Home Tooth pain Why don't they sell ketans? Why was ketanov banned? Ketanov - therapeutic effect and scope of application

Tooth pain

Why don't they sell ketans? Why was ketanov banned? Ketanov - therapeutic effect and scope of application

There is a high risk of gastrointestinal bleeding and stroke. In Europe, because of this, it was completely banned from sale.

I don’t know about this drug, but I used to tell my neighbor. She’s an old grandmother, I bought “carbolepsin” at the pharmacy. It’s also on prescription now. I work as a security guard, but sometimes I’m forced to be on police duty. 3 months ago I turned out to be a witness - they caught a drug dealer. 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 the medicine Ketorol for toothache and the pharmacist warned me that it should be taken strictly after 4 hours if the pain appears again or does not go away. I did so, but 2 tablets were enough for me. Since the medicine is very powerful for 42 rubles. Well In general, my mother’s doctor friend does not recommend taking this medicine more than once, since even one dose puts a lot of stress and harm on the liver. Personally, after taking this medicine, I developed weakness and mild nausea. But Ketanov’s medicine is said to be even stronger, so. By the way, I would also ban the antibiotic Klacid, since the side effects are even worse than these drugs.

Why was ketanov sold by prescription?

I don’t know about this drug, but I used to tell my neighbor. She’s an old grandmother, I bought carbolepsin at the pharmacy. It’s also on prescription now. I work as a security guard, but sometimes they force me to be on police duty. 3 months ago I turned out to be a witness - they caught a drug dealer. They did 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 g. 160 rub. From here, by purchasing 1 kg of it, you could get 2.2 grams of morphine and 0.8 grams of heroin. Those. to make a business out of this, it seems they have promoted him, but perhaps the reason is the same as with ketanol.

Ketanov were banned from free sale because cases had become more frequent fatal outcome when receiving it. That is, it carries with it a bunch of side effects and is dangerous when interacting with other substances. There is a high risk of gastrointestinal bleeding and stroke. In Europe, because of this, it was completely banned from sale.

Ketanov began to be sold by prescription because it was included in the list of medications that must be sold strictly according to a prescription, there is an order from the Ministry of Health about this. Ketanov has many side effects, and there have been deaths after taking it. It is not sold in Europe; it is produced in India.

It should have been sold by prescription before. That's just how they sold it. In fact, they gave me a prescription for it three years ago. But then no one asked him. And even now they don’t ask. Only in some pharmacies.

I recently bought the medicine Ketorol for toothache and the pharmacist warned me that it should be taken strictly after 4 hours if the pain appears again or does not go away. I did so, but 2 tablets were enough for me. Since the medicine is very powerful for 42 rubles. Well In general, my mother’s doctor friend does not recommend taking this medicine more than once, since even one dose causes a strong load and harm on the liver. I personally, after taking this medicine, developed weakness and mild nausea. But Ketanov’s medicine is said to be even stronger, so. 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 sales leaders in pharmacy chains around the world for several years, which is quite natural. Medicines in this group have a wide range of uses, are effective and relatively inexpensive.

The drug Ketanov (ketorolac) is one of the most popular when prescribed to patients, but recently this drug is sold in Russian pharmacies only by prescription. Below we will describe in detail analogues of Ketanov tablets and options for replacing it with over-the-counter drugs.

Instructions for use

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

It has an anti-inflammatory and pronounced analgesic effect by blocking mediators (substances that mediate) inflammation.

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

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

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

Analogues of the drug

In Russian pharmacies there are many cheap analogues of Ketanov in various forms of use. Tablet drugs – 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 package.

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

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

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

What to replace it with?

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

Ibuprofen

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

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

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 use in children (Maxicold, Ibuprofen - Akrikhin).

The price range is very wide, the most inexpensive ones are made in Russia.

Naproxen

The properties of this replacement are similar to Ketanov and Ibuprofen described above. Used in rheumatology and neurology to relieve long-term pain syndrome, helps with algodismenorrhea.

Available for purchase in tablet form (Naproxen-Acri, Nalgesin), it is also part of combined analgesics (Pentalgin).

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

Analgin, aspirin, paracetamol

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

Combination drugs

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

Spasmalgon is a combination of an antispasmodic (fenpiverinium bromide), analgin and pitofenone (NSAID). Effective for headaches, toothache, and algodismenorrhea. Price – 120 Russian rubles per package of 10 tablets.
Novalgin - contains caffeine (stimulant of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated body temperature, relieves joint pain and headaches. The cost is about 170 rubles.
Novigan is a drug produced in India. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). Widely prescribed for headaches, arthralgia, and after injuries. Removes pain syndrome for renal colic, dysmenorrhea. The price of a unit of goods is about 160 rubles.

What do you need to remember?

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

erosive lesions of the esophagus, stomach and intestines;
the presence of bleeding from the gastrointestinal tract in the patient's medical history;
severe forms coronary disease heart (acute and chronic failure, myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have proven cardiotoxic effects;
bronchial asthma(especially in the presence of the “aspirin form”);
pregnancy and early postpartum period;
severe renal and liver dysfunction (end-stage chronic renal failure, liver cirrhosis);
Prescription 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 medications that protect the gastrointestinal mucosa. intestinal tract(omeprazole, ranitidine and others);
Exacerbation of gastritis, peptic ulcer in a patient;
Diarrhea;
Nausea and vomiting;
Promotion blood pressure in patients with hypertension (dosage adjustment of antihypertensive drugs is often required);
NSAIDs interfere with blood clotting, which threatens the appearance of subcutaneous hematomas and petechiae.

Before starting any medication this series Please read the instructions carefully, paying attention to 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 ketanov by prescription

Of course, I am as far from the world of pharmacists, pharmacists, and especially from the Ministry of Health, as a medical college student is from the head. research institute Cardiovascular surgery, and yet.

A little over an hour ago, I felt the urge to take a walk to the nearest pharmacy for a banal reason. “I GOT SICK, I WAS WORRY, AND I STARTED HAVING A TOOTH NIGHTMARE.”

Me: “Please, a pack of KETANS.”

P: “You take it as prescribed by the doctor. "

I was a little taken aback. I felt like I was almost asking her for antipsychotics.

Me: “Yes, no. They simply let him go to me anyway.”

Me: “What do you have without a doctor’s prescription? "

A powerful and commanding finger points to a display window on which are colorful packages of analgesic drugs, at the same colorful prices.

