Page last updated: 2024-10-30

ketorolac and Recrudescence

ketorolac has been researched along with Recrudescence in 9 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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
"A single administration of 30 mg of ketorolac tromethamine before surgery does not increase disease-free survival in high risk breast cancer patients."9.30Intraoperative ketorolac in high-risk breast cancer patients. A prospective, randomized, placebo-controlled clinical trial. ( Berliere, M; Bouche, G; Coulie, PG; De Kock, M; Decloedt, J; Dekleermaker, A; Duhoux, FP; Forget, P; Guillaume, JE; Ledent, M; Machiels, JP; Mustin, V; Swinnen, W; van Maanen, A; Vander Essen, L; Verougstraete, JC, 2019)
"We compare metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, with ketorolac 30 mg intravenously in adults with tension-type headache and all nonmigraine, noncluster recurrent headaches."9.17A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches. ( Adewunmi, V; Bijur, PE; Campbell, C; Esses, D; Friedman, BW; Gallagher, EJ; Solorzano, C, 2013)
"We sought to determine the effect of ketorolac on pediatric primary spontaneous pneumothorax recurrence after operation."7.88The use of perioperative ketorolac in the surgical treatment of pediatric spontaneous pneumothorax. ( Cairo, SB; Dorman, RM; Rothstein, DH; Vali, K; Ventro, G, 2018)
"Despite the intrinsic antiinflammatory properties of ketorolac, our data suggests that its use for patients undergoing pleurodesis for spontaneous pneumothorax does not detrimentally influence the outcomes of surgery."7.81Ketorolac does not reduce effectiveness of pleurodesis in pediatric patients with spontaneous pneumothorax. ( Bickler, SW; Davenport, KP; Fairbanks, T; Grabowski, J; Kling, K; Langness, S; Lizardo, RE, 2015)
"A single administration of 30 mg of ketorolac tromethamine before surgery does not increase disease-free survival in high risk breast cancer patients."5.30Intraoperative ketorolac in high-risk breast cancer patients. A prospective, randomized, placebo-controlled clinical trial. ( Berliere, M; Bouche, G; Coulie, PG; De Kock, M; Decloedt, J; Dekleermaker, A; Duhoux, FP; Forget, P; Guillaume, JE; Ledent, M; Machiels, JP; Mustin, V; Swinnen, W; van Maanen, A; Vander Essen, L; Verougstraete, JC, 2019)
"We compare metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, with ketorolac 30 mg intravenously in adults with tension-type headache and all nonmigraine, noncluster recurrent headaches."5.17A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches. ( Adewunmi, V; Bijur, PE; Campbell, C; Esses, D; Friedman, BW; Gallagher, EJ; Solorzano, C, 2013)
"We sought to determine the effect of ketorolac on pediatric primary spontaneous pneumothorax recurrence after operation."3.88The use of perioperative ketorolac in the surgical treatment of pediatric spontaneous pneumothorax. ( Cairo, SB; Dorman, RM; Rothstein, DH; Vali, K; Ventro, G, 2018)
"Despite the intrinsic antiinflammatory properties of ketorolac, our data suggests that its use for patients undergoing pleurodesis for spontaneous pneumothorax does not detrimentally influence the outcomes of surgery."3.81Ketorolac does not reduce effectiveness of pleurodesis in pediatric patients with spontaneous pneumothorax. ( Bickler, SW; Davenport, KP; Fairbanks, T; Grabowski, J; Kling, K; Langness, S; Lizardo, RE, 2015)
"Most relapses in breast cancer are in the early category."2.49Reduction of breast cancer relapses with perioperative non-steroidal anti-inflammatory drugs: new findings and a review. ( Baum, M; De Kock, M; Demicheli, R; Forget, P; Gukas, I; Hrushesky, WJ; Retsky, M; Rogers, RA; Sukhatme, V; Vaidya, JS, 2013)
"A mouse model of endometriosis recurrence caused by spillage and dissemination was first established using 24 female Balb/c mice."1.62Preoperative and perioperative intervention reduces the risk of recurrence of endometriosis in mice caused by either incomplete excision or spillage and dissemination. ( Chen, Y; Guo, SW; Liu, X, 2021)
"The presence of lymphedema is likely the predisposing factor for development of recurrent infections in such patients."1.35Recurrent cellulitis in a case of Aagenaes syndrome. ( Dang, S; Davies, D; Sigal, Y, 2009)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (22.22)29.6817
2010's6 (66.67)24.3611
2020's1 (11.11)2.80

