Ketoprofen (ketonal, dexalgin), naprofen (promax, nalgesin) in tablets or ampoules. Ketanov and ampoule preparations are sold according to the usual prescription, but in Ukraine you can buy without a prescription. In general, I like your "for example", in case of a fracture, the doctor himself will prescribe the necessary medicine and write out a prescription.

Source I am a pharmacist

In fact, everything is individual.

According to some reports, the effectiveness of metamizole (our analgin) exceeds all analgesics and is second only to drugs. (Maybe that's why it was banned in many countries). But then again, if we are used to eating it from childhood with spoons, then of course we need something else. Choose carefully, listening to liver enzymes 🙂

My husband, when his arm was broken, was saved only by Ketans!

yes yes ketanov och well anesthetizes!

Strong analgesics are sold by prescription, but look for a good and inexpensive drug ketorolact or ketorol.

Depending on what hurts, over-the-counter painkillers are full of contraindications. And so KETANOV or NAYZ

Drink some red wine.

your questions Lyuba are provocative, we will advise you here, and you will swallow, but in the next world, I will not take a sin on my soul.

The strongest I know is Ketorol, but you can’t drink it all the time - you get used to it and then nothing will help

How to replace ketanov?

How to replace ketanov?

The purpose of replacing the drug is not entirely clear - if it stopped helping, and you are ready to take new prescriptions at the clinic, then very effective painkillers are Pentalgin Plusquot ;, Piralginquot ;, - they all contain codeine, prescriptions for them are polyclinic luminaries discharged very reluctantly. If the reason for the replacement, just the same, rests on the lack of a prescription, you can drink the usual Pentalgin (without codeine) - however, the dose of prima will have to be increased.

Recently, neuropathologists are very fond of prescribing Lyric as a strong analgesic. The name confused me for the first time, the medicine is released only by prescription, but the drug itself is very, very virgin. Anyway, inflammation trigeminal nerve helped to survive

• baralgin, which will perfectly relieve pain of almost any nature, but about side effects this remedy, there is still no consensus, even among eminent medical scientists;

Ketanov, indeed, helps well, but if you suddenly didn’t have it or it’s impossible to get it due to the lack of a prescription, then you have to look for a replacement.

In this case, you can advise such options: Pentalginquot ;, Ketarol or Baralgin.

Yes, it is extremely difficult to buy ketans without a prescription now, so people are asking this question. There are painkillers less serious, for example, ketorol. There are completely harmless ones, such as nurofen and paracetamol.

But I don’t know what (or rather why) ketanov was considered a good painkiller, when I had a bad toothache, it’s better ketanov Pentalginquot ;, Baralgin also a powerful tool, but a substitute for Ketanov is Ketarol, until I tried it (there was no reason), but I heard from people that it is a good remedy.

This medicine is available either in tablet form or as an injection solution.

It has a strong analgesic, anti-inflammatory and at the same time antipyretic effect. It is often used in the postoperative period to relieve pain syndromes.

How to replace ketanov in its absence?

Here is a list of analogues of this drug:

Contraindicated in children under 16 years of age, pregnant and lactating women. also not used for chronic diseases. Use with caution in the elderly (over 65 years of age).

You can drink tempalgin or pentalgin, they are also anesthetics.

the analogue of ketanov is ketarol, you can also inject the same ketanov and ketaroll in tablets intramuscularly. but you know that you can't use it for more than three days - is it actually a post-operative medicine?

I drink Ketorol, they act faster than Tempalgin. There is also Ketorolac, but I have never taken it myself.

Ketanov has a very bad effect on the heart, this strong drug which many people use unnecessarily. It can often be replaced with conventional Solpadeine or ibuprofen-based drugs at a dosage of 400 mg (Imet, Mig, etc.). If you need a substitute with a similar composition, you can buy Ketorol, Ketorolac, Dolomin or Dolac.

This is actually a very strong pain reliever. They didn’t give it to me without a prescription, they prescribed it to my husband with a broken rib and to my daughter after surgery. They wrote out a prescription, however, for ketolongquot ;, but it was not there and I replaced it with ketanovquot ;. There is also ketalgin (Kharkov) and ketorol (India).

Without special need, it is better not to use such a strong painkiller, otherwise the weaker ones will not work later.

How to replace ketanov?

Ketanov is a strong pain reliever, but it has many contraindications. Analogs, such as ketorol, analgesics (pentalgin, tetragin, baralgin) differ little in their action and are not effective for severe pain. helps to get rid of pain for 12 hours. It can be taken up to 2 months without consequences for the body. There is also tebantin 300 mg. pharmacies are dispensed without a prescription (at least in Moscow I bought them without problems).

In the event that you need to replace ketanes due to side effects, lack of availability in the pharmacy, or a doctor's ban on this drug, you can purchase the following pain medications without a prescription:

• baralgin, which will perfectly relieve pain of almost any nature, however, there is still no consensus on the side effects of this remedy, even among eminent medical scientists;
• dexalgin is a fast-acting medicine for toothache, and for pain syndromes of the musculoskeletal system, but again there are a lot of side effects.
• bellastezin - tablets containing belladonna extract, a very effective remedy for pain in the gastrointestinal tract - however, they are contraindicated in many diseases.

Therefore, it is very difficult to decide what to replace the Ketans with. And before using an unknown medicine, be sure to read its detailed instructions.

Over-the-counter analogues of Ketanov tablets

Non-steroidal anti-inflammatory drugs have been the leaders in sales in the pharmacy chains of the world for several years, which is quite natural. The drugs in this group are the widest range use, effective and relatively inexpensive.

The drug Ketanov (ketorolac) is one of the most popular when prescribed to patients, but since recently, this medicine has been dispensed in Russian pharmacies only by prescription. Below, analogues of Ketanov's tablets and options for replacing it with over-the-counter drugs will be described in detail.

Instructions for use

The active substance, ketorolac, belongs to non-steroidal anti-inflammatory drugs (NSAIDs). It is available both in tablet form and as a solution for injection.

It has an anti-inflammatory and pronounced analgesic effect due to the blocking of mediators (substances - mediators) of inflammation.

The result is a decrease in pain, swelling and hyperemia of the affected area of ​​the patient's body.

Indicated for use in pain syndromes of various origins, including after surgery and in cancer patients.

The price of this medicine: tablets - from 70, packaging of ampoules - from 110 rubles.

Drug analogues

In Russian pharmacies, there are many cheap analogues of Ketanov different shapes use. Tablet preparations - Ketorol, Ketorolac (several types of domestic manufacturers and the Belarusian plant "Belmedpreparaty"), Ketocam, Ketofril. They have the same indications for use and a standard dosage of 10 mg. The price starts from 50 rubles per pack.

V injection forms there is also diversity. Ketorolac in ampoules is available for purchase under the trade names Ketorol, Ketorolac, Dolac. A package of 10 ampoules costs from 85 rubles.

For outdoor use under trade name Ketorol gel (Doctor Reddis). The price of a tube of ointment is about 230 rubles.

In the shape of eye drops There is a drug called Akyular. Used by ophthalmologists in the postoperative period in patients. The price is 350 rubles.

What to replace?

It is not always possible to quickly write a prescription for Ketanov from a doctor. The way out of this situation is to replace it with another medicine from its group, which is allowed to be dispensed from pharmacies without a prescription.

Ibuprofen

Properties: NSAIDs for a wide range of purposes. In addition to anesthesia, it has a pronounced antipyretic effect. Effective as a substitute for Ketanov, helping with pain after dental treatment.

Indications for use: pain of various localization, postoperative period, hyperthermic syndrome (increased body temperature).

Release form: in the form of gels (Ibuprofen Gel, Deep Relief), cream (Dolgit), tablets (Ibufen, MIG 200, MIG 400 and others), as well as in the form of suspensions for children (Maxicold, Ibuprofen - Akrikhin).

The price range is very large, the most inexpensive ones are Russian-made.

Naproxen

By properties, this replacement is similar to Ketanov and Ibuprofen described above. Used in rheumatology, neurology for the relief of prolonged pain, helps with algomenorrhea.

Available for purchase in the form of tablets (Naproxen-Akri, Nalgezin), also included in the combined analgesics (Pentalgin).

There are also gels and ointments (Naproxen, Naproxen EMO). Prices for tablet forms start at 100 rubles, a tube of gel will cost the buyer about twice as much.

Analgin, aspirin, paracetamol

It is necessary to mention these drugs, which belong to the category of NSAIDs. It should be remembered that they have a less pronounced anti-inflammatory and analgesic effect compared to Ketanov. However, they are widely sold without a prescription, which makes them more accessible to the layman.

Combined drugs

They have a fast and pronounced analgesic effect due to the combination of various components that enhance each other's action. Common brands:

1. Spasmalgon is a combination of an antispasmodic (fenpiverinium bromide), analgin and pitophenone (NSAIDs). It is effective for headache, toothache, and also for algomenorrhea. Price - 120 Russian rubles for a pack of 10 tablets.
2. Novalgin - as part of caffeine (a stimulator of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated temperature body, stops articular and headache. The cost is about 170 rubles.
3. Novigan is an Indian drug. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). It is widely prescribed for headaches, arthralgia, after injuries. Relieves pain syndrome renal colic, dysmenorrhea. The price of a unit of goods is about 160 rubles.

What needs to be remembered?