Okay, I don’t think this has happened before, maybe this is just an exception to the rule, I’ll take a walk to another first aid kit.

The situation repeated itself, and it took me 1.5-2 minutes to choose a drug from the display assortment (luckily there was only one and I had time to admire the prices “with the expression of the cat in the photo”).

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

At home, the Internet told me that this drug was included by order (who knows what) of the Ministry of Health on the list as having 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 and cannot be abused;

I wasn’t born yesterday, I’ve only heard a little about the peculiarities of the medicinal industry (well, not in the same way);

I know I need to visit the dentist.

What do you say, gentlemen, pharmacists of the pikabu portal. If there are any. If I’m wrong about something, I can tolerate objective criticism normally.

Why were ketans banned?

Hello friends! Today I want to talk about why ketans were banned, because such an effective remedy that would relieve pain from dental pain and headaches is rarely found anywhere.

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

However, despite this, it was declared prohibited.

Why did this happen, you ask?

Why were ketans banned?

The answer is simple. Like any medicine, it has its own single and daily dose. If everything is clear with the one-time one, since it is defined pharmaceutical companies, then many people have problems with their daily allowance.

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 medicine being banned from free sale.

Many, trying to relieve pain, abused pills, resulting in exceeding the daily dose. This led to various consequences, such as:

Overdose.
Liver damage.
Delirium.

When taking ten tablets, in combination with alcohol, patients experienced 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 have 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 and 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.
Prepare for surgery.

In addition to these diseases, ketan has contraindications for bronchial asthma, cholecystitis, chronic heart failure, and arterial hypertension. And also for cholestasis, renal dysfunction, active hepatitis, sepsis and systemic lupus.

Ketanov overdose

As mentioned earlier: you can exceed the dosage of tablets. Therefore, if you have consumed ketans excessively, an overdose will manifest itself:

abdominal pain,
metabolic acidosis,
nausea or vomiting
kidney dysfunction,
the appearance of peptic ulcers.

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

To eliminate an overdose, gastric lavage and the use of adsorbents such as Activated carbon, and systematic therapy.

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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Is ketanov a drug prohibited for free sale?

And then I went to the pharmacy and they asked me for a prescription. I guess - no, it seems like they always sold it that way. And they answer me - nothing, they violate it in those pharmacies, and they hint at length that they say it is not available without a prescription.

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

In general, under “You are so young, and you are ruining yourself,” she left with nothing. I went to another one and they sold it without any problems.

What was that? Is it just the madness of pharmacists and pharmacists, or is it all “others who are violating”?

Ketanov according to recipes.

04/25/10 23:12 Reply to Ketanov’s message regarding recipes. user lion

Because he was always there.

04/25/10 23:47 Reply to message Re: Ketanov according to prescriptions. by Zaika555

The fact that this is not observed is a risk that each specific pharmacy and each specific pharmacist takes upon itself. That's all.

From the pharmacist's answer it follows that they are now checking more strictly. It is logical that they began to dispense less of what is prescribed according to prescriptions, because... The punishment for this is decent.

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

04/26/10 00:07 Reply to message Re: Ketanov according to prescriptions. by Zaika555

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

Sperat in adversis

04/26/10 10:07 Reply to Ketanov’s message regarding recipes. user lion

There are Nise tablets - they help well with teeth. 5 minutes and that’s it.)) I’ve been choosing a dentist for a month now)) I’m crunching and nothing hurts)) True, you still need to go to the doctor (too many wheels are harmful. There’s also a wonderful thing like ice-caine on a cotton swab and in the tooth for a few seconds, not pleasant sensations and eternal buzz))

So are you from Siberia? They say there are bears walking on your roads?

why are ketans sold by prescription?

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

God bless! Finally! And then they lived to see that they get treatment according to advertising, which you can’t buy in a pharmacy. And then they’ll get sick like hell, they’ll drive themselves crazy, and the doctors are bad.

In Europe, try to buy something without a prescription at a pharmacy - aspirin and a condom, the rest will be given to you without a prescription, and here we even have chemotherapy drugs for oncology freely available (there was a precedent, one madam diagnosed herself with cancer, prescribed treatment for 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.

I haven't heard of anything like this.

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

began to be used inappropriately.

O. . I didn’t know. Oh, I think this is wrong.

Everyone is anesthetized and not treated. I'm interested too. And treatment is expensive. Although ketarol also costs more than a hundred ampoules. The fight against drug addiction. From the wrong end just again.

Ketanov

Names and forms of release

1. Tablets for oral administration.

2. Solution for intramuscular injection.

Ketanov - composition

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

Tablets are available in packages 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 of application

Compared to Aspirin, the analgesic effect of Ketanov is 350 times stronger;
Compared to Indomethacin - 5 times;
Compared to Butadion - 435 times;
Compared to 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. Thanks to its powerful peripheral action, Ketanov is an ideal analgesic drug for relieving severe and moderate pain, especially caused by injuries and operations.

This question interests great amount of people. Very effective means 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 will be able to forget about pain for at least three to four hours. If the pain returns, you can take another tablet, but no more. In general, you need to try to monitor oral hygiene and maintain healthy image life and then problems with teeth will never arise. Use the same biologically active additives will help get rid of existing oral diseases.

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

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

Metabolic disorders in the form of increased creatinine/urea levels in plasma.

Defeats of cardio-vascular system in the form of bradycardia, increased or decreased blood pressure.

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

Respiratory depression, shortness of breath.

Allergic reactions such as skin rash and itching may occur.

With ulcerative lesions of the gastrointestinal tract and duodenum in severe form;

For bleeding from the gastrointestinal tract;

With renal dysfunction, there is an increased likelihood of developing renal failure due to hypovolemia and dehydration;

If there is information in the medical history about bleeding disorders;

When used simultaneously with other non-steroidal anti-inflammatory drugs;

During lactation;

Children under 16;

In case of hypersensitivity to ketorolac and other non-steroidal anti-inflammatory drugs.

Why ketanov by prescription

On instructions from the General Prosecutor's Office of the Russian Federation, the prosecutor's offices of the constituent entities of the Russian Federation carried out large-scale inspections.

Articles

They like to ban everything in our country, as long as there is an opportunity. No relation to ketanes and its analogues containing ketorolac as the main active substance are not. It does not apply to strictly controlled drugs either. All doctors understand this, and despite the ban, buying ketans without a prescription is absolutely not a problem. I really don’t take it more than one standard either, since I don’t have to use it often. For me this is the best solution for migraines. 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 in case of an overdose and as they say with alcohol. But many medications can produce interesting effects in combination with alcohol, so why ban them all? In the end, a wheel lover will always find something to ride on.

