, HM; Reynolds, PI; Riegger, LQ; Wilton, NC, 1994)
" Compared to other active drugs, it only showed a lower significant effect compared with granisetron regarding headache change while it showed significantly higher effects only with placebo in both rescue medication needs and headache-free symptoms and valproate in only rescue medication need."5.41The efficacy and safety of metoclopramide in relieving acute migraine attacks compared with other anti-migraine drugs: a systematic review and network meta-analysis of randomized controlled trials. ( Abd-ElGawad, M; Abdelhay, HM; Abdelmonem, H; Abdelwadoud, GT; Ahmed, AE; Al-Dardery, NM; Alhosini, ANM; Kamel, MA; Mohamed, SW, 2023)
" Secondary measures were morphine usage in the first 8 and 24h postoperatively, numeric rating scores (NRS) up to 24h, sedation, nausea, vomiting, respiratory depression, pruritus and bleeding complications."5.24Intraoperative ketorolac dose of 15mg versus the standard 30mg on early postoperative pain after spine surgery: A randomized, blinded, non-inferiority trial. ( Davis, M; De Guzman, C; Duttchen, KM; Lo, A; McLuckie, D; Roman-Smith, H; Walker, A, 2017)
" This study has attempted to assess postoperative analgesic consumption and nausea and vomiting after general anaesthesia for tonsillectomy using either paracetamol premedication, paracetamol plus a NSAID or intravenous morphine to provide postoperative analgesia."5.08Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques. ( Mather, SJ; Peutrell, JM, 1995)
"To determine whether postoperative pain and nausea after laparoscopic sterilization can be reduced with a combination of bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning."5.08Reduction of pain and nausea after laparoscopic sterilization with bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning. ( Bradford, TH; Meeks, GR; Norman, PF; Robertson, K, 1995)
"05 mg kg(-1) +droperidol 20 microg kg(-1) was given as prophylaxis for postoperative pain and emesis, respectively."5.08Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy. ( Aasbø, V; Buanes, T; Grøgaard, B; Mjåland, O; Raeder, JC, 1998)
" ketorolac and morphine in paediatric outpatients undergoing strabismus surgery."5.07Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery. ( Lewis, IH; Munro, HM; Reynolds, PI; Riegger, LQ; Wilton, NC, 1994)
" The purpose of our investigation was to examine the intraosseous administration of a multimodal pain regimen comprised of morphine and ketorolac during total knee arthroplasty with regard to immediate and 2-week postoperative pain, opioid pain medication intake, and nausea levels."4.31A multimodal intraosseous infusion of morphine and ketorolac decreases early postoperative pain and opioid consumption following total knee arthroplasty. ( Clyburn, TA; Incavo, SJ; Lambert, BS; Laurita, J; McNamara, CA; Park, KJ; Sullivan, TC, 2023)
" For management of postoperative muscle spasm, an intravenous benzodiazepine was used (diazepam 0."3.69Pain management for children following selective dorsal rhizotomy. ( Geiduschek, JM; Haberkern, CM; Hays, RM; Jacobson, LE; McLaughlin, JF; Roberts, TS, 1994)
"In treatment of refractory migraine headache, CAMBIA® may provide similar benefits as IM ketorolac without increasing the risk of treatment failure, major bleeding, or cardiovascular events."2.94IM ketorolac vs diclofenac potassium powder for oral solution for the acute treatment of severe migraine: a randomized controlled trial. ( Cheng, J; Engel, ER, 2020)
"Poor postoperative pain control is frequently associated with complications and delayed discharge from a hospital."2.80Comparing parecoxib and ketorolac as preemptive analgesia in patients undergoing posterior lumbar spinal fusion: a prospective randomized double-blinded placebo-controlled trial. ( Cheewakidakarn, J; Nimmaanrat, S; Siribumrungwong, K; Tangtrakulwanich, B, 2015)
"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)
"Postoperative pain was assessed using a visual analogue score (VAS) on 3 separate occasions in recovery."2.67Intramuscular ketorolac for postoperative analgesia following laparoscopic sterilisation. ( Duffy, BL; Shapiro, MH, 1994)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's12 (57.14)18.2507
2000's1 (4.76)29.6817
2010's4 (19.05)24.3611
2020's4 (19.05)2.80