The remedies described above have an extensive list of contraindications Please read the instructions carefully before taking. The most common for NSAIDs:

• erosive lesions of the esophagus, stomach and intestines;
• the presence of bleeding from the gastrointestinal tract in the patient's history;
• severe forms coronary disease heart (acute and chronic insufficiency, myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have a proven cardiotoxic effect;
• bronchial asthma (especially in the presence of the “aspirin form”);
• pregnancy and early postpartum period;
• severe impairment of kidney and liver function (terminal stages of chronic kidney failure, cirrhosis of the liver);
• administration is not recommended in any condition accompanied by a risk of bleeding (perioperative period, taking anticoagulants).
• not assigned to childhood(exceptions are some forms of paracetamol and ibuprofen, used to reduce body temperature in children from the first days of life).

Side effects

More often, undesirable manifestations from Ketanov and other non-steroidal anti-inflammatory drugs occur with prolonged and uncontrolled use.

• Acute erosion of the stomach and intestines, leading to bleeding and anemia of varying severity. This complication can be avoided by taking drugs that protect the mucosa of the gastrointestinal tract (omeprazole, ranitidine and others);
• exacerbation of gastritis, peptic ulcer in a patient;
• Diarrhea;
• Nausea and vomiting;
• Raise blood pressure in patients with hypertension (doses of antihypertensive drugs often require adjustment);
• NSAIDs disrupt blood clotting, which threatens the appearance of subcutaneous hematomas, petechiae.

Before you start taking any drug of this series, carefully read the instructions, focusing on contraindications and side effects. It is also recommended to discuss the possibility of treatment with a specialist. In this case, it will be possible to help the body without harm.

Ketanov - analogues

Sometimes the pain is so severe that even the biggest fan of non-drug treatments can't cope with it on their own. Ketanov and its analogues are considered the most powerful painkillers. The principle of action of these drugs is similar to other painkillers. But the use of Ketanov provides a more powerful and operational effect.

Indications and contraindications for the use of Ketanov and its analogues

Ketanov is produced on the basis of pyrrolysine-carboxylic acid. The main active ingredients of the drug, entering the body, prevent the formation of inflammatory enzymes and facilitate the patient's well-being.

Ketanov is prescribed for particularly severe pains of various origins, which other analgesics and anti-inflammatory drugs cannot cope with.

It is necessary to take Ketanov tablets and analogues of the drug very carefully. It is a potent drug and its abuse increases the risk of side effects. The daily dose of Ketanov should not exceed 90 mg. It is important to note that the maximum allowable duration of treatment with this drug is five days.

Ketanov has many contraindications:

1. The drug is not suitable for people with heart failure.
2. Thinking about how to replace Ketanov should be patients suffering from kidney disease.
3. It is not recommended to be treated with medication for people with erosions and stomach ulcers.
4. Ketanov is contraindicated in women during pregnancy and breastfeeding.
5. Refuse treatment with this drug should be with myasthenia gravis and porphyria.
6. Ketanov is not suitable for people with hypersensitivity to the components of the medicine.

What can replace Ketans?

Fortunately, almost all drugs have analogues or similar substitutes today. Ketanov also has generic medicines. There are quite a few of them, and the list of the most effective is as follows:

Unlike Ketanov, which is almost impossible to buy without a prescription, most of its analogues in pharmacies can be found on the market.

Ketanov (tablets, injections) - instructions for use, analogues, reviews, price

Names and release forms

1. Tablets for oral administration.

2. Solution for intramuscular injections.

Ketanov - composition

• Corn starch;
• Microcrystalline cellulose;
• Silica;
• magnesium stearate;
• Hydroxypropyl methylcellulose;
• Macrogol 400;
• Purified talc;
• Purified water.

Tablets are available in packs of 10, 20 and 100 pieces per pack.

• Sodium chloride (table salt);
• Edetate disodium;
• Ethanol;
• Sodium hydroxide;
• Water for injections.

The solution is available in 1 ml ampoules of 5 or 10 pieces per pack.

Ketanov - therapeutic effect and scope

• Compared to Aspirin, the analgesic effect of Ketanov is 350 times stronger;
• Compared with Indomethacin - 5 times;
• Compared with Butadion - 435 times;
• Compared with Nalgesin - 50 times.

Among the non-narcotic painkillers available on the pharmaceutical market that do not affect the central nervous system, Ketanov is the most powerful. Due to its powerful peripheral action, Ketanov is an ideal analgesic for the relief of severe and moderate pain, especially provoked by injuries and operations.

• Does not depress breathing;
• Does not cause depression of the central nervous system;
• Does not have a pronounced sedative effect;
• Does not provoke nausea and vomiting;
• Does not cause urinary retention;
• Does not weaken intestinal motility;
• Does not change heart rate;
• Does not change blood pressure.

However, Ketanov reduces blood clotting, so the drug should be used with caution in the presence of a high risk of bleeding, for example, in people suffering from diseases gastrointestinal tract.

Ketanov (tablets and injections) - indications for use

1. Pain relief after surgical interventions (general surgical, gynecological, orthopedic, urological, dental and ENT-organs).

2. Relief of pain that has arisen after traumatic injuries of muscles, bones and soft tissues (for example, sprains, dislocations, fractures, bruises, etc.).

3. Short-term anesthesia in the following conditions:

• Pain after withdrawal of narcotic analgesics;
• Toothache in any dental disease (for example, pulpitis, caries, periodontitis, etc.);
• Pain during dental procedures;
• biliary or renal colic (in combination with antispasmodic drugs);
• Pain after childbirth and episiotomy (perineal incision);
• Otitis;
• Fibromyalgia (pain in the muscles);
• Pain in osteoarthritis or osteoarthritis;
• Pain in malignant tumors;
• Ischialgia (pain along the sciatic nerve);
• radicular syndrome;
• Osteochondrosis.

It should be remembered that Ketanov cannot be used to relieve sharp and acute pain in the abdomen, since this can mask the symptoms of a disease that requires urgent surgical intervention.

Instructions for use

Ketanov tablets - instructions for use

Ketanov injections - instructions

• Person under 65- the first and subsequent injections of 10 - 30 mg (0.3 - 1 ml of solution);
• Person over 65 or suffering from renal insufficiency - administer 10-15 mg (0.3-0.5 ml of solution).

The maximum allowable daily dosage of Ketanov for people under 65 years of age is 90 mg (3 ml of solution), and for patients over 65 years of age or suffering from kidney disease - 60 mg (2 ml of solution). When using the "as needed" regimen, the solution is administered as soon as pain appears. And when using the "on schedule" regimen, Ketanov's solution in the indicated dosages should be administered every 4 to 6 hours, regardless of whether there is a feeling of pain at the time of the next injection.

Precautionary measures

Influence on the ability to control mechanisms

Overdose

To eliminate an overdose, gastric lavage is performed and sorbents are given (activated carbon, Polysorb, Polyphepan, etc.), after which symptomatic therapy is carried out aimed at maintaining the normal functioning of vital organs.

Ketanov - compatibility with other drugs

• Saline;
• 5% dextrose solution;
• Ringer's solution;
• Plasmalite solution;
• Solution of Aminophylline, Lidocaine, Dopamine, Insulin and Heparin.

Ketanov: composition, indications, instructions for use, dosages, precautions - video

Using a toothache medicine

Use for headaches

Ketans for children

Use during pregnancy and breastfeeding

Is Ketanov banned?

Ketanov and alcohol

Side effects

• Acute renal failure;
• Pain in the lumbar region;
• blood in the urine;
• Hemolytic uremic syndrome (anemia + renal failure + purpura + decrease in the number of blood platelets);
• Frequent urination;
• Increase or decrease in urine volume;
• Nephritis;
• Edema (face, legs, ankles, fingers, feet, tongue).

3.Sense organs:

• Anemia;
• Leukopenia (decrease in the total number of white blood cells in the blood);
• Eosinophilia (an increase in the number of eosinophils in the blood);
• Bleeding from a wound;
• Nose or rectal bleeding.

8.Skin covering:

• Rash;
• Purpura;
• Exfoliative dermatitis (fever, redness, thickening and peeling of the skin, swelling and soreness of the palatine tonsils);
• Hives;
• Stevens-Johnson syndrome;
• Lyell's syndrome;
• Burning and pain in the injection area (injection only).

9.Allergic reactions: Anaphylactic shock (swelling of the face, larynx, itching of the skin, difficulty breathing, heaviness in chest etc.).10. Other:

Contraindications to the use of Ketanov

• Individual sensitivity to Ketanov or other drugs of the NSAID group;
• "Aspirin asthma" in the present or past;
• Bronchospasm;
• Angioedema;
• Dehydration (dehydration);
• Hypovolemia (small volume of circulating blood);
• The period of exacerbation of erosive and ulcerative lesions of the digestive tract;
• Peptic ulcers in the acute stage;
• Reduced blood clotting (including hemophilia);
• Liver failure;
• Renal failure with a blood creatinine concentration of more than 50 mg / l;
• Hemorrhagic stroke, including suspected;
• Hemorrhagic diathesis;
• High risk of bleeding;
• Violation of hematopoiesis;
• Pregnancy and the period of breastfeeding;
• Age under 16;
• Chronic pain.

Relative contraindications to the use of tablets and Ketanov solution are the following conditions or diseases:

• Bronchial asthma;
• Cholecystitis;
• Chronic heart failure;
• Hypertonic disease;
• Impaired kidney function with a plasma creatinine concentration of less than 50 mg / l;
• cholestasis;
• active hepatitis;
• Sepsis;
• Systemic lupus erythematosus;
• Polyps on the mucous membrane of the nose and nasopharynx.

Ketanov - analogues

• Adolor tablets;
• Dolac solution and tablets;
• Dolomin solution;
• Ketalgin solution and tablets;
• Ketorol solution, tablets and gel;
• Ketolac tablets;
• Ketorolac solution and tablets;
• Ketofril solution and tablets;
• Ketocam tablets.