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

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

Why Ketanov?

Ketanov is the most an effective drug, quickly and easily relieving the most severe pain syndromes. It is often prescribed to cancer patients and patients who have undergone major surgery.

Most often, it is recommended to take the medicine for pulpitis (that’s what it is.

I drank ketans for a couple of days for pain. And today I observed a particularly strange effect from these super pills. It’s a particularly strange feeling after you swallow two or three a day...

Morning, cold. I'm in the bathroom brushing my teeth, which really hurt. It flashes through my head: “drink ketanov, drink, drink and it will become easier...”. Just a couple of minutes and the pill is in my stomach. Half an hour has passed and my teeth don’t bother me. What a joy!

I’m working... Lunch comes, I eat and BAM! My teeth are going crazy again, aching, pulling, cutting.

The hand automatically, with the speed and precision of a professional basketball player, throws the treasured pill into the mouth... Relief.

And now the end of the working day has finally come, I go to the exit and feel something is wrong!

The head seems to be spinning like a drunken man in the rhythm of a waltz, the eyes dart wildly, and the movements seem slow. It’s like you’re watching someone else’s hands from the outside, etc.

In general, I rested at home and it was already about 22 o’clock for sleep, i.e. knocks you 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 more like a reminder or “xiva” of repeated action

All they have to do is wave it in front of the pharmacist’s nose at 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 their effectiveness, and differ only in their tolerability profile and price.

there is an opinion, yes, but Lisa didn’t talk about efficiency like that

you can’t eat them by the handful anyway

I was also struck by the idea that movalis weak drug“is anti-inflammatory, not pain-relieving”

that's it. to what extent do you need to “take” drugs in order to develop such tolerance to the effects of chemistry

Well, whoever encountered it knows.

when I had an exacerbation of osteochondrosis, I couldn’t.

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

In Ukraine, in connection with the start of medical reform, they are again talking about strict prescription drugs. Let us recall that such an initiative by ex-Minister of Health Zinovy Mytnik at the end of 2010 caused a flurry of emotions both from patients and from doctors, pharmacists and pharmaceutical companies. Public outcry and, it seems, the efforts of pharmaceutical business sharks, who do not always benefit from a conscious approach to the health of Ukrainians, have suspended the progress of reforms until better times. The Bagnet correspondent decided to find out to what extent pharmacists currently follow the letter of the law when selling prescription drugs. As it turns out, this problem, like a coin, has two sides.

The choice fell on a controversial drug - ketanov, so beloved by our people for pain relief. In the List of Over-the-Counter Medicines.

Good day! 🙂

I think everyone has had a very bad headache or toothache at least once in their life. If it is much easier to come to terms with the head, then it is unlikely to be with the tooth. What if it is not possible to go to the doctor right now? Painkillers will come to the rescue, they will relieve pain for a while and make you a person.

Full title: Painkiller SUN Pharma Ketanov

Quantity: 20 tablets

Price: 57 rubles

Where can I buy: pharmacies, online pharmacies

Quite recently (several years ago) the drug was banned from being sold without a prescription, as it belongs to the group of potent painkillers. Such drugs are equivalent to narcotic drugs. In general, in practice, almost nothing has changed, and ketans can still be easily purchased at the pharmacy, but not always. Sometimes the pharmacist will still ask for a prescription. I apparently look very sick, because they sell it to me just like that. Last time I bought it for toothache. The tooth began to hurt in the spring, but after two aspirin tablets it went away, although I was subsequently awarded an allergic reaction. Recently I got sick again, and apart from drotaverine, I didn’t have anything at home.

Usually I took Ketans Ranbaxy, now it was not available, and I took another manufacturer, but this is also India. Some kind of san pharma that is not particularly well known to me. Well, the main thing is that you help, right?

Storage conditions, dosage, information about the manufacturer and, by the way, conditions for dispensing from pharmacies are described at the back.

The expiration date and batch number are indicated on the side.

My package contains two silver blisters, 10 tablets each. Ketanov are also produced in quantities of 10 and 100 pieces. I have 20, and this option is the best for me.

also in cardboard box Next to the tablets themselves there is a huge instruction manual, just a paper sheet.

I will quote the main information from the instructions.

Directions for use and doses

Pills. Orally, once or repeatedly, depending on the severity of the pain syndrome. Single dose - 10 mg, with readmission 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.

Side effects

From the outside 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, lower back pain with or without hematuria and/or azotemia, hemolytic uremic syndrome (hemolytic anemia, renal failure, thrombocytopenia, purpura), frequent urination, increased or decreased urine volume, nephritis, edema renal origin.

From the senses: rarely - hearing loss, ringing in the ears, visual impairment (including blurred visual perception).

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

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

From the cardiovascular system: less often - increased blood pressure; rarely - pulmonary edema, fainting.

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

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

From the outside skin: less often - skin rash (including maculopapular rash), purpura; rarely - exfoliative dermatitis (fever with or without chills, redness, thickening or flaking of the skin, swelling and/or tenderness of the 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 (change in facial skin color, skin rash, urticaria, itching of the skin, tachypnea or dyspnea, swelling of the eyelids, periorbital edema, shortness of breath, difficulty breathing, heaviness in the chest, wheezing).

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

From the above quotes it becomes clear that you can take ketanes 1 tablet, no more than 4 times a day and no longer than 5 days. This is the maximum, personally, one tablet is usually enough for me, this time I took two, the second one at night rather to be on the safe side, and the next day another one.

The side effects are scary because there are quite a lot of them, and some are quite serious. I have never experienced side effects from ketanov, but the list is really very extensive, and it’s not a fact that you won’t experience them, everyone’s body is different.

The tablets themselves are white, round, slightly convex, and small. On one side there is an engraving, on the other it is absolutely smooth. They have absolutely no smell. I can’t describe the taste, I swallow it quickly.

I wash down the tablets with water; at 29 years old, I still haven’t learned to swallow them just like some people. I feel the effect of the drug on myself within 10 minutes - I’m talking about toothache. For headaches personal experience no, but my colleague’s was gone in about 15 minutes, absolutely without leaving a trace. In my case, the tooth also no longer ached or hurt, it’s a wonderful feeling when nothing hurts!