Authors

AuthorsStudies
Abdelmonem, H1
Abdelhay, HM1
Abdelwadoud, GT1
Alhosini, ANM1
Ahmed, AE1
Mohamed, SW1
Al-Dardery, NM1
Abd-ElGawad, M1
Kamel, MA1
McNamara, CA1
Laurita, J1
Lambert, BS1
Sullivan, TC1
Clyburn, TA1
Incavo, SJ1
Park, KJ1
Engel, ER1
Cheng, J1
Hatami, M1
Talebi, M1
Heiranizadeh, N1
Vaziribozorg, S1
Duttchen, KM1
Lo, A1
Walker, A1
McLuckie, D1
De Guzman, C1
Roman-Smith, H1
Davis, M1
Singh, SI1
Rehou, S1
Marmai, KL1
Jones, APM1
Siribumrungwong, K1
Cheewakidakarn, J1
Tangtrakulwanich, B1
Nimmaanrat, S1
Gasanova, I1
Grant, E1
Way, M1
Rosero, EB1
Joshi, GP1
Henderson, SO1
Swadron, S1
Newton, E1
Mather, SJ1
Peutrell, JM1
Watcha, MF1
White, PF1
Bradford, TH1
Robertson, K1
Norman, PF1
Meeks, GR1
Shapiro, MH1
Duffy, BL1
Munro, HM1
Riegger, LQ1
Reynolds, PI1
Wilton, NC1
Lewis, IH1
Geiduschek, JM1
Haberkern, CM1
McLaughlin, JF1
Jacobson, LE1
Hays, RM1
Roberts, TS1
Monagle, J1
Wongprasartsuk, P1
Shearer, W1
Stein, A1
Ben Dov, D1
Finkel, B1
Mecz, Y1
Kitzes, R1
Lurie, A1
Turner, GA1
Anson, N1
Williamson, R1
Reinhart, DJ1
Goldberg, ME1
Roth, JV1
Dua, R1
Nevo, I1
Klein, KW1
Torjman, M1
Vekeman, D1
Milford, MA1
Paluch, TA1
Raeder, JC1
Mjåland, O1
Aasbø, V1
Grøgaard, B1
Buanes, T1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
IM Ketorolac vs Diclofenac Potassium Powder for Oral Solution (Cambia) for the Acute Treatment of Severe Migraine[NCT02664116]Phase 440 participants (Anticipated)Interventional2016-01-31Recruiting
Effect of Low-dose Epidural Morphine Combined With Single-injection Femoral Nerve Block on Postoperative Analgesia in Patients After Total Knee Arthroplasty[NCT03203967]110 participants (Actual)Interventional2017-07-01Completed
Intravenous Versus Oral Acetaminophen for Postoperative Pain Control After Cesarean Delivery[NCT02487303]148 participants (Actual)Interventional2015-03-17Completed
Comparing the Efficacy of Parecoxib and Ketorolac as Preemptive Analgesia in Patients Undergoing Posterior Lumbar Spinal Fusion[NCT01859585]Phase 496 participants (Actual)Interventional2011-03-31Completed
Ultrasound-guided Transversus Abdominis Plane Block After Abdominal Hysterectomy: a Prospective Randomized Controlled Trial[NCT01153503]75 participants (Actual)Interventional2010-04-30Completed
Bilateral Transversus Abdominis Plane Block With or Without Magnesium for Total Abdominal Hysterectomy With or Without Salpingo-oophorectomy: a Randomized Controlled Trial[NCT02680626]Phase 486 participants (Actual)Interventional2016-01-31Terminated (stopped due to Pfannenstiel hysterectomies are now rarely performed so cannot recruit eligible patients)
Assessment of the Analgesic Efficacy of Intravenous Ibuprofen in Biliary Colic[NCT02268955]22 participants (Actual)Interventional2014-09-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cumulative Postoperative Opiate Consumption

Cumulative opiate consumption (IV morphine equivalents) (NCT02487303)
Timeframe: 24 hours

Interventionmg (Mean)
Acetaminophen Intravenous2.9
Acetaminophen Oral3.8
No Acetaminophen5.7

Time Discharge

Time patient meets discharge criteria will be recorded (NCT02487303)
Timeframe: 24 hours postoperative

Interventionhours (Mean)
Acetaminophen Intravenous48.4
Acetaminophen Oral48.6
No Acetaminophen50.5

Time to First Opiate Rescue

Time to first opiate pain medicine requested by patient (NCT02487303)
Timeframe: 48 hours

Interventionhours (Mean)
Acetaminophen Intravenous25.3
Acetaminophen Oral24.0
No Acetaminophen21.3

VAS (Visual Analog Scale)

"Visual Analog Scale (VAS) pain assessment with ambulation. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. For pain intensity, the scale is most commonly anchored by no pain (score of 0) and pain as bad as it could be or worst imaginable pain (score of 100 [100-mm scale]) ." (NCT02487303)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Acetaminophen Intravenous37.8
Acetaminophen Oral44.3
No Acetaminophen50.8

Morphine Consumption

Morphine consumption over the first 24 hours (NCT01153503)
Timeframe: 24 hours post surgery

Interventionmg (Mean)
Ketorolac 30 mg, IV + TAP Block38.4
TAP Block38.6
Ketorolac 30 mg42.6

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

Reviews

2 reviews available for ketorolac and Nausea

ArticleYear
The efficacy and safety of metoclopramide in relieving acute migraine attacks compared with other anti-migraine drugs: a systematic review and network meta-analysis of randomized controlled trials.
    BMC neurology, 2023, Jun-08, Volume: 23, Issue:1

    Topics: Chlorpromazine; Granisetron; Headache; Humans; Ketorolac; Metoclopramide; Migraine Disorders; Nausea

2023
New antiemetic drugs.
    International anesthesiology clinics, 1995,Winter, Volume: 33, Issue:1

    Topics: Ambulatory Surgical Procedures; Anesthesia, Intravenous; Anti-Inflammatory Agents, Non-Steroidal; An