Ketanov's analogues are the following drugs:

• Artrotek tablets;
• Asinac tablets;
• Aertal tablets;
• Bioran solution and tablets;
• Voltaren solution, tablets and rectal suppositories;
• Diclac solution, rectal suppositories and tablets;
• Diclovit rectal suppositories;
• Diclogen solution and tablets;
• Diclonate P solution, tablets and rectal suppositories;
• Dicloran solution and tablets;
• Diclofenac solution, tablets and rectal suppositories;
• Indomethacin tablets and rectal suppositories;
• Metindol retard tablets;
• Naklofen tablets, solution and rectal suppositories;
• Naklofen Duo capsules;
• Neurodiclovitis capsules;
• Ortofen solution and tablets;
• Ortofer solution and tablets;
• Panoxen tablets;
• Rapten Duo and Rapten Rapid tablets;
• Rantudil Forte and Rantudil Retard capsules;
• Capsule float.

What is stronger than Ketanov?

Reviews about the drug

Ketanov (tablets, ampoules) - price

• Tablets, 10 pieces - 26 - 33 rubles;
• Tablets, 20 pieces - 62 - 70 rubles;
• Tablets, 100 pieces - 248 - 275 rubles;
• Solution, 10 ampoules -112 - 137 rubles.

Ketanov is sold by prescription, or not?

Ketanov: instructions for use

This drug is an effective drug used to relieve pain of various origins. This article will tell about how to use it correctly according to the instructions, what indications and contraindications it has, about its composition, analogues, price and patient reviews.

Indications for use

Ketanov (in Latin Ketanov) is an analgesic and anti-inflammatory drug produced by the Indian company Ranbaxi. According to the instructions, the medicine has the following indications for use:

Pain syndrome of various origins - postoperative, gynecological, urological, and so on;

Fractures and other injuries;

Contraindications for use

Contraindications for use in Ketanov are as follows:

Pathology of blood coagulation;

Acute and chronic diseases of the liver and kidneys;

Individual allergic rejection;

Children's age up to 16 years;

The period of lactation and breastfeeding.

Compound

The drug is available in two dosage forms ah - tablets and injections and has the following composition:

1 tablet contains:

Active main active substance- ketorolac;

Auxiliary components - MCC, magnesium stearate, corn starch, silicon dioxide.

2- Solution for injection:

The active ingredient is ketorolac tromethamine;

Auxiliary substances - sodium chloride, water, alcohol, ethanol and others.

Instructions for use Ketanov tablets

Ketanov should be taken strictly according to the instructions and after agreement with the attending physician. The following doses are usually prescribed:

Adults and adolescents over 16 years of age - one tablet for the relief of pain once a day;

Adult dosage may be increased to four doses per day for very severe pain.

Ketanov injections instructions for use

Injections, according to the instructions for use, should be administered intramuscularly in a single dose of 10 to 30 mg with an interval between injections of at least 4 hours.

The maximum allowable daily dose should not exceed 90 mg.

For toothache

For toothache, Ketanov is also quite effective. However, it should be taken for a single relief of pain, which does not cancel a visit to the dentist.

Ointment Ketanov instructions for use

The ointment is prescribed to relieve pain in the joints after injuries or chronic diseases. The agent is applied to the sore spot with light rubbing movements, after which it is insulated with a warming bandage.

Ketanov during pregnancy and breastfeeding is possible?

During pregnancy and breastfeeding the tool is strictly contraindicated and should not be used.

Ketanov as an anesthetic for menstruation - dosage

It is highly undesirable to take it as an anesthetic during menstruation, since the components contained in the preparation cause blood thinning and can cause heavy bleeding. However, with severe pain, you can take half a tablet and a whole tablet once.

Ketane analogues

Analogues of the drug can be found in Russian pharmacies, both more expensive and cheaper. These funds include: Ketolac, Ketorol, Ketocam, Ketonal, Ketalgin and other analogues.

Many users are concerned about the question of whether Ketanov is sold by prescription or not? Yes, the drug in many pharmacies in the country can be purchased without a prescription from a doctor.

Ketanov or Ketorol which is better and what is the difference

What is better than the described drug or Ketorol, everyone decides for himself individually. However, as testimonies of patients testify, Ketorol is still more effective for headaches, which acts softer and practically does not cause negative consequences.

Side effect - Ketanov and alcohol compatibility

Decreased heart rate;

Colic in the abdomen;

Bleeding and other negative consequences.

Reviews

Patient reviews about the remedy are overwhelmingly good. Users testify to the effectiveness of the drug for relieving headaches, dental, gynecological and other pains. However, doctors say that long-term medication can cause unwanted effects.

How much does it cost in a pharmacy - price

In Russian pharmacies, the medicine has the following cost:

Tablets 20 pieces of 10 mg - about 60 rubles;

Ampoules for injections - no more than 120 rubles per pack;

Ointment (gel) - an average of 240 rubles;

Candles - approximately 260 rubles per pack.

The best analogue of "Ketorol": a list of drugs and reviews

Pain is a symptom of many injuries and diseases, which is why the need for painkillers in modern society is so high. Considered a good choice medicine"Ketorol". Of course, treatment should be aimed at eliminating primary cause. However, the pain can sometimes be simply unbearable, so patients need this medicine or its equivalent. "Ketorol" is considered quite effective tool. Naturally, patients collect additional information about the drug.

In particular, it is worth learning about how the medicine affects the body. In what cases does the drug or its analogue help? Is Ketorol safe or can it cause any side effects? Are there any contraindications? The answers to these questions are of interest to many readers.

The drug "Ketorol": composition and form of release

Of course, for starters, you should familiarize yourself with the list of ingredients and other useful information. This drug is produced in the form of round convex tablets with a green hard shell (on the cut you can see a white or slightly grayish tablet core).

What are the components of the medicine "Ketorol"? Compound - important point. The main active substance is ketorolac tromethamine (each tablet contains 10 mg). Other components are also present, in particular corn starch, lactose, magnesium stearate, microcrystalline cellulose, sodium carboxymethyl starch and silicon dioxide (colloidal) are excipients. The composition of the film shell contains propylene glycol, green dye and hypromellose.

By the way, Ketorol injection solution can also be purchased at the pharmacy. Injections are indicated for severe pain. This product is also produced in the form of a gel for external treatment of tissues.

The mechanism of action on the body

How does this medicine (or its analogue) affect the body? "Ketorol" is an anti-inflammatory agent of non-steroidal origin. The drug is also able to relieve fever and has a pronounced analgesic effect.

The mechanism of its action is associated with non-selective inhibition of cyclooxygenase activity. The drug does not affect opioid receptors in any way and, accordingly, does not cause dependence. The drug is not a sedative, does not depress the patient's breathing.

In what cases is the drug indicated?

Of course, it is worth learning about the main indications for use. In what cases is it advisable to take Ketorol tablets? What does the medicine help? Doctors prescribe the drug in the presence of moderate or severe pain:

• the drug helps with injuries, including fractures, sprains and dislocations of the joints;
• it is taken for severe toothache;
• indications include radiculitis, neuralgia, myalgia and arthralgia, regardless of their origin;

In what other cases is modern medicine used the drug "Ketorol"? What does the remedy help? It is prescribed to patients in the postoperative period, as well as to women after childbirth - this helps to relieve pain and give the patient time to rest. Naturally, the drug eliminates only the pain syndrome and depresses inflammatory process, but this is a symptomatic therapy - it is impossible to eliminate the root cause in this way.

The drug "Ketorol": instructions for use (tablets)

How to take medicine correctly? You shouldn't use it on your own. Only a doctor can determine the effective and safe dose of Ketorol. Instructions for use (tablets) says that when pain occurs, patients take one tablet once.

With a severe pain syndrome, the drug can be taken repeatedly. The maximum daily dose is 40 mg of the active ingredient, which is equal to four tablets. When taken orally, therapy should not last more than five days, as the risk of complications increases.

How to use the solution for injection "Ketorol"? The injections are carried out intramuscularly, and the patient is prescribed a minimal but effective dose. As a rule, a person over 16 years of age who weighs more than 50 kg is either injected with 60 ml of the drug once or divided daily dose for two doses (30 ml each). The injection should be carried out slowly, and it is important to inject the solution deep into the muscle. How quickly does pain disappear after taking Ketorol? Reviews suggest that the condition begins to improve minutes after the injection. The maximum effect occurs within 1-2 hours and lasts approximately 4-6 hours.

Contraindications to taking painkillers

According to the instructions, research results and reviews, Ketorol is quite effective for pain. On the other hand, this is a rather powerful drug, so not all patients can take it. tablets (as well as injection solutions) have contraindications:

• Intolerance to non-steroidal anti-inflammatory drugs (including acetylsalicylic acid), especially if it is combined with bronchial asthma of varying severity or nasal polyposis, which worsens from time to time.
• This drug should not be used in patients with ulcerative or erosive lesions of the mucous membrane of the digestive tract, as tablets can only aggravate the situation.
• Contraindications include gastrointestinal bleeding (pain in this case is relieved by other drugs).
• The drug is not prescribed for chronic inflammatory lesions of the digestive tract at the stage of exacerbation (for example, ulcerative colitis, Crohn's disease).
• This pain reliever should not be taken in decompensated heart failure.
• Blood clotting disorders are also included in the list of contraindications.
• The drug is not taken by patients with diseases of the liver and kidneys (including renal and hepatic insufficiency).
• Since the tablets contain lactose, they should not be taken by people suffering from glucose-galactose malabsorption, lactase enzyme deficiency or lactose intolerance.
• Of course, the list should include hypersensitivity not only to lactose, but also to any constituent component of the drug (it is recommended to study the composition before taking it).
• There are also age restrictions. For patients under the age of sixteen, it is better to choose another pain reliever.
• The medicine is not prescribed during pregnancy. Since the active ingredient penetrates into breast milk, at the time of taking the tablets, feeding the child should be stopped.

In some cases, the drug can be taken, but with careful monitoring of the patient's condition. The list of relative contraindications includes arterial hypertension, smoking, diabetes, severe somatic diseases, alcohol abuse, cerebrovascular diseases.

Are there possible complications during the reception?

What complications can lead to taking Ketorol tablets? Reviews of doctors suggest that the drug at the correct dosage is well tolerated. But the possibility of side effects should not be ruled out. These include:

• Violations by digestive system, in particular nausea, diarrhea, cramps and burning in the stomach, abdominal pain. Some patients develop hepatitis, acute pancreatitis, cholestatic jaundice, and stomatitis while taking it. Perhaps the appearance of constipation and the development of peptic ulcer.
• Adverse reactions from the urinary organs are much less common. Some patients complain of increased urge to urinate, a decrease or increase in the daily volume of urine. While taking the pills, swelling and pain in the lower back may appear. Very rarely, the drug can trigger the development of acute renal failure.
• Therapy is sometimes accompanied by disruption of the sense organs and the nervous system. After taking the pill, you may experience a headache. Side effects include increased drowsiness, depressive states, hyperactivity, the appearance of hallucinations and psychoses. Sometimes patients complain of ringing in the ears, hearing loss and visual acuity.
• The development of allergic reactions is not excluded. Sometimes the skin of patients is covered with a rash. Perhaps the development of urticaria, the appearance of puffiness up to a serious anaphylactic shock.
• Other violations are also possible. Often, peripheral edema appears while taking the medication. Occasionally, there is an increase in body temperature and increased sweating. To the number adverse reactions also include the appearance of rhinitis, shortness of breath, bronchospasm. Perhaps a sharp increase in blood pressure and loss of consciousness. Against the background of the use of the drug, the patient may develop anemia, the appearance of nasal and rectal bleeding.

The appearance of any deterioration after taking the drug should be reported to the treating specialist as soon as possible.

Tablets "Ketanov" as a substitute

What to do if, for one reason or another, the above medicine does not suit you? In fact, the modern pharmacological market offers just a huge amount of painkillers. And often doctors prescribe "Ketanov" or "Ketorol" to patients. What's better? For the most part, it's the same tool.

The main active ingredient is ketorolac. The drug is produced in the form of tablets and solution for intramuscular or intravenous injection. The drug has pronounced anti-inflammatory and analgesic properties. Today it is considered one of the most powerful analgesics. On the other hand, the medicine is suitable only for a short-term fight against pain, since otherwise the risk of developing side effects, including ulcerative lesions of the walls of the digestive tract, increases.

So what to take - "Ketanov" or "Ketorol"? What's better? There is no definite answer to this question, since everything depends on the patient's condition, the severity of the pain syndrome. The decision here can only be made by the attending physician. By the way, Ketanov tablets are much cheaper for patients, although taking them is associated with great risks.

Description of the drug "Ketorolac"

What is the drug "Ketorolac"? It is produced in the form of tablets and belongs to the group of anti-inflammatory and antirheumatic drugs (non-steroidal). The main active ingredient is ketorolac tromethamine.

As you can see, it practically does not matter whether the patient takes Ketorol or Ketorolac, since the main active ingredient here is the same and they affect the body in the same way. The medicine perfectly copes with toothache, myalgia, neuralgia, pain from injuries. Often it is prescribed to patients with cancer who suffer from constant discomfort.

Painkiller "Nise": instructions

The drug "Nise" or "Ketorol" - which is more suitable? In fact, "Nise" is a fairly effective analogue. The composition of these drugs is different, since in this case the main active ingredient is nimesulide. Nevertheless, the mechanism of action is similar, since the main active substance is selective inhibitor cyclooxygenases.

This medicine is available in the form of tablets, oral suspension and gel for external use. The drug also helps with pain syndromes that have arisen against the background of injuries, arthritis and sciatica. In addition, it is prescribed to patients suffering from sciatica, osteoarthritis, lumbago and osteochondrosis with radicular syndrome.

The drug "Baralgin" and its properties

Many patients ask questions about what is better to choose - "Baralgin" or "Ketorol"? In fact, these are different drugs in terms of the mechanism of action, despite the fact that both of them provide an analgesic effect.

"Baralgin" is available in the form of tablets and solution. This is a complex preparation, which contains three active substances at once:

• metamizole sodium has antipyretic properties and provides an analgesic effect;
• fenpiverinium bromide acts on smooth muscles;
• pitofenone is another component that causes smooth muscle relaxation.

You can see that the drug "Baralgin" does not have anti-inflammatory properties, but acts as an antispasmodic. Therefore, it is more suitable for pain syndrome caused by spasm of smooth muscles. Indications include renal, intestinal and biliary colic, spasm of the ureter, chronic colitis and some other disorders from internal organs.

Naturally, you need to understand that only a specialist can prescribe a drug with tromethamine or choose its effective analogue. "Ketorol" if used incorrectly can lead to extremely unpleasant complications, so you should not self-medicate.

Composition and form of release

in a blister 10 pcs.; in a pack of cardboard 1, 2, 3 or 10 blisters.

in ampoules of 1 ml; in a pack of cardboard 5 or 10 pcs.

Description of the dosage form

Tablets: round, biconvex, white or off-white coated, engraved with "KVT" on one side.

Injection: clear colorless or pale yellow solution.

pharmachologic effect

Pharmacodynamics

Ketorolac has a pronounced analgesic effect, also has an anti-inflammatory and moderate antipyretic effect.

The mechanism of action is associated with non-selective inhibition of the activity of the COX-1 and -2 enzyme, mainly in peripheral tissues, resulting in inhibition of the biosynthesis of PG - modulators of pain sensitivity, thermoregulation and inflammation. Ketorolac is a racemic mixture of [-]S- and [+]R-enantiomers, with the analgesic effect due to the [-]S form.

The drug does not affect opioid receptors, does not depress breathing, does not cause drug addiction, does not have a sedative and anxiolytic effect.

The strength of the analgesic effect is comparable to morphine, significantly superior to other NSAIDs.

After i / m administration and oral administration, the onset of analgesic action is noted after 0.5 and 1 hour, respectively, the maximum effect is achieved after 1-2 hours.

Pharmacokinetics

After oral administration, Ketanov ® is well absorbed in the gastrointestinal tract - C max in blood plasma (0.7-1.1 μg / ml) is reached 40 minutes after taking a dose of 10 mg on an empty stomach. Food rich in fats reduces the Cmax of the drug in the blood and delays its achievement by 1 hour. 99% of the drug binds to plasma proteins, and with hypoalbuminemia, the amount of free substance in the blood increases. Bioavailability - 80-100%.

Absorption at the / m introduction - complete and fast. After intramuscular administration of 30 mg of the drug, C max is 1.74-3.1 μg / ml, 60 mg - 3.23-5.77 μg / ml, T max - 15-73 and 30-60 minutes, respectively.

Time to reach equilibrium concentration (C SS ) with parenteral and oral administration- 24 hours when administered 4 times a day (higher than subtherapeutic) and is 0.65-1.13 mcg / ml, 30 mg - 1.29-2.47 mcg / ml; after oral administration of 10 mg - 0.39-0.79 mcg / ml. The volume of distribution is 0.15-0.33 l/kg. In patients with renal insufficiency, the volume of distribution of the drug can increase by 2 times, and its R-enantiomer by 20%.

Penetrates into breast milk: after the first and second doses of ketorolac (10 mg) are taken by the mother, Cmax in milk is reached after 2 hours and is 7.3 and 7.9 ng / l, respectively.

More than 50% of the administered dose is metabolized in the liver with the formation of pharmacologically inactive metabolites. The main metabolites are glucuronides, which are excreted by the kidneys, and p-hydroxyketorolac. It is excreted by 91% - by the kidneys, 6% - through the intestines.

T 1/2 in patients with normal renal function averages 5.3 hours (3.5-9.2 hours after intramuscular administration of 30 mg and 2.4-9 hours after oral administration of 10 mg). T 1/2 lengthens in elderly patients and shortens in young. Liver function does not affect T 1/2. In patients with impaired renal function with a plasma creatinine concentration of 19-50 mg / l (168-442 μmol / l) T 1/2 is 10.3-10.8 hours, with more severe renal failure - more than 13.6 h.

The total clearance is at a / m administration at a dose of 30 mg 0.023 l / kg / h (0.019 l / kg / h in elderly patients), orally at a dose of 10 mg - 0.025 l / kg / h; with renal failure with a plasma creatinine concentration of 19-50 mg / l with a / m administration at a dose of 30 mg - 0.015 l / kg / h, with oral administration of 10 mg - 0.016 l / kg / h.

Not excreted during hemodialysis.

Indications for Ketanov ®

Pain syndrome of medium and severe intensity of various origins (including in the postoperative period, with oncological diseases).

Contraindications

hypersensitivity to ketorolac or other NSAIDs, "aspirin asthma", bronchospasm, angioedema, hypovolemia (regardless of the cause that caused it), dehydration;

erosive and ulcerative lesions of the gastrointestinal tract in the acute stage, peptic ulcers, hypocoagulation (including hemophilia);

hepatic and / or renal failure (plasma creatinine above 50 mg / l);

hemorrhagic stroke (confirmed or suspected), hemorrhagic diathesis, simultaneous use with other NSAIDs, a high risk of developing or recurrent bleeding (including after surgery), impaired hematopoiesis;

pregnancy, childbirth and lactation;

children under 16 years of age (efficacy and safety have not been established);

pain relief before and during surgery (due to the high risk of bleeding);

treatment of chronic pain.

Carefully- bronchial asthma; cholecystitis; chronic heart failure; arterial hypertension; impaired renal function (plasma creatinine below 50 mg / l); cholestasis; active hepatitis; sepsis; systemic lupus erythematosus; elderly age(over 65 years old); polyps of the nasal mucosa and nasopharynx.

Side effects

Development frequency side effects defined as follows: often - more than 3%; less often - 1-3%; rarely - less than 1%.

From the digestive system: often (especially in elderly patients over 65 years of age with a history of erosive and ulcerative lesions of the gastrointestinal tract) - gastralgia, diarrhea; less often - stomatitis, flatulence, constipation, vomiting, feeling of fullness in the stomach; rarely - nausea, erosive and ulcerative lesions of the gastrointestinal tract (including with perforation and / or bleeding - abdominal pain, spasm or burning in the epigastric region, melena, vomiting like "coffee grounds", nausea, heartburn, etc.), cholestatic jaundice, hepatitis, hepatomegaly, acute pancreatitis.

From the urinary system: rarely - acute renal failure, low back pain with or without hematuria and / or azotemia, hemolytic uremic syndrome ( hemolytic anemia, renal failure, thrombocytopenia, purpura), frequent urination, increase or decrease in urine volume, nephritis, edema of renal origin.

From the sense organs: rarely - hearing loss, tinnitus, visual impairment (including blurred vision).

From the respiratory system: rarely - bronchospasm or dyspnea, rhinitis, laryngeal edema (shortness of breath, shortness of breath).

From the side of the central nervous system: often - headache, dizziness, drowsiness; rarely - aseptic meningitis (fever, severe headache, convulsions, neck and / or back muscle stiffness), hyperactivity (mood changes, anxiety), hallucinations, depression, psychosis.

From the side of cardio-vascular system: less often - increased blood pressure; rarely - pulmonary edema, fainting.

From the side of the hematopoietic organs: rarely - anemia, eosinophilia, leukopenia.

From the hemostasis system: rarely - bleeding from a postoperative wound, nose bleed, rectal bleeding.

From the side of the skin: less often - skin rash (including maculopapular rash), purpura; rarely - exfoliative dermatitis (fever with or without chills, redness, thickening or peeling of the skin, swelling and / or soreness of the palatine tonsils), urticaria, Stevens-Johnson syndrome, Lyell's syndrome.

Local reactions: less often - burning or pain at the injection site.

Allergic reactions: rarely - anaphylaxis or anaphylactoid reactions (discoloration of the skin of the face, skin rash, urticaria, itching of the skin, tachypnea or dyspnea, swelling of the eyelids, periorbital edema, shortness of breath, shortness of breath, heaviness in the chest, wheezing).

Others: often - edema (face, legs, ankles, fingers, feet, weight gain); less often - excessive sweating; rarely - swelling of the tongue, fever.

Interaction

Simultaneous use of ketorolac with acetylsalicylic acid or other NSAIDs, calcium preparations, corticosteroids, ethanol, corticotropin can lead to the formation of gastrointestinal ulcers and the development of gastrointestinal bleeding.

Co-administration with paracetamol increases nephrotoxicity, with methotrexate - hepato- and nephrotoxicity. The joint appointment of ketorolac and methotrexate is possible only when using low doses of the latter (to control the concentration of methotrexate in the blood plasma).

Probenicid reduces plasma clearance and volume of distribution of ketorolac, increases its concentration in blood plasma and increases its half-life. Against the background of the use of ketorolac, a decrease in the clearance of methotrexate and lithium and an increase in the toxicity of these substances are possible. Simultaneous appointment with indirect anticoagulants, heparin, thrombolytics, antiplatelet agents, cefoperazone, cefotetan and pentoxifylline increases the risk of bleeding. Reduces the effect of antihypertensive and diuretic drugs (PG synthesis in the kidneys decreases). When combined with opioid analgesics, the doses of the latter can be significantly reduced.

Antacids do not affect the complete absorption of the drug.

The hypoglycemic effect of insulin and oral hypoglycemic drugs increases (dose recalculation is necessary).

Co-administration with sodium valproate causes a violation of platelet aggregation. Increases plasma concentration of verapamil and nifedipine.

When administered with other nephrotoxic drugs (including gold preparations), the risk of developing nephrotoxicity increases. Drugs that block tubular secretion reduce the clearance of ketorolac and increase its concentration in blood plasma.

Solution for injection should not be mixed in the same syringe with morphine sulfate, promethazine and hydroxyzine due to precipitation. Pharmaceutically incompatible with tramadol solution, lithium preparations.

Solution for injection is compatible with physiological saline, 5% dextrose solution, Ringer's solution and Ringer's lactate solution, "Plasmalit" solution, as well as infusion solutions containing aminophylline, lidocaine hydrochloride, dopamine hydrochloride, human insulin short action and heparin sodium salt.

Dosage and administration

Tablets. inside, once or repeatedly, depending on the severity of the pain syndrome. Single dose - 10 mg, with repeated admission, it is recommended to take 10 mg up to 4 times a day, depending on the severity of pain; the maximum daily dose should not exceed 40 mg.

When taken orally, the duration of the course should not exceed 5 days.

Injection. V/m(deep), in minimally effective doses, selected in accordance with the intensity of pain and the patient's response. If necessary, opioid analgesics in reduced doses can be additionally prescribed at the same time.

Single doses with a single intramuscular injection:

Patients under 65 years old - 10-30 mg, depending on the severity of the pain syndrome;

Patients over 65 years of age or with impaired renal function - 10-15 mg.

Doses for repeated intramuscular administration:

Patients under 65 years old - 10-30 mg, then - 10-30 mg every 4-6 hours;

Patients over 65 years of age or with impaired renal function - 10-15 mg every 4-6 hours.

The maximum daily dose for intramuscular injection for patients under 65 years of age should not exceed 90 mg, and for patients over 65 years of age or with impaired renal function - 60 mg.

With parenteral administration, the duration of the course of treatment should not exceed 5 days.

When switching from parenteral administration of the drug to oral administration, the total daily dose of both dosage forms on the day of transfer should not exceed 90 mg for patients under 65 years of age and 60 mg for patients over 65 years of age or with impaired renal function. In this case, the dose of the drug in tablets on the day of the transition should not exceed 30 mg.

Overdose

Symptoms: abdominal pain, nausea, vomiting, occurrence of peptic ulcers of the stomach or erosive gastritis, impaired renal function, metabolic acidosis.

Treatment: gastric lavage, the introduction of adsorbents (activated carbon) and symptomatic therapy (maintenance of vital functions in the body). Not sufficiently excreted by dialysis.

special instructions

The effect on platelet aggregation stops after 24-48 hours.

Hypovolemia increases the risk of adverse reactions from the kidneys. If necessary, it can be prescribed in combination with narcotic analgesics.

Do not use simultaneously with paracetamol for more than 5 days. Patients with impaired blood coagulation are prescribed the drug only with constant monitoring of the number of platelets, which is especially important in the postoperative period, when careful monitoring of hemostasis is required.

Since a significant part of patients, when prescribing Ketanov ®, develop side effects from the central nervous system (drowsiness, dizziness, headache), it is recommended to avoid performing work that requires increased attention and quick reaction (driving vehicles, working with mechanisms, etc.).

Manufacturer

Ranbaxy Laboratories Limited, India

Terms of dispensing from pharmacies

On prescription.

Storage conditions of the drug Ketanov ®

Keep out of the reach of children.

Shelf life of Ketanov ®

Do not use after the expiry date stated on the packaging.

Synonyms of nosological groups

Great risk of gastrointestinal bleeding and stroke. In Europe, because of this, it was generally banned from being sold.

I don’t know about this drug, but I used to be a neighbor. She’s an old grandmother, I bought Carbolepsin at the pharmacy. He’s also on prescription now. I work in security, but sometimes they make me on duty in the police. They made a "counter purchase" and he sold them 1 gram of heroin for 1,500 rubles. Carbolepsin contains 0.022 morphine and 0.008 heroin.

I recently bought myself Ketorol medicine for toothache and the pharmacist warned me that I should take it strictly after 4 hours if the pain reappears or does not go away. I did it, but 2 tablets were enough for me. Since the medicine is very powerful for 42r. Well but in general, my mother’s doctor does not recommend taking this medicine more than once, since even from one dose the load and harm to the liver is strong. Personally, after taking this medicine, I developed weakness and mild nausea. .By the way, I would also ban the antibiotic Klacid, since the side effects are even worse than these drugs.

Why ketanov began to be sold by prescription?

I don’t know about this drug, but I used to be a neighbor. She’s an old grandmother, I bought carbolepsin in a pharmacy; He’s also on prescription now. .They made a counter-purchase and he sold them 1 gram of heroin for 1,500 rubles. Carbolepsin contains 0.022 morphine and 0.008 heroin.

Carbolepsin cost 100 gr. 160 rub. Hence, having bought 1 kg of it, one could get 2.2 grams of morphine and 0.8 heroin from it. Those. to do business on this, it seems to have been raised, but perhaps the reason is the same as with ketanol.