My case is not completely advanced, so one tablet relieves the attack for a long time, and the pain does not return. The next day I woke up absolutely healthy and, as they say, cheerful and cheerful, drank coffee, ate chocolates - the tooth ached again and I did not wait until it hurt as much as the previous day. I drank Ketanov and didn’t notice how my tooth stopped aching. That is, I didn’t get to the point of acute pain, the drug was able to prevent it.

After this day, I happily forgot about my tooth, which reminds me of itself every six months. Yes, we need to go and cure him already. I don't have money or time. I also never had my teeth treated, and they never hurt me. But in the last two years, after the birth of my son, I learned what it is toothache, and why people climb the wall because of it. Of course, sooner or later I will cure him, but for now such a drug in my medicine cabinet will not hurt.

On the one hand, there are a lot of side effects, on the other hand, I have never felt them. Therefore, I recommend the drug, but follow the instructions and do not take more than the indicated daily dose.

Quickly, effectively and for a long time helped me forget about toothache, which periodically arises and develops into a rather acute one. If you can’t go to the doctor right now, I recommend keeping this drug in your home medicine cabinet, you never know what might happen tomorrow.

Do not be ill!

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

Original source I am a pharmacist

In fact, everything is individual.

According to some data, 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 again, if we are accustomed to eating it with spoons since childhood, then of course we need something else. Choose carefully, listening to liver enzymes :)

When my husband broke his arm, only ketans were saved!

Yes, yes, Ketanov is a very good pain reliever!

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. Otherwise it’s KETANOV or NIZ

Drink red wine.

Lyuba, your questions are provocative, we will advise you here, and you will swallow it, but to the next world, I will not take it upon my soul.

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

How to replace ketans?

The purpose of replacing the drug is not entirely clear - if it has stopped helping, and you are ready to take new prescriptions at the clinic, then very effective painkillers are Pentalgin Plus, Piralgin, Solpadeine, Tetralgin - they all contain codeine, and polyclinic luminaries are extremely reluctant to write prescriptions for them. If the reason for the replacement is precisely the lack of a prescription, you can take regular Pentalgin (without codeine) - however, the dose of Prima will have to be increased.

IN Lately Neurologists are very fond of prescribing Lyrica as a strong analgesic. The name confused me the first time, the medicine is available only by prescription, but the drug itself is very, very virgin. Anyway, inflammation trigeminal nerve helped me survive

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;

Ketanov really helps a lot, but if you suddenly don’t have it or can’t get it due to lack of a prescription, then you have to look for a replacement.

In this case, we can recommend the following options: Pentalgin, Ketarol or Baralgin.

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

But I don’t know that (more precisely why) ketanov was considered a good pain reliever, when I had a severe toothache, then Pentalgin helped me better than ketanov, Baralgin is also a powerful remedy, and Ketanov’s substitute is Ketarol, I haven’t tried it yet (there was no reason), but I’ve heard from people that 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. Often used in the postoperative period to relieve pain syndromes.

How to replace ketanes in its absence?

Here is a list of analogues of this drug:

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

You can take Tempalgin or Pentalgin, they are also pain relievers.

an analogue of ketanov is ketarol, you can also inject the same ketanov and ketaroll in tablets intramuscularly. but do you know that it should not be used for more than three days - is it actually a post-operative medicine?

I take Ketorol, they act faster than Tempalgin. There is also Ketorolac, but I’ve never taken it myself.

Ketanov has a very bad effect on the heart; it is a strong drug that many use unnecessarily. It can often be replaced with regular 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 Dolak.

This is actually a very strong pain reliever. It was not given to me without a prescription; it was prescribed to my husband for a broken rib and to my daughter after surgery. They wrote out a prescription, however, for ketolong, but it was not available and I replaced it with ketanov. There is also ketalgin (Kharkov) and ketorol (India).

It is better not to use such a strong painkiller unless absolutely necessary, otherwise weaker ones will not work later.

How to replace ketans?

Ketanov is a strong pain reliever, but has many contraindications. Analogs, such as ketorol, analgesics (pentalgin, tetralgin, baralgin) differ little in their action and are not effective in severe pain.I know from myself that the drug catadonol 100 mg helps a lot. One tablet helps get rid of pain for 12 hours. It can be taken for up to 2 months without consequences for the body. There is also tebantin 300 mg, but this is only for very severe pain and It’s better when prescribed by a doctor. All the drugs that I indicated are available in pharmacies without a prescription (at least in Moscow I bought them without problems).

If you need to replace Ketanov due to side effects, unavailability in the pharmacy, or a doctor’s prohibition on this drug, you can purchase the following painkillers 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 pain syndromes of the musculoskeletal system, but again there are a lot of side effects.
bellasthesin - tablets containing belladonna extract, 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 ketans with. And before using an unknown medicine, be sure to read its detailed instructions.

Over-the-counter analogues of Ketanov tablets

Instructions for use

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

It has an anti-inflammatory and pronounced analgesic effect by blocking mediators (substances that mediate) inflammation.

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

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

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

Analogues of the drug

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

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

Acular is available in the form of eye drops. Used by ophthalmologists in the postoperative period in patients. Price 350 rubles.

What to replace it with?

Ibuprofen

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

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

The price range is very wide, the most inexpensive ones are made in Russia.

Naproxen

The properties of this replacement are similar to Ketanov and Ibuprofen described above. Used in rheumatology and neurology to relieve long-term pain syndrome, helps with algodismenorrhea.

Available for purchase in tablet form (Naproxen-Acri, Nalgesin), it is also part of combined analgesics (Pentalgin).

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

Analgin, aspirin, paracetamol

Combination drugs

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

Spasmalgon is a combination of an antispasmodic (fenpiverinium bromide), analgin and pitofenone (NSAID). Effective for headaches, toothache, and algodismenorrhea. Price – 120 Russian rubles per package of 10 tablets.
Novalgin - contains caffeine (stimulant of the vasomotor center in the brain), paracetamol and propyphenazone (NSAIDs). Reduces elevated body temperature, relieves joint pain and headaches. The cost is about 170 rubles.
Novigan is a drug produced in India. It contains a combination of an antispasmodic and two types of NSAIDs (ibuprofen, pitofenone). Widely prescribed for headaches, arthralgia, and after injuries. Relieves pain in renal colic and dysmenorrhea. The price of a unit of goods is about 160 rubles.

What do you need to remember?