1995

Trials

16 trials available for ketorolac and Nausea

ArticleYear
IM ketorolac vs diclofenac potassium powder for oral solution for the acute treatment of severe migraine: a randomized controlled trial.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020, Volume: 41, Issue:3

    Topics: Acute Disease; Administration, Oral; Adult; Cyclooxygenase Inhibitors; Diclofenac; Double-Blind Meth

2020
The Effect of Perianal Tramadol Infiltration on Postoperative Pain Following Hemorrhoidectomy.
    The American surgeon, 2022, Volume: 88, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Anesthesia, Local; Anesthetics, Local; Anti-Inflammatory Agents, No

2022
Intraoperative ketorolac dose of 15mg versus the standard 30mg on early postoperative pain after spine surgery: A randomized, blinded, non-inferiority trial.
    Journal of clinical anesthesia, 2017, Volume: 41

    Topics: Adult; Aged; Analgesics, Opioid; Cyclooxygenase Inhibitors; Dose-Response Relationship, Drug; Double

2017
The efficacy of 2 doses of epidural morphine for postcesarean delivery analgesia: a randomized noninferiority trial.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:3

    Topics: Adolescent; Adult; Analgesia, Obstetrical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroid

2013
The efficacy of 2 doses of epidural morphine for postcesarean delivery analgesia: a randomized noninferiority trial.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:3

    Topics: Adolescent; Adult; Analgesia, Obstetrical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroid

2013
The efficacy of 2 doses of epidural morphine for postcesarean delivery analgesia: a randomized noninferiority trial.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:3

    Topics: Adolescent; Adult; Analgesia, Obstetrical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroid

2013
The efficacy of 2 doses of epidural morphine for postcesarean delivery analgesia: a randomized noninferiority trial.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:3

    Topics: Adolescent; Adult; Analgesia, Obstetrical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroid

2013
Comparing parecoxib and ketorolac as preemptive analgesia in patients undergoing posterior lumbar spinal fusion: a prospective randomized double-blinded placebo-controlled trial.
    BMC musculoskeletal disorders, 2015, Mar-18, Volume: 16

    Topics: Adult; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method;

2015
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
Ultrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
    Archives of gynecology and obstetrics, 2013, Volume: 288, Issue:1

    Topics: Abdominal Muscles; Acetaminophen; Adult; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; An

2013
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
Postoperative morphine requirements, nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques.
    Paediatric anaesthesia, 1995, Volume: 5, Issue:3

    Topics: Acetaminophen; Administration, Oral; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recove

1995
Reduction of pain and nausea after laparoscopic sterilization with bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning.
    Obstetrics and gynecology, 1995, Volume: 85, Issue:5 Pt 1

    Topics: Analgesics, Non-Narcotic; Bupivacaine; Combined Modality Therapy; Female; Humans; Ketorolac; Laparos

1995
Intramuscular ketorolac for postoperative analgesia following laparoscopic sterilisation.
    Anaesthesia and intensive care, 1994, Volume: 22, Issue:1

    Topics: Adult; Analgesia; Analgesics; Analgesics, Opioid; Double-Blind Method; Female; Humans; Injections, I

1994
Comparison of the analgesic and emetic properties of ketorolac and morphine for paediatric outpatient strabismus surgery.
    British journal of anaesthesia, 1994, Volume: 72, Issue:6

    Topics: Ambulatory Surgical Procedures; Analgesics; Child; Child, Preschool; Double-Blind Method; Female; Hu

1994
Ketorolac versus fentanyl for gynaecological day-case surgery.
    The Australian & New Zealand journal of obstetrics & gynaecology, 1993, Volume: 33, Issue:4

    Topics: Adult; Ambulatory Surgical Procedures; Anesthesia; Female; Fentanyl; Genital Diseases, Female; Human

1993
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
A comparison of intramuscular ketorolac with indomethacin suppositories in the treatment of pain after oral surgery.
    Anaesthesia and intensive care, 1996, Volume: 24, Issue:6

    Topics: Adult; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Female; Humans; Indomethac

1996
Transdermal fentanyl system plus im ketorolac for the treatment of postoperative pain.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1997, Volume: 44, Issue:4

    Topics: Administration, Cutaneous; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, N

1997
Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy.
    Acta anaesthesiologica Scandinavica, 1998, Volume: 42, Issue:1

    Topics: Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Anesthesia Recovery Period; Anesthetics, D

1998

Other Studies

3 other studies available for ketorolac and Nausea

ArticleYear
A multimodal intraosseous infusion of morphine and ketorolac decreases early postoperative pain and opioid consumption following total knee arthroplasty.
    The Knee, 2023, Volume: 43

    Topics: Analgesics, Opioid; Arthroplasty, Replacement, Knee; Humans; Infusions, Intraosseous; Ketorolac; Mor

2023
Pain management for children following selective dorsal rhizotomy.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1994, Volume: 41, Issue:6

    Topics: Adolescent; Adult; Analgesia; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics; Bupiva

1994
Ambulatory laparoscopic fundoplication.
    Surgical endoscopy, 1997, Volume: 11, Issue:12

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analgesics, Opioid; Anestheti

1997