Ketanov was banned from free sale, because cases of death when taking it became more frequent. That is, he carries with him a bunch side effects, dangerous when interacting with other substances. Great risk of gastrointestinal bleeding and stroke. In Europe, because of this, it was generally banned from being sold.

Ketanov by prescription began to be sold because he entered the list of drugs that must be sold strictly by prescription, there is an order from the Ministry of Health about this. Ketanov has many side effects, there were also deaths after taking it. It is not sold in Europe, it is produced in India.

It used to be sold by prescription. It's just how it was sold. In general, they gave me a prescription for it three years ago. But then no one asked him. And now they don't ask. Only in some pharmacies.

I recently bought Ketorol medicine for toothache and the pharmacist warned me that I should take it strictly after 4 hours if the pain reappears or does not go away. I did it, but 2 tablets were enough for me. Since the medicine is very powerful for 42r. Well but in general, my mother’s doctor does not recommend taking this medicine more than once, because even from one priming, the load and harm to the liver is strong. Personally, after taking this medicine, I developed weakness and mild nausea. .By the way, I would also ban the antibiotic Klacid, since the side effects are even worse than these drugs.

Over-the-counter analogues of Ketanov tablets

Non-steroidal anti-inflammatory drugs have been the leaders in sales in the pharmacy chains of the world for several years, which is quite natural. Medicines of this group have the widest range of uses, are effective and relatively inexpensive.

The drug Ketanov (ketorolac) is one of the most popular when prescribed to patients, but since recently, this medicine has been dispensed in Russian pharmacies only by prescription. Below, analogues of Ketanov's tablets and options for replacing it with over-the-counter drugs will be described in detail.

Instructions for use

The active substance, ketorolac, belongs to non-steroidal anti-inflammatory drugs (NSAIDs). It is available both in tablet form and as a solution for injection.

It has an anti-inflammatory and pronounced analgesic effect due to the blocking of mediators (substances - mediators) of inflammation.

The result is a decrease in pain, swelling and hyperemia of the affected area of ​​the patient's body.

Indicated for use in pain syndromes of various origins, including after surgery and in cancer patients.

The price of this medicine: tablets - from 70, packaging of ampoules - from 110 rubles.

Drug analogues

In Russian pharmacies, there are many cheap analogues of Ketanov for various forms of use. Tablet preparations - Ketorol, Ketorolac (several types of domestic manufacturers and the Belarusian plant "Belmedpreparaty"), Ketocam, Ketofril. They have the same indications for use and a standard dosage of 10 mg. The price starts from 50 rubles per pack.

Diversity also reigns in injectable forms. Ketorolac in ampoules is available for purchase under the trade names Ketorol, Ketorolac, Dolac. A package of 10 ampoules costs from 85 rubles.

For external use under the trade name Ketorol gel (Doctor Reddis). The price of a tube of ointment is about 230 rubles.

In the form of eye drops, there is the drug Akyular. Used by ophthalmologists in the postoperative period in patients. The price is 350 rubles.

What to replace?

It is not always possible to quickly write a prescription for Ketanov from a doctor. The way out of this situation is to replace it with another medicine from its group, which is allowed to be dispensed from pharmacies without a prescription.

Ibuprofen

Properties: NSAIDs for a wide range of purposes. In addition to anesthesia, it has a pronounced antipyretic effect. Effective as a substitute for Ketanov, helping with pain after dental treatment.

Indications for use: pain of various localization, postoperative period, hyperthermic syndrome (fever).

Release form: in the form of gels (Ibuprofen Gel, Deep Relief), cream (Dolgit), tablets (Ibufen, MIG 200, MIG 400 and others), as well as in the form of suspensions for children (Maxicold, Ibuprofen - Akrikhin).

The price range is very large, the most inexpensive ones are Russian-made.

Naproxen

By properties, this replacement is similar to Ketanov and Ibuprofen described above. Used in rheumatology, neurology for the relief of prolonged pain, helps with algomenorrhea.

Available for purchase in the form of tablets (Naproxen-Akri, Nalgezin), also included in the combined analgesics (Pentalgin).

There are also gels and ointments (Naproxen, Naproxen EMO). Prices for tablet forms start at 100 rubles, a tube of gel will cost the buyer about twice as much.

Analgin, aspirin, paracetamol

It is necessary to mention these drugs, which belong to the category of NSAIDs. It should be remembered that they have a less pronounced anti-inflammatory and analgesic effect compared to Ketanov. However, they are widely sold without a prescription, which makes them more accessible to the layman.

Combined drugs

They have a fast and pronounced analgesic effect due to the combination of various components that enhance each other's action. Common brands:

1. Spasmalgon is a combination of an antispasmodic (fenpiverinium bromide), analgin and pitophenone (NSAIDs). It is effective for headache, toothache, and also for algomenorrhea. Price - 120 Russian rubles for a pack of 10 tablets.
2. Novalgin - as part of caffeine (a stimulator of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated body temperature, relieves joint and headache. The cost is about 170 rubles.
3. Novigan is an Indian drug. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). It is widely prescribed for headaches, arthralgia, after injuries. Relieves pain in renal colic, dysmenorrhea. The price of a unit of goods is about 160 rubles.

What needs to be remembered?

The drugs described above have an extensive list of contraindications; before taking, you should carefully study the instructions. The most common for NSAIDs:

• erosive lesions of the esophagus, stomach and intestines;
• the presence of bleeding from the gastrointestinal tract in the patient's history;
• severe forms of coronary heart disease (acute and chronic insufficiency, myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have a proven cardiotoxic effect;
• bronchial asthma (especially in the presence of the “aspirin form”);
• pregnancy and early postpartum period;
• severe impairment of kidney and liver function (terminal stages of chronic renal failure, cirrhosis of the liver);
• administration is not recommended in any condition accompanied by a risk of bleeding (perioperative period, taking anticoagulants).
• not prescribed in childhood (with the exception of some forms of paracetamol and ibuprofen, used to reduce body temperature in children from the first days of life).

Side effects

More often, undesirable manifestations from Ketanov and other non-steroidal anti-inflammatory drugs occur with prolonged and uncontrolled use.

• Acute erosion of the stomach and intestines, leading to bleeding and anemia of varying severity. This complication can be avoided by taking drugs that protect the mucosa of the gastrointestinal tract (omeprazole, ranitidine and others);
• Exacerbation of gastritis, peptic ulcer in a patient;
• Diarrhea;
• Nausea and vomiting;
• Increased blood pressure in patients with hypertension (often requires dose adjustment of antihypertensive drugs);
• NSAIDs disrupt blood clotting, which threatens the appearance of subcutaneous hematomas, petechiae.

Before you start taking any drug of this series, carefully read the instructions, focusing on contraindications and side effects. It is also recommended to discuss the possibility of treatment with a specialist. In this case, it will be possible to help the body without harm.

Why Prescription Ketans

Of course, I am far from the world of pharmacists, pharmacists, and even more so from the Ministry of Health, as a student of a medical college from the head. Research Institute of Cardiovascular Surgery, and yet.

A little over an hour ago, I felt like taking a walk to the nearest pharmacy for a banal reason. "I WAS SICK, DIFFERENT, AND STARTED TO MAKE ME A NIGHTMARE TOOTH."

Me: "Please, a pack of KETANs."

P: “You take it according to the doctor’s prescription. "

I was a little taken aback. There was a feeling that I was almost asking her for antipsychotics.

Me: “Yes, no. They just let him go to me like that."

Me: “What you have is not a prescription. "

A powerful and commanding finger points to a showcase on which colorful packages of analgesics flaunt, at the same colorful prices.

Okay, I think this has never happened before, maybe it's just an exception to the rule, I'll take a walk to another first aid kit.

The situation repeated itself, and for 1.5-2 minutes I chose the drug from the display assortment (fortunately, there was one and there was time to admire the prices “with the expression of a cat in the photo”).

As a result, I had to buy an analgesic 3 times (!) More expensive than the requested one.

At home, the Internet told me that this type of drug was included in the list by order (what kind) of the Ministry of Health as with fucking contraindications.

I read the list in the purchased one.)))) He did not run far from Ketanov (and the rest of the Ketorolac family).

I know that the drug is quite strong, it should not be abused;

I was not born yesterday, I heard a glimpse of the peculiarities of the drug industry (well, not the same way);

I know that I need to visit the dentist.

What do you say, gentlemen, pharmacists of the peekaboo portal. If there are any. If I'm wrong about something, then I can stand objective criticism normally.

Why were Ketans banned?

Hello friends! Today I want to talk about why ketans were banned, because there are few places where you can find such an effective remedy that would relieve pain in case of toothache and headache.

I mean from pills. So, as I already described in the last article, this is a non-steroidal medication that can relieve almost any spasm.

However, despite this, it was declared banned.

Why did this happen, you ask?

Why ketans were banned

The answer is simple. Like any drug, it has its own single and daily dose. If everything is clear with a one-time, as it is defined pharmaceutical companies, then many people have problems daily.

The bottom line is that the concept of “daily intake” includes the amount of a substance that is necessary for treatment and is allowed to be taken during the day. This is where the problems began, which led to the fact that the drug was banned for free sale.

Many, trying to relieve pain, abused pills, as a result of which they exceeded the daily dose. This led to various consequences, such as:

1. Overdose.
2. Liver damage.
3. Delirium.

When using ten tablets, in combination with alcohol, patients had a surge of energy, which naturally leads to the disappearance of pain. As a result, it turned out that the drug is a drug, and if we take into account the fact that the composition contains ingredients similar to opiates, then the question disappears ...

Now you know why it was banned.