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

erosive lesions of the esophagus, stomach and intestines;
the presence of bleeding from the gastrointestinal tract in the patient's medical history;
severe forms of coronary heart disease (acute and chronic failure, myocardial infarction). NSAIDs, in particular ketorolac and diclofenac, have proven cardiotoxic effects;
bronchial asthma (especially in the presence of the “aspirin form”);
pregnancy and early postpartum period;
severe renal and liver dysfunction (end-stage chronic renal failure, liver cirrhosis);
Prescription 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 mucous membrane 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 (dosage adjustment of antihypertensive drugs is often required);
NSAIDs interfere with blood clotting, which threatens the appearance of subcutaneous hematomas and petechiae.

Before you start taking any drug in this series, carefully read the instructions, paying attention to 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 cannot cope with it on his own. non-drug methods treatment. 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 rapid 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, when entering the body, prevent the formation of inflammatory enzymes and make the patient feel better.

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

You need to take Ketanov tablets and medication analogues very carefully. This is a potent drug and its abuse increases the risk of side effects. The daily dose of Ketanov should not be more than 90 mg. It is important to note that the maximum permissible duration The course of treatment with this drug is five days.

Ketanov has many contraindications:

The drug is not suitable for people with heart failure.
Patients suffering from kidney disease should think about what to replace Ketanov with.
It is not recommended to be treated with medication for people with erosions and stomach ulcers.
Ketanov is contraindicated for women during pregnancy and breastfeeding.
Treatment with this drug should be avoided in case of myasthenia gravis and porphyria.
Ketanov is not suitable for people with hypersensitivity to the components of the medicine.

What can replace Ketanov?

Fortunately, today almost all drugs have analogues or similar substitutes. Ketanov also has generic medications. 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 can be found over the counter in pharmacies.

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

Names and forms of release

1. Tablets for oral administration.

2. Solution for intramuscular injection.

Ketanov - composition

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

Tablets are available in packages 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 of application

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

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 if there is a high risk of bleeding, for example, in people suffering from diseases of the gastrointestinal tract.

Ketanov (tablets and injections) - indications for use

1. Relief of pain after surgical interventions (general surgical, gynecological, orthopedic, urological, dental and ENT organs).

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

3. Short-term pain relief for the following conditions:

Pain after withdrawal of narcotic analgesics;
Toothache due to any dental diseases (for example, pulpitis, caries, periodontitis, etc.);
Pain during dental procedures;
Gall or renal colic(in combination with antispasmodic drugs);
Pain after childbirth and episiotomy (perineal incision);
Otitis;
Fibromyalgia (muscle pain);
Pain due to osteoarthritis or osteoarthritis;
Pain due to malignant tumors;
Sciatica (pain along the sciatic nerve);
Radicular syndrome;
Osteochondrosis.

It should be remembered that Ketanov cannot be used to relieve sudden and acute pain in the abdomen, as this may mask the symptoms of a disease requiring urgent surgical intervention.

Instructions for use

Ketanov tablets - instructions for use

Ketanov injections - instructions

Person under 65 years of age– first and subsequent injections of 10 – 30 mg (0.3 – 1 ml of solution);
Person over 65 years old or suffering from renal failure - administer 10 - 15 mg (0.3 - 0.5 ml of solution).

The maximum permissible 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 “according to schedule” regime, 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

Impact on the ability to operate machinery

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;
Plasmalit solution;
A solution of Aminophylline, Lidocaine, Dopamine, Insulin and Heparin.

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

Using a drug for toothache

Use for headaches

Ketanov 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 + decreased blood platelet count);
Frequent urination;
Increase or decrease in urine volume;
Nephritis;
Swelling (face, legs, ankles, fingers, feet, tongue).

3.Sense organs:

Anemia;
Leukopenia (decreased total number leukocytes in the blood);
Eosinophilia (increased number of eosinophils in the blood);
Bleeding from the wound;
Nose or rectal bleeding.

8.Skin covering:

Rash;
Purpura;
Exfoliative dermatitis (fever, redness, thickening and flaking of the skin, swelling and tenderness of the tonsils);
Hives;
Stevens-Johnson syndrome;
Lyell's syndrome;
Burning and pain in the area where the solution was administered (for injection only).

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

Contraindications to the use of Ketanov

Individual sensitivity to Ketanov or other NSAIDs;
"Aspirin asthma" in the present or past;
Bronchospasm;
Angioedema;
Dehydration (dehydration);
Hypovolemia (low 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;
Hematopoietic disorder;
Pregnancy and breastfeeding period;
Age under 16 years;
Chronic pain.

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

Bronchial asthma;
Cholecystitis;
Chronic heart failure;
Hypertonic disease;
Impaired renal function with plasma creatinine concentrations 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;
Dolak 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.

Analogues of Ketanov are the following drugs:

Arthrotek tablets;
Asinak tablets;
Aertal tablets;
Bioran solution and tablets;
Voltaren solution, tablets and rectal suppositories;
Diclak 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;
Methindol retard tablets;
Naklofen tablets, solution and rectal suppositories;
Naklofen Duo capsules;
Neurodiclovit capsules;
Ortofen solution and tablets;
Orthofer solution and tablets;
Panoxen tablets;
Rapten Duo and Rapten Rapid tablets;
Rantudil Forte and Rantudil Retard capsules;
Flotak capsules.

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.

Is Ketanov sold by prescription or not?

Ketanov: instructions for use

This drug is an effective medicine used to relieve pain of various origins. This article will tell you how to use it correctly according to the instructions, what indications and contraindications it has, 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 Ranbaxy. 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 by Ketanov are as follows:

Blood coagulation pathologies;

Acute and chronic diseases of the liver and kidneys;

Individual allergic aversion;

Children under 16 years of age;

Lactation and breastfeeding period.

Compound

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

1- tablets contain:

The main active ingredient is ketorolac;

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

2- Solution for injection:

The active ingredient is ketorolac tromethamine;

Excipients - sodium chloride, water, ethanol alcohol and others.

Instructions for use Ketanov tablets

Ketanov should be taken strictly according to the instructions and after consultation with your doctor. The following doses are usually prescribed:

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

The dosage for adults can 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 dosage of 10 to 30 mg with an interval between injections of at least 4 hours.

The maximum permissible daily dose should not exceed 90 mg.

For toothache

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

Ketanov ointment instructions for use

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

Is it possible to use Ketanov during pregnancy and breastfeeding?