Authors

AuthorsStudies
Forget, P2
Bouche, G1
Duhoux, FP1
Coulie, PG1
Decloedt, J1
Dekleermaker, A1
Guillaume, JE1
Ledent, M1
Machiels, JP1
Mustin, V1
Swinnen, W1
van Maanen, A1
Vander Essen, L1
Verougstraete, JC1
De Kock, M2
Berliere, M1
Chen, Y1
Liu, X1
Guo, SW1
Dorman, RM1
Ventro, G1
Cairo, SB1
Vali, K1
Rothstein, DH1
Friedman, BW1
Adewunmi, V1
Campbell, C1
Solorzano, C1
Esses, D1
Bijur, PE1
Gallagher, EJ1
Retsky, M1
Demicheli, R1
Hrushesky, WJ1
Gukas, I1
Rogers, RA1
Baum, M1
Sukhatme, V1
Vaidya, JS1
Lizardo, RE1
Langness, S1
Davenport, KP1
Kling, K1
Fairbanks, T1
Bickler, SW1
Grabowski, J1
Dang, S1
Sigal, Y1
Davies, D1
Kurz, PA1
Kurz, DE1
Chong, CF1
Yang, D1
Pham, TQ1
Liu, H1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Perioperative Ketorolac in High Risk Breast Cancer Patients With and Without Inflammation. A Prospective Randomized Placebo-controlled Trial.[NCT01806259]Phase 3203 participants (Actual)Interventional2013-02-28Completed
An RCT of Metoclopramide/Diphenhydramine vs. Ketorolac Alone for Tension-type Headache[NCT01011673]Phase 4123 participants (Actual)Interventional2009-11-30Completed
The Check Trial: A Comparison of Headache Treatment in the ED: Compazine Versus Ketamine. A Multi-Center, Randomized Double-Blind, Clinical Control Trial.[NCT02657031]Phase 454 participants (Actual)Interventional2016-03-17Completed
A Randomized Double-blind Comparative Efficacy Trial of IV Acetaminophen Versus IV Ketorolac for Emergency Department Treatment of Generalized Headache[NCT03472872]Phase 4500 participants (Actual)Interventional2017-09-05Terminated (stopped due to no longer recruiting or studying)
Intravenous Fluids in Benign Headaches Trail: A Randomized Single Blind Clinical Trial[NCT03185130]Phase 458 participants (Actual)Interventional2017-05-16Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Overall Survival

2 years for the primary analysis + 3 additional years for secondary analysis (From date of randomization until the date of death from any cause assessed up to 5 years) (NCT01806259)
Timeframe: 5 years

InterventionParticipants (Count of Participants)
Ketorolac 30 mg93
NaCl 0.9% 3mL105

Recurrence-free Survival

2 years for the primary analysis + 3 additional years for secondary analysis (From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years) (NCT01806259)
Timeframe: 5 years

InterventionParticipants (Count of Participants)
Ketorolac 30 mg80
NaCl 0.9% 3mL96

Change in Pain Score

At baseline at at 60 minutes, all patients were asked to describe their pain on a scale from 0 to 10, with 0 representing no pain and 10 the worst imaginable. The primary outcome is the 60 minute score subtracted from the baseline score (NCT01011673)
Timeframe: Baseline, 60 minutes

Interventionunits on a scale (Mean)
Ketorolac3.8
Metoclopramide5.1

Satisfaction Scores

"24 hours after the emergency department visit, patients were asked, The next time you come to the Er with this type of headache, do you want to receive the same medication? Affirmative answers are tabulated here." (NCT01011673)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketorolac45
Metoclopramide53

Anxiety

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum anxiety. A change of 0 mm corresponds to no change in anxiety level, and a negative value indicates worsening of the anxiety after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm33.7
Study Arm21.2

Headache Following Intervention

Reduction in 100 mm Visual Analog Scale (VAS) Score. Positive values represent a reduction in headache severity. The maximum possible change in VAS score is 100 mm, representing the complete relief of a maximally severe headache. A change of 0 mm corresponds to no change in headache severity, and a negative value indicates worsening of the headache after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm63.5
Study Arm43.5

Nausea

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum nausea. A change of 0 mm corresponds to no change in nausea level, and a negative value indicates worsening of the nausea after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm38.9
Study Arm22.9

The Number of Participants Experiencing Vomiting

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm2
Study Arm3

The Number of Patients Experiencing Restlessness

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm3
Study Arm3

Reviews

1 review available for ketorolac and Recrudescence

ArticleYear
Reduction of breast cancer relapses with perioperative non-steroidal anti-inflammatory drugs: new findings and a review.
    Current medicinal chemistry, 2013, Volume: 20, Issue:33

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Breast Neoplasms; Computer Simulation; Disease-Free Surviva

2013

Trials

2 trials available for ketorolac and Recrudescence

ArticleYear
Intraoperative ketorolac in high-risk breast cancer patients. A prospective, randomized, placebo-controlled clinical trial.
    PloS one, 2019, Volume: 14, Issue:12

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Belgium; Breast Neoplasms;

2019
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013

Other Studies

6 other studies available for ketorolac and Recrudescence

ArticleYear
Preoperative and perioperative intervention reduces the risk of recurrence of endometriosis in mice caused by either incomplete excision or spillage and dissemination.
    Reproductive biomedicine online, 2021, Volume: 43, Issue:3

    Topics: Animals; Aprepitant; Cell Proliferation; Combined Modality Therapy; Disease Models, Animal; Diterpen

2021
The use of perioperative ketorolac in the surgical treatment of pediatric spontaneous pneumothorax.
    Journal of pediatric surgery, 2018, Volume: 53, Issue:3

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Child; Female; Follow-Up Studies; Humans; Ketor

2018
Ketorolac does not reduce effectiveness of pleurodesis in pediatric patients with spontaneous pneumothorax.
    Journal of pediatric surgery, 2015, Volume: 50, Issue:12

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Child; Combined Modality Therapy; Female; Human

2015
Recurrent cellulitis in a case of Aagenaes syndrome.
    Clinical pediatrics, 2009, Volume: 48, Issue:8

    Topics: Acetamides; Adolescent; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Cellulitis;

2009
Macular hole closure and visual improvement with topical nonsteroidal treatment.
    Archives of ophthalmology (Chicago, Ill. : 1960), 2009, Volume: 127, Issue:12

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Humans; Ketorolac; Male; Middle Ag

2009
A novel treatment of central serous chorioretinopathy with topical anti-inflammatory therapy.
    BMJ case reports, 2012, Sep-03, Volume: 2012

    Topics: Anti-Inflammatory Agents; Central Serous Chorioretinopathy; Dexamethasone; Dose-Response Relationshi

2012