Ketanov contraindications

After we figured out why this medicine was banned, we can talk about the contraindications that everyone has.

So, it is better to refrain from taking the drug if you suffer from:

• Hypersensitivity to ketorolac or other NSAIDs.
• Erosive - ulcerative lesions of the gastrointestinal tract.
• Hypocoagulation.
• Bronchospasm.
• Hypovolemia.
• Dehydration.
• Renal and / or liver failure.
• Hemorrhagic diathesis or stroke.
• Are pregnant or breastfeeding.
• Treat chronic pain.
• Get ready for surgery.

In addition to these diseases, ketanov has contraindications for bronchial asthma, cholecystitis, chronic heart failure, arterial hypertension. And yet, with cholestasis, impaired renal function, active hepatitis, sepsis and systemic lupus.

Ketan overdose

As mentioned earlier: you can exceed the dosage of the tablets. Therefore, if you have overdosed on ketanes, an overdose will manifest itself:

1. abdominal pain,
2. metabolic acidosis,
3. nausea or vomiting,
4. kidney dysfunction,
5. the appearance of peptic ulcers.

When combined with alcohol, as I said, kidney function can be completely lost.

To eliminate an overdose, gastric lavage, the use of adsorbents such as activated charcoal, and systemic therapy are usually used.

However, these methods cannot completely remove the drug from the body. Moreover, even dialysis cannot cope with this, which was another reason why ketans were banned.

beauty

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And what about ketanov - a drug prohibited for free sale?

And then I went to the pharmacy, they ask me for a prescription. I grue - no, they always seemed to sell like that. And they answer me - nifiga, they violate it in those pharmacies, and they hint at length that they say it’s down-zya without a prescription.

They let in such a fog and talked so sympathetically, as if I was going to make a drug out of it.

In general, under "You are so young, and so ruin yourself," she left with nothing. Went to another - sold without problems.

What was it? Taken separately, the madness of pharmacists and pharmacists, or is it that "others violate"?

Ketanov prescription.

25.04.10 23:12 Reply to Ketanov's message on prescriptions. by lion

Because he was always there.

25.04.10 23:47 Reply to the message Re: Ketanov prescription. by Zaika555

That this is not respected is a risk that each individual pharmacy and each individual pharmacist takes on. Only and everything.

From the answer of the pharmacist it follows that now they have begun to check more strictly. It is logical that they began to release less of what is supposed to be according to prescriptions, because. punishment for this is decent.

To see a rainbow, you have to survive the rain. (With)

04/26/10 00:07 Reply to the message Re: Ketanov prescription. by Zaika555

“We bring laughter and joy to people. " (WITH)

Sperat in adversis

26.04.10 10:07 Reply to Ketanov's message on prescriptions. by lion

There are Nise tablets - they help well from the tooth. 5 minutes and that's it.)) I've been choosing a dentist for a month)) I'm crunching nise and nothing hurts)) True, you still need to stomp to the doctor (a lot of wheels are harmful. There is also a wonderful thing like ice-caine on a cotton pad and a few seconds in the tooth that are not pleasant sensations and. eternal buzz))

So you're from Siberia? They say you have bears walking on the roads?

why ketans are sold by prescription

In the section Diseases, Medicines, to the question Why the painkillers "ketanov" and "ketarol" began to be sold by prescription. given by the author Kuzma the best answer is a lot of side effects.

Thank God! At last! And then they lived that they are being treated according to advertising, in a pharmacy you can’t buy anything. And then the devils will get enough, they will bring themselves to the ass, and the doctors are bad.

You try to buy something in Europe without a prescription in a pharmacy - aspirin and a condom, the rest will be given to you without a prescription, and we even have chemotherapeutic oncological drugs freely (there was a precedent, one madam diagnosed cancer in herself, she prescribed the treatment herself, though after the first injection, she ended up in intensive care, where her diagnosis was removed).

We don't have a prescription yet. But in general, even in the instructions for them it is written that their analgesic effect is similar to the effect of morphine.

Haven't heard of something like this.

Look in the instructions for the drug, it says the conditions for dispensing from pharmacies: by prescription. And it is best to consult a doctor, there are many side effects and there are contraindications.

misused began to be used.

O. . I didn't know. Oh, I don't think that's right.

All are anesthetized and not treated. I'm interested too. And treatment is expensive. Although ketarol also costs more than 10 ampoules. The fight against drug addiction. Not from that end, just again.

Ketanov

Names and release forms

1. Tablets for oral administration.

2. Solution for intramuscular injections.

Ketanov - composition

• Corn starch;
• Microcrystalline cellulose;
• Silica;
• magnesium stearate;
• Hydroxypropyl methylcellulose;
• Macrogol 400;
• Purified talc;
• Purified water.

Tablets are available in packs of 10, 20 and 100 pieces per pack.

• Sodium chloride (table salt);
• Edetate disodium;
• Ethanol;
• Sodium hydroxide;
• Water for injections.

The solution is available in 1 ml ampoules of 5 or 10 pieces per pack.

Ketanov - therapeutic effect and scope

• Compared to Aspirin, the analgesic effect of Ketanov is 350 times stronger;
• Compared with Indomethacin - 5 times;
• Compared with Butadion - 435 times;
• Compared with Nalgesin - 50 times.

Among the non-narcotic painkillers available on the pharmaceutical market and not affecting the central nervous system, Ketanov is the most powerful. Due to its powerful peripheral action, Ketanov is an ideal analgesic for the relief of severe and moderate pain, especially provoked by injuries and operations.

This question interests a huge number of people. A very effective remedy in the fight against toothache is ketanov. A tablet of this drug can be placed on a sore tooth, or you can drink it. Thus, a person can forget about the pain for at least three to four hours. If the pain recurs, you can take another pill, but no more. In general, you need to try to monitor hygiene oral cavity and lead healthy lifestyle life and then problems with teeth will never arise. The use of biologically active additives will help get rid of existing diseases of the oral cavity.

Disorders of the central nervous system in the form of drowsiness, lethargy, dizziness, increased nervousness, paresthesia.

Lesions of the genitourinary system in the form of increased urge to urinate, impaired renal function.

Metabolic disorders in the form of an increase in the level of creatinine / urea in plasma.

Damage to the cardiovascular system in the form of bradycardia, an increase or decrease in blood pressure.

Disorders circulatory system in the form of thrombocytopenia, the appearance of hematomas, nosebleeds, poor blood clotting.

Respiratory depression, shortness of breath.

There may be such allergic reactions like a skin rash, itching.

With ulcerative lesions of the gastrointestinal tract and 12 duodenal ulcer in severe form;

With bleeding from the gastrointestinal tract;

With kidney dysfunctions, an increased likelihood of developing renal failure with hypovolemia and dehydration;

If there is information in the medical history about blood clotting disorders;

With simultaneous use with other non-steroidal anti-inflammatory drugs;

During lactation;

Children under 16;

With hypersensitivity to ketorolac and other non-steroidal anti-inflammatory drugs.

Why Prescription Ketans

On behalf of the General Prosecutor's Office of the Russian Federation, the prosecutor's offices of the constituent entities of the Russian Federation conducted large-scale inspections.

Articles

We like to ban everything in a row, if only there was an opportunity. Ketans and its analogues containing ketorolac as the main active ingredient are not in any way related. It does not apply to medicines of strict accountability. All doctors understand this, and despite the ban on buying ketans without a prescription, there is absolutely no problem. I really don’t take it more than one standard either, because I don’t have to use it often. For me, this is the best rescue from migraine. However, the drug does have a number of interesting side effects. So the instructions say that taking ketanov can cause hallucinations and clouding of consciousness. Probably with an overdose and as they say with alcohol. But many drugs can have interesting effects when combined with alcohol, and why should all of them be prohibited? In the end, a wheel lover will always find something.

Why Ketanov? How much does it cost? How to take it?

What could be worse than a toothache? Probably just a visit to the dentist. But while we gather our courage, choose a suitable clinic and wait to be admitted, the pain does not go anywhere. On the contrary, it is getting stronger and stronger. Is it possible to do something with her? And do it quickly? Certainly. The main thing is to choose the right pain reliever.

Why Ketanov?

Ketanov is the most effective drug that quickly and seamlessly relieves the most severe pain syndromes. Often it is prescribed for cancer patients and patients who have undergone major surgery.

Most often, the medicine is advised to drink with pulpitis (it was him.

I drank ketanov for a couple of days, from pain. And today I observed a particularly strange effect from these super pills. A particularly strange feeling after swallowing two or three pieces in a day ...

Morning, cold. I brush my teeth in the bathroom, which hurt a lot. Flashing in my head - “drink Ketanov, drink, drink and it will become easier ...”. Just a couple of minutes and a pill in my stomach. Half an hour has passed and my teeth do not bother me. What a joy!

I’m working… Lunch is coming, I eat and BAM! Her teeth again seemed to be furious, whining, pulling, cutting.

The hand automatically with the speed and accuracy of a professional basketball player throws the coveted pill into his mouth ... Relief.

And now the end of the working day has finally come, I go to the exit and feel something is not right!

The head seems to be spinning drunkenly to the rhythm of the waltz, the eyes run like crazy, and the movements seem to be slowed down. Hands as if from outside you observe, etc.

In general, I rested at home and for about 22 hours it struck for sleep, i.e. knocks down, etc. So I generally go to bed.

In general, all NSAIDs are prescription drugs.

Prescriptions for NSAIDs are not strict reporting forms and are rather a memo or a multiple-action "xiva"

it is enough for them to wave in front of the nose of the pharmacist in the window, they don’t take it away from you, they don’t need it for reporting, as with drugs of groups A and B

According to the list provided by Lisa, there is an opinion that all NSAIDs are the same in terms of their effectiveness, and differ only in the tolerability profile and price.

there is an opinion, yes, Lisa didn’t say that about efficiency

no one can eat them in handfuls

I was also hooked by the thought that Movalis is a weak drug “is an anti-inflammatory, not an anesthetic”

that's it. to what extent do you need to "sip" drugs in order to have such tolerance to the action of chemistry

Well, who faced, he is in the know.

when I had an exacerbation of osteochondrosis, I could not.

A convincing story, the right intonation - and analgesics in your pocket. True, with pharmacy drugs without the paw of a pharmacist - nowhere

In Ukraine, in connection with the beginning of the medical reform, they again started talking about the strict dispensing of prescription drugs. It should be reminded that such an initiative of the ex-Minister of Health Zinovy ​​Mytnyk at the end of 2010 caused a flurry of emotions both from patients and from doctors, pharmacists and pharmaceutical companies. The public outcry and, it seems, the efforts of the pharmaceutical business sharks, who do not always benefit from a conscious approach to their health among Ukrainians, have suspended the progress of reforms until better times. The correspondent of "Bagnet" decided to find out how much pharmacists currently follow the letter of the law when selling prescription drugs. As it turned out, this problem, like a coin, has two sides.

The choice fell on an ambiguous drug - ketanov, so beloved by our people for relieving pain. In the list of over-the-counter drugs.

Non-steroidal anti-inflammatory drugs have been the leaders in sales in the pharmacy chains of the world for several years, which is quite natural. Medicines of this group have the widest range of uses, are effective and relatively inexpensive.

The drug Ketanov (ketorolac) is one of the most popular when prescribed to patients, but more recently the release in pharmacies of Russia of this medicine is carried out only by prescription. Below, analogues of Ketanov's tablets and options for replacing it with over-the-counter drugs will be described in detail.

Instructions for use

The active substance, ketorolac, belongs to non-steroidal anti-inflammatory drugs (NSAIDs). It is available both in tablet form and as a solution for injection.

It has an anti-inflammatory and pronounced analgesic effect due to the blocking of mediators (substances - mediators) of inflammation.

The result is a decrease in pain, swelling and hyperemia of the affected area. the patient's body.

Indicated for use in pain syndromes of various origins, including after surgery and in cancer patients.

The price of this medicine: tablets - from 70, packaging of ampoules - from 110 rubles.

Drug analogues

In Russian pharmacies, there are many cheap analogues of Ketanov for various forms of use. Tablet preparations - Ketorol, Ketorolac (several types of domestic manufacturers and the Belarusian plant "Belmedpreparaty"), Ketocam, Ketofril. They have the same indications for use and a standard dosage of 10 mg. The price starts from 50 rubles per pack.

Diversity also reigns in injectable forms. Ketorolac in ampoules is available for purchase under the trade names Ketorol, Ketorolac, Dolac. A package of 10 ampoules costs from 85 rubles.

For external use under the trade name Ketorol gel (Doctor Reddis). The price of a tube of ointment is about 230 rubles.

In the form of eye drops, there is the drug Akyular. Used by ophthalmologists in the postoperative period in patients. The price is 350 rubles.

What to replace?

It is not always possible to quickly write a prescription for Ketanov from a doctor. The way out of this situation is to replace it with another medicine from its group, which is allowed to be dispensed from pharmacies without a prescription.

Ibuprofen

Properties: NSAIDs for a wide range of purposes. In addition to anesthesia, it has a pronounced antipyretic effect. Effective as a substitute for Ketanov, helping with pain after dental treatment.

Indications for use: pain of various localization, postoperative period, hyperthermic syndrome (fever).

Release forms: in the form of gels (Ibuprofen Gel, Deep Relief), cream (Dolgit), tablets (Ibufen, MIG 200, MIG 400 and others), as well as in the form of suspensions for children (Maxicold, Ibuprofen - Akrikhin).

The price range is very large, the most inexpensive ones are Russian-made.

Naproxen

By properties, this replacement is similar to Ketanov and Ibuprofen described above. Used in rheumatology, neurology for the relief of prolonged pain, helps with algomenorrhea.

Available for purchase in the form of tablets (Naproxen-Akri, Nalgezin), also included in the combined analgesics (Pentalgin).

There are also gels and ointments (Naproxen, Naproxen EMO). Prices for tablet forms start at 100 rubles, a tube of gel will cost the buyer about twice as much.

Analgin, aspirin, paracetamol

It is necessary to mention these drugs, which belong to the category of NSAIDs. It should be remembered that they have a less pronounced anti-inflammatory and analgesic effect compared with the drug Ketanov. However, they are widely sold without a prescription, which makes them more accessible to the layman.

Combined drugs

They have a fast and pronounced analgesic effect due to the combination of various components that enhance each other's action. Common brands:

1. Spazmalgon- a combination of an antispasmodic (fenpiverinium bromide), analgin and pitofenone (NSAIDs). It is effective for headache, toothache, and also for algomenorrhea. Price - 120 Russian rubles for a pack of 10 tablets.
2. Novalgin- as part of caffeine (a stimulant of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated body temperature, relieves joint and headache. The cost is about 170 rubles.
3. Novigan- an Indian product. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). It is widely prescribed for headaches, arthralgia, after injuries. Relieves pain in renal colic, dysmenorrhea. The price of a unit of goods is about 160 rubles.

What needs to be remembered?

The drugs described above have an extensive list of contraindications, before taking, you should carefully study the instructions. The most common for NSAIDs:

• erosive lesions of the esophagus, stomach and intestines;
• the presence of bleeding from the gastrointestinal tract in the patient's history;
• severe forms of coronary heart disease (acute and chronic insufficiency, myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have a proven cardiotoxic effect;
• bronchial asthma (especially in the presence of the “aspirin form”);
• pregnancy and early postpartum period;
• severe impairment of kidney and liver function (terminal stages of chronic renal failure, cirrhosis of the liver);
• administration is not recommended in any condition accompanied by a risk of bleeding (perioperative period, taking anticoagulants).
• not prescribed in childhood (with the exception of some forms of paracetamol and ibuprofen, used to reduce body temperature in children from the first days of life).

Side effects

More often, undesirable manifestations from Ketanov and other non-steroidal anti-inflammatory drugs occur with prolonged and uncontrolled use.

10.04.2015 10.01.2019 by admin

Ketanov is the strongest analgesic, a synthetic drug that relieves pain symptoms. According to the effectiveness of the impact on the nervous system this drug can compete with most known drugs. The active ingredient is ketorolac. Ketanov and alcohol joint application give a strong narcotic effect with extremely severe, often irreversible consequences for the body. Known deaths.

Unfortunately, drug addicts at the final stage are ready for any sacrifice on the part of the body in order to get at least a little drug euphoria. Ketanov with alcohol fully satisfies these requirements.

In addition, the drug is not expensive and is available even for financially disadvantaged people, which include drug addicts who have lost the opportunity for any kind of work. Also among the victims were overly naive young people who do not understand the principle of the action of drugs and have no idea about the chemical processes in the human body.

How to buy medicine now?

In most countries, ketanes and its derivatives are banned from production and sale, even in the prescription department. Until recently, in Russia, this medicine was freely sold over the counter. At the moment, you can buy this most powerful pain reliever only by prescription.

Indications for use

Ketanov is a powerful medicine and is used to relieve severe headache or toothache, including after operations.

A special indication is the relief of oncological pain.

Widely used in sports medicine with traumatic injuries.

It is indicated for postoperative rehabilitation, with severe menstrual pain and in the postpartum period.

There are contraindications

Pregnancy or lactation, age under 16 years, inflammatory diseases of the kidneys or liver.

Intake with alcohol by mistake

Possible consequences if you accidentally take ketans and alcohol at the same time.

Mistakes don't happen all that often. Under the influence of severe pain, a person is often unable to think logically and consistently. Sometimes people take medicine while already in a state of intoxication and without evaluating the consequences. Since ethanol negates the pain relief effect of the drug in most cases, overdose of the drug is also very likely. Upon the onset of clouded states, a person may not remember that he has already taken the medicine, and will continue to take until the package is empty, or until the onset of coma.

You can just drink the medicine with water, which the pranksters replaced with vodka, by the way, a real case when young employees of the company decided to help a colleague suffering from a toothache. It is believed that a glass of vodka can dull any pain. And as a joke, they replaced the mineral water in the girl's bottle with undiluted vodka. An employee was admitted to the intensive care unit with alcoholic hepatitis.

The action of the drug

Ketanov has a strong effect on the liver and urinary system. Therefore, this strong pain reliever is prescribed only in exceptional cases, when the pain is unbearable. The drug is not recommended for long-term use, because a habit occurs and the therapeutic effect is reduced. When combined with alcohol, an uncontrolled reaction occurs, leading to the destruction of the liver and, often, acute renal failure. At the same time, the adrenal glands, in which a fair amount of hormones are produced, release enormous doses of active substances into the body. A hormonal failure can lead both to an explosion of activity, like that which causes ecstasy, and to inhibitory reactions, when a person stops responding to the environment, the pupils lose sensitivity to light and, in the absence of an immediate medical care possibly falling into a coma.

Even a single dose of such a cocktail causes tremendous harm to the body, which will have to be treated for more than one year. Apart from kidney failure and alcoholic hepatitis, the most common consequence is the immediate development of gastric ulcers.

It is precisely because of frequent failures, erroneous methods and extremely dire consequences that ketans are prohibited for free sale.