During pregnancy and breastfeeding The product is strictly contraindicated and cannot be used.

Ketanov as a pain reliever during menstruation - dosage

It is extremely undesirable to take it as a pain reliever during menstruation, since the components contained in the drug cause blood thinning and can cause heavy bleeding. However, for severe pain, you can take half a tablet or a whole tablet once.

Analogues of ketanes

Analogues of the drug can be found in Russian pharmacies, both more expensive and cheaper. These drugs include: Ketolak, 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 can be purchased in many pharmacies across the country without a prescription from a doctor.

Ketanov or Ketorol which is better and what is the difference

What is better is the described drug or Ketorol, everyone decides for themselves individually. However, as evidenced by patient reviews, Ketorol is more effective for headaches, as it acts more mildly and practically does not cause negative consequences.

Side effect - Ketanov and alcohol compatibility

Decreased heart rate;

Abdominal colic;

Bleeding and other negative consequences.

Reviews

Patient reviews of the product are overwhelmingly good. Users testify to the effectiveness of the drug for relieving headaches, dental, gynecological and other pain. However, reviews from doctors indicate that long reception medications may cause unwanted effects.

How much does it cost at the 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 package;

Ointment (gel) – on average 240 rubles;

Candles - approximately 260 rubles per package.

The best analogue of Ketorol: list of drugs and reviews

Pain is a symptom of many injuries and diseases, which is why there is a need for painkillers in modern society so high. The drug "Ketorol" is considered a good choice. Of course, treatment should be aimed at eliminating the primary cause. However, the pain can sometimes be simply unbearable, so patients need this medicine or its equivalent. "Ketorol" is considered a fairly effective remedy. 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? "Ketorol" is safe or may cause any side effects? Are there any contraindications? The answers to these questions are of interest to many readers.

The drug "Ketorol": composition and release forms

Of course, first 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 components does the medicine “Ketorol” consist of? Compound - important point. 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 film shell contains propylene glycol, green dye and hypromellose.

By the way, you can also buy Ketorol injection solution 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.

Mechanism of action on the body

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

The mechanism of its effect is associated with non-selective inhibition of cyclooxygenase activity. The medicine does not affect opioid receptors in any way and, accordingly, does not cause addiction. The drug is not 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 with? Doctors prescribe the drug in the presence of moderate or severe pain:

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

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

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

How to take the medicine correctly? You should not use it yourself. Only a doctor can determine the effective and safe dose of Ketorol. Instructions for use (tablets) indicate that if pain occurs, patients take one tablet once.

In case of severe pain, 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 properly use Ketorol injection solution? The injections are given intramuscularly, and the patient is prescribed a minimal but effective dose. As a rule, a person over 16 years of age whose weight exceeds 50 kg is either administered 60 ml of the drug once, or the daily dose is divided into two doses (30 ml each). The injection should be done slowly, and it is important to inject the solution deep into the muscle. How quickly does pain disappear after taking Ketorol? Reviews say 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 pain medications

According to the instructions, research results and reviews, the drug “Ketorol” for pain is quite effective. 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 varying degrees severity or nasal polyposis, which worsens from time to time.
This drug should not be used by 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 in this case relieved with other drugs).
The drug is not prescribed for chronic inflammatory lesions of the digestive tract at the acute stage (for example, ulcerative colitis, Crohn's disease).
This pain reliever should not be taken if you have decompensated heart failure.
Blood clotting disorders are also included in the list of contraindications.
The drug should not be taken by patients with liver and kidney diseases (including renal and liver failure).
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 increased sensitivity not only to lactose, but also to any component of the drug (it is recommended to study the composition before starting use).
There are also age restrictions. For patients under sixteen years of age, it is better to choose another pain reliever.
The medicine is not prescribed during pregnancy. Since the active ingredient passes into breast milk, you should stop feeding your baby while taking the pills.

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 any possible complications while taking it?

What complications can result from taking Ketorol tablets? Reviews from doctors say that the drug correct dosage well tolerated. But the possibility of side effects cannot be ruled out. These include:

Disorders of the 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. Constipation and the development of peptic ulcers are possible.
Adverse reactions from the urinary organs appear much less frequently. Some patients complain of an increased urge to urinate and note a decrease or increase in the daily volume of urine. While taking the pills, swelling and pain in the lower back may appear. It is extremely rare that the drug can trigger the development of acute renal failure.
Therapy is sometimes accompanied by disruption of the sensory organs and nervous system. After taking the pill, you may experience a headache. Side effects include increased drowsiness, depressive states, hyperactivity, the appearance of hallucinations and psychosis. Sometimes patients complain of ringing in the ears, decreased hearing and visual acuity.
Development is possible allergic reactions. Sometimes patients' skin breaks out in a rash. It is possible to develop urticaria, swelling, and even severe anaphylactic shock.
Other violations are also possible. Peripheral edema often appears while taking the medication. Rarely, increased body temperature and increased sweating are observed. To the number adverse reactions also include the appearance of rhinitis, shortness of breath, bronchospasm. A sharp increase in blood pressure and loss of consciousness are possible. While using the medicine, the patient may develop anemia, nasal and rectal bleeding.

Any deterioration after taking the drug should be reported to your doctor as soon as possible.

Ketanov tablets as a substitute

What should you do if, for one reason or another, the medicine described above does not suit you? Actually modern pharmaceutical market offers simply a huge amount of painkillers. And often doctors prescribe Ketanov or Ketorol to patients. What's better? By and large, these are one and the same tool.

The main active substance is ketorolac. The drug is available in the form of tablets and solution for intramuscular or intravenous injections. 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 only suitable for short-term control of pain, since otherwise the risk of side effects increases, including ulcerative lesions of the walls of the digestive tract.

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 and the severity of the pain syndrome. The decision here can only be made by the attending physician. By the way, Ketanov tablets cost patients much less, 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 component is the same and they have the same effect on the body. The medicine copes well with toothache, myalgia, neuralgia, and pain from injuries. It is often 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 component is nimesulide. However, the mechanism of action is similar, since the main active ingredient is a selective inhibitor of cyclooxygenase.

This medicine is available in the form of tablets, oral suspension and gel for external use. The drug also helps with pain syndromes arising from injuries, arthritis and radiculitis. 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 means 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 drug that contains three active substances:

Metamizole sodium has antipyretic properties and provides an analgesic effect;
fenpiverinium bromide acts on smooth muscles;
Pitophenone 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 caused by spasm of smooth muscles. Indications include renal, intestinal and biliary colic, ureteral spasm, chronic colitis and some other disorders internal organs.

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

Composition and release form

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

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

Description of the dosage form

Pills: round, biconvex, covered with a white or almost white, with "KVT" engraved on one side.

Injection: transparent colorless or pale yellow solution.

pharmachologic effect

pharmachologic effect- antipyretic, anti-inflammatory, analgesic.

Pharmacodynamics

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

The mechanism of action is associated with non-selective inhibition of the activity of the enzyme COX-1 and -2, 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, and the analgesic effect is due to the [-]S form.

The drug does not affect opioid receptors, does not depress respiration, does not cause drug dependence, and does not have a sedative or anxiolytic effect.

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

After intramuscular administration and oral administration, the onset of analgesic effect is observed after 0.5 and 1 hour, respectively, the maximum effect is achieved after 1-2 hours.

Pharmacokinetics

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

Absorption with intramuscular administration is complete and rapid. After intramuscular administration of 30 mg of the drug, Cmax is 1.74-3.1 µg/ml, 60 mg - 3.23-5.77 µg/ml, Tmax - 15-73 and 30-60 minutes, respectively.

The time to reach equilibrium concentration (C SS ) for parenteral and oral administration is 24 hours when administered 4 times a day (above subtherapeutic) and is 0.65-1.13 mcg/ml for intramuscular administration at a dose of 15 mg, 30 mg - 1.29-2.47 µg/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 failure, the volume of distribution of the drug may increase by 2 times, and its R-enantiomer by 20%.

Penetrates into breast milk: after the mother takes the first and second doses of ketorolac (10 mg), 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 91% by the kidneys, 6% through the intestines.

T 1/2 in patients with normal function kidneys 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). T1/2 is lengthened in elderly patients and shortened in young ones. Liver function has no effect on T1/2. In patients with impaired renal function with a plasma creatinine concentration of 19-50 mg/l (168-442 µmol/l), T1/2 is 10.3-10.8 hours, with more severe renal failure - more than 13.6 h.

The total clearance is 0.023 l/kg/h with intramuscular administration at a dose of 30 mg (0.019 l/kg/h in elderly patients), or 0.025 l/kg/h with oral administration at a dose of 10 mg; in case of renal failure with a plasma creatinine concentration of 19-50 mg/l, with intramuscular 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 of the drug Ketanov ®

Pain syndrome of moderate and severe intensity of various origins (including in the postoperative period, with cancer).

Contraindications

hypersensitivity to ketorolac or other NSAIDs, “aspirin asthma”, bronchospasm, angioedema, hypovolemia (regardless of the cause), dehydration;

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

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

hemorrhagic stroke (confirmed or suspected), hemorrhagic diathesis, simultaneous use with other NSAIDs, high risk development or recurrence of bleeding (including after operations), 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 and nasopharyngeal mucosa.

Side effects

The incidence of side effects is determined 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, lower back pain with or without hematuria and/or azotemia, hemolytic uremic syndrome (hemolytic anemia, renal failure, thrombocytopenia, purpura), frequent urination, increased or decreased urine volume, nephritis, edema of renal origin.

From the senses: rarely - hearing loss, ringing in the ears, visual impairment (including blurred vision).

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

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

From the cardiovascular system: less often - increased blood pressure; rarely - pulmonary edema, fainting.

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

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

From the skin: less often - skin rash (including maculopapular rash), purpura; rarely - exfoliative dermatitis (fever with or without chills, redness, thickening or flaking of the skin, swelling and/or tenderness of the 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 (change in facial skin color, skin rash, urticaria, skin itching, tachypnea or dyspnea, swelling of the eyelids, periorbital edema, shortness of breath, difficulty breathing, heaviness in the chest, wheezing).

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

Interaction

Concomitant 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, and with methotrexate - hepato- and nephrotoxicity. Co-administration of ketorolac and methotrexate is possible only when using low doses of the latter (monitor the concentration of methotrexate in the blood plasma).

Probenicid reduces the plasma clearance and volume of distribution of ketorolac, increases its concentration in the blood plasma and increases its half-life. With the use of ketorolac, the clearance of methotrexate and lithium may decrease and the toxicity of these substances may increase. Co-administration 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 disruption of platelet aggregation. Increases the plasma concentration of verapamil and nifedipine.

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

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

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

Directions for use and doses

Pills. Inside, once or repeatedly depending on the severity of the pain syndrome. Single dose - 10 mg, when repeated, 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), minimally effective doses, selected according to the intensity of pain and the patient's response. If necessary, additional opioid analgesics can be prescribed in reduced doses at the same time.

Single doses for 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 of age - 10-30 mg, then - 10-30 mg every 4-6 hours;

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

Maximum daily dose at 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.

When administered parenterally, the duration 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 transition should not exceed 30 mg.

Overdose

Symptoms: abdominal pain, nausea, vomiting, peptic ulcers or erosive gastritis, renal dysfunction, metabolic acidosis.

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

special instructions

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

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

Do not use simultaneously with paracetamol for more than 5 days. Patients with bleeding disorders are prescribed the drug only with constant monitoring of the platelet count, which is especially important in the postoperative period, when careful monitoring of hemostasis is required.

Since a significant proportion of patients who are prescribed 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 a vehicle, working with machinery, etc.).

Manufacturer

Ranbaxy Laboratories Limited, India

Conditions for dispensing from pharmacies

On prescription.

Storage conditions for the drug Ketanov ®

At a temperature not exceeding 25 °C.

Keep out of the reach of children.

Shelf life of the drug Ketanov ®

3 years.

Do not use after the expiration date stated on the package.

Synonyms of nosological groups

Category ICD-10	Synonyms of diseases according to ICD-10
M25.5 Joint pain	Arthralgia

	Pain syndrome in osteoarthritis
	Pain syndrome in osteoarthritis


	Pain in the joints
	Joint pain
	Joint pain during heavy physical activity
	Painful inflammatory joint lesions

	Painful joint conditions
	Painful traumatic joint lesions

	Shoulder pain
	Joint pain
	Joint pain
	Joint pain due to injury
	Musculoskeletal pain
	Osteoarthritis pain
	Pain due to joint pathology
	Rheumatoid arthritis pain
	Pain in chronic degenerative bone diseases
	Pain in chronic degenerative joint diseases
	Osteoarticular pain
	Rheumatic pain
	Rheumatic pains
	Joint pain
	Joint pain of rheumatic origin
	Joint pain syndrome
	Joint pain
M54 Dorsalgia	Pain in the musculoskeletal system
	Pain in the spine
	Back pain
	Back pain
	Spinal pain
	Pain in various departments spine
	Backache
	Spine pain syndrome
M54.1 Radiculopathy	Pain syndrome with radiculitis
	Diseases of the spinal column
	Acute radicular radiculopathy
	Acute radiculitis
	Subacute radiculitis
	Radiculitis
	Radiculitis
	Radiculitis with radicular syndrome
	Radiculopathy
	Chronic radiculitis
M79.0 Rheumatism, unspecified	Degenerative rheumatic disease
	Degenerative and rheumatic tendon diseases
	Degenerative rheumatic diseases
	Localized forms of soft tissue rheumatism
	Rheumatism
	Rheumatism with a pronounced allergic component
	Rheumatism articular and extra-articular
	Rheumatic attack
	Rheumatic complaints
	Rheumatic diseases
	Rheumatic diseases of the intervertebral disc
	Rheumatic disease
	Rheumatic spine disease
	Rheumatoid diseases
	Relapses of rheumatism
	Articular and extra-articular rheumatism
	Articular and muscular rheumatism
	Articular rheumatism
	Articular syndrome in rheumatism
	Chronic rheumatic pain
	Chronic articular rheumatism
M79.1 Myalgia	Pain syndrome in muscular and joint diseases
	Pain syndrome in chronic inflammatory diseases musculoskeletal system
	Muscle pain
	Muscle soreness
	Muscle soreness during heavy physical activity
	Painful conditions of the musculoskeletal system
	Pain in the musculoskeletal system
	Muscle pain
	Pain at rest
	Muscle pain
	Muscle pain
	Musculoskeletal pain
	Myalgia
	Myofascial pain syndromes
	Muscle pain
	Muscle pain at rest
	Muscle pain
	Muscle pain of non-rheumatic origin
	Muscle pain of rheumatic origin
	Acute muscle pain
	Rheumatic pain
	Rheumatic pains
	Myofascial syndrome
	Fibromyalgia
M79.2 Neuralgia and neuritis, unspecified
	Brachialgia
	Occipital and intercostal neuralgia
	Neuralgia
	Neuralgic pain
	Neuralgia
	Neuralgia of the intercostal nerves
	Neuralgia of the posterior tibial nerve
	Neuritis
	Traumatic neuritis
	Neuritis
	Neurological pain syndromes
	Neurological contractures with spasms
	Acute neuritis
	Peripheral neuritis
	Post-traumatic neuralgia

	Chronic neuritis
	Essential neuralgia
R52.0 Acute pain	Acute pain syndrome
	Acute pain syndrome in osteoarthritis
	Acute pain syndrome of traumatic origin
	Severe neurogenic pain
	Severe pain
	Pain syndrome during childbirth
R52.1 Persistent, intractable pain	Pain syndrome in oncological practice
	Severe pain syndrome
	Pain syndrome in malignant neoplasms
	Pain syndrome in cancer
	Pain syndrome with tumors
	Pain syndrome in cancer patients
	Pain due to malignant neoplasms
	Pain due to malignant tumors
	Pain due to tumors
	Pain in cancer patients
	Pain with bone metastases
	Pain due to cancer
	Malignant pain syndrome
	Intense chronic pain
	Intense pain syndrome
	Intense intractable pain syndrome
	Intense chronic pain syndrome
	Intractable pain
	Intractable pain
	Tumor pain

	Severe pain
	Chronic pain
	Chronic pain syndrome
R52.2 Other persistent pain	Pain syndrome of non-rheumatic origin
	Pain syndrome with vertebrogenic lesions
	Pain syndrome with neuralgia
	Pain syndrome from burns
	Pain syndrome is mild or moderate
	Neuropathic pain
	Neuropathic pain
	Perioperative pain
	Moderate to severe pain
	Moderate or mild pain syndrome
	Moderate to severe pain syndrome
	Ear pain due to otitis media
R52.9 Pain, unspecified	Obstetric and gynecological pain
	Pain syndrome


	Pain syndrome of inflammatory origin
	Pain syndrome of non-oncological origin





	Pain syndrome after injuries


	Pain syndrome due to inflammation of non-rheumatic nature
	Pain syndrome in inflammatory lesions of the peripheral nervous system
	Pain syndrome in diabetic neuropathy
	Pain syndrome in acute inflammatory diseases of the musculoskeletal system
	Pain syndrome due to tendon pathology
	Pain syndrome due to smooth muscle spasms
	Pain syndrome due to smooth muscle spasms (renal and biliary colic, intestinal spasms, dysmenorrhea)
	Pain syndrome due to spasms of smooth muscles of internal organs
	Pain syndrome due to spasms of smooth muscles of internal organs (renal and biliary colic, intestinal spasms, dysmenorrhea)
	Pain syndrome due to injuries

	Pain syndrome in chronic inflammatory diseases of the musculoskeletal system
	Pain syndrome in duodenal ulcer
	Pain syndrome with gastric ulcer
	Pain syndrome in gastric and duodenal ulcers
	Painful sensations
	Pain during menstruation
	Pain syndromes
	Painful conditions
	Painful tired legs
	Sore gums when wearing dentures
	Tenderness of cranial nerve exit points
	Painful, irregular periods
	Painful dressings
	Painful muscle spasm
	Painful tooth growth
	Pain
	Pain in the lower extremities


	Body pain



	Pain after cholecystectomy
	Flu pain
	Pain due to diabetic polyneuropathy
	Pain from burns
	Pain during sexual intercourse


	Pain due to colds
	Pain due to sinusitis
	Pain from injuries
	Shooting pains
	Traumatic pain
	Pain




Postoperative pain

Post-traumatic pain
Pain when swallowing
Pain in infectious and inflammatory diseases of the upper respiratory tract
Pain from burns
Pain from traumatic muscle injury
Pain from injuries
Pain during tooth extraction
Pain of traumatic origin
Pain due to smooth muscle spasm
Severe pain syndrome
Severe pain syndrome of traumatic origin
Non-malignant pain syndrome
Polyarthralgia with polymyositis
Postoperative pain
Postoperative pain

Postoperative pain
Post-traumatic pain
Post-traumatic pain syndrome
Torpid pