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Ketorolac Tromethamine 10 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Ketorolac Tromethamine

Description: Ketorolac Tromethamine 10 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable alternative for patients who have difficulty swallowing pills or tablets. This formulation is particularly beneficial for pediatric and geriatric patients or those with dysphagia. The liquid form ensures accurate dosing of Ketorolac Tromethamine, a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used for the short-term management of moderate to severe acute pain that requires analgesia at the opioid level. It is also employed to alleviate pain associated with various conditions such as postoperative pain, dental pain, and musculoskeletal disorders.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Ketorolac Tromethamine
Oral Liquid
65b049e0a55bb92ca58dd538
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Ketorolac Tromethamine 10 mg/ml Oral Liquid is a nonsteroidal anti-inflammatory drug (NSAID) specifically compounded for oral administration. This liquid formulation is designed to provide pain relief for various conditions, including acute pain that requires analgesia at the opioid level, typically in a postoperative setting, and for the short-term management of moderate to severe pain. The 10 mg/ml concentration allows for precise dosing tailored to the individual patient's needs and is particularly beneficial for those who have difficulty swallowing pills, such as pediatric and geriatric patients, or for those with dysphagia.

The mechanism of action of Ketorolac Tromethamine involves the inhibition of cyclooxygenase (COX) enzymes, which play a key role in the synthesis of prostaglandins. By reducing the production of these compounds, Ketorolac decreases inflammation, pain, and fever. However, it is important to note that, like other NSAIDs, Ketorolac can be associated with gastrointestinal, renal, and cardiovascular risks. Therefore, it should be used at the lowest effective dose for the shortest duration possible to minimize potential adverse effects.

Patients and prescribers should be aware that Ketorolac Tromethamine Oral Liquid is intended for short-term use only, typically not exceeding five days in adults. It is not indicated for minor or chronic painful conditions. Monitoring for signs of gastrointestinal bleeding, renal impairment, and hypersensitivity reactions is essential during treatment. This formulation is contraindicated in patients with active peptic ulcers, recent gastrointestinal bleeding or perforation, and in patients with a history of hypersensitivity to NSAIDs. It should also be used with caution in patients with a history of cardiovascular disease or risk factors for such conditions.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Ketorolac Tromethamine 10 mg/ml Oral Liquid is prepared to the highest standards of quality and consistency. We provide detailed dosing instructions and storage requirements to ensure optimal efficacy and safety of the medication. For any questions regarding this formulation, its appropriate use, or potential side effects, please do not hesitate to reach out to us.

Drug Interactions

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Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) that works by blocking the production of certain natural substances in your body that cause inflammation. This medication is used for the short-term treatment of moderate to severe pain in adults. It is important to note that this medication is not intended for long-term use or for treating chronic conditions such as arthritis.

When considering the use of Ketorolac Tromethamine 10 mg/ml Oral Liquid, it is crucial to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Ketorolac can interact with several types of medications, including but not limited to other NSAIDs (such as ibuprofen, naproxen), blood thinners (anticoagulants like warfarin, heparin), antiplatelet drugs (such as clopidogrel), corticosteroids (e.g., prednisone), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and diuretics (such as furosemide).

Concomitant use of ketorolac with other NSAIDs or corticosteroids can increase the risk of gastrointestinal bleeding and ulcers. When taken with anticoagulants or antiplatelet drugs, there is an elevated risk of bleeding complications. SSRIs and SNRIs, when used with ketorolac, may also enhance the risk of gastrointestinal bleeding. Additionally, ketorolac can reduce the effectiveness of diuretics and antihypertensive drugs. It can also increase the nephrotoxicity of certain drugs like cyclosporine and tacrolimus, which are used in transplant patients.

Patients with certain medical conditions should exercise caution when using ketorolac. For example, those with a history of peptic ulcers or gastrointestinal bleeding, renal impairment, or a known hypersensitivity to NSAIDs should avoid this medication. It is also contraindicated in patients with advanced renal disease and in those at risk for renal failure due to volume depletion. Furthermore, ketorolac should not be used for peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery.

It is essential for patients to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins, to avoid potential drug interactions. Healthcare providers should monitor for signs of gastrointestinal bleeding, renal dysfunction, and other potential adverse effects associated with ketorolac use. Dosing adjustments may be necessary when used in combination with other medications that can alter its metabolism or excretion.

For any questions or concerns regarding the use of Ketorolac Tromethamine 10 mg/ml Oral Liquid, or to report any adverse events or suspected drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest level of care and is available to assist with any inquiries you may have.

How Does it Work

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Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the body's production of substances that cause inflammation, pain, and fever. When formulated as a 10 mg/ml oral liquid, it provides a convenient alternative for patients who may have difficulty swallowing pills or tablets, such as children, the elderly, or those with dysphagia. This liquid formulation ensures that the medication can be accurately measured and administered, offering a precise dose each time it is used.

The mechanism of action of Ketorolac Tromethamine involves blocking the enzyme cyclooxygenase (COX), which is essential in the biosynthesis of prostaglandins. Prostaglandins are lipid compounds that are derived enzymatically from fatty acids and have important functions in the body, including mediating inflammation and pain. By inhibiting COX, Ketorolac Tromethamine reduces the levels of prostaglandins, leading to decreased inflammation and pain relief.

The oral liquid formulation should be used with caution, and it is generally recommended for a maximum duration of 5 days in adults. Patients with certain medical conditions, such as peptic ulcer disease, recent gastrointestinal bleeding or perforation, or a history of kidney disease, should avoid using this medication.

For prescribers, it is crucial to consider the patient's overall health status, including their history of cardiovascular disease, gastrointestinal risk, and renal function, before prescribing Ketorolac Tromethamine. Additionally, the oral liquid formulation allows for flexible dosing, which can be particularly beneficial in pediatric and geriatric patients where dose adjustments are often necessary.

Patients and prescribers who are interested in using this Ketorolac Tromethamine 10 mg/ml oral liquid formulation are encouraged to reach out to us at Bayview Pharmacy with any questions or concerns. Our team of compounding pharmacists is available to provide further information and guidance to ensure safe and appropriate use of this medication.

Frequently Asked Questions

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What is Ketorolac Tromethamine 10 mg/ml Oral Liquid used for?

Ketorolac Tromethamine Oral Liquid is used for the short-term management of moderate to severe pain that requires analgesia at the opioid level. It is typically prescribed for use after surgeries or other medical procedures.

How should Ketorolac Tromethamine Oral Liquid be taken?

This medication should be taken exactly as prescribed by your healthcare provider. The liquid formulation should be measured with an appropriate measuring device to ensure the correct dose is administered. It can be taken with or without food.

Why has my doctor prescribed the liquid form of Ketorolac Tromethamine?

Your doctor may have prescribed the liquid form because it is easier to ingest, especially if you have difficulty swallowing pills or tablets. It is also beneficial for dosing flexibility, for precise titration, and is suitable for patients who require a palatable dosage form, such as pediatric and geriatric patients.

Is Ketorolac Tromethamine Oral Liquid suitable for children?

While the liquid formulation can be suitable for children, it should be used with caution and strictly under medical supervision due to the risk of adverse effects. Dosage and duration of therapy for pediatric patients must be carefully determined by a healthcare provider.

Can I use Ketorolac Tromethamine Oral Liquid if I have kidney problems?

Ketorolac Tromethamine can affect kidney function and might not be suitable if you suffer from kidney problems. It is important to inform your healthcare provider of any kidney issues before starting this medication.

What are the side effects of taking Ketorolac Tromethamine Oral Liquid?

Common side effects include gastrointestinal issues such as nausea, vomiting, and gastrointestinal bleeding, as well as dizziness, headaches, and edema. If you notice any severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can Ketorolac Tromethamine Oral Liquid be taken with other medications?

Some medications may interact with Ketorolac Tromethamine, so it is important to inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs and supplements, to avoid potential interactions.

How should Ketorolac Tromethamine Oral Liquid be stored?

Store this medication at room temperature, away from direct light and heat. Keep the bottle tightly closed and out of reach of children and pets.

Can I drink alcohol while taking Ketorolac Tromethamine Oral Liquid?

It is advised to avoid alcohol while taking Ketorolac Tromethamine, as it can increase the risk of stomach bleeding and may intensify certain side effects such as dizziness or drowsiness.

How long can I take Ketorolac Tromethamine Oral Liquid?

Ketorolac Tromethamine is intended for short-term use only, typically not exceeding 5 days due to the potential for serious adverse effects with prolonged use. Follow your healthcare provider's instructions regarding the duration of treatment.

What should I do if I miss a dose of Ketorolac Tromethamine Oral Liquid?

If you miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Ketorolac Tromethamine 10 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Every 6 hours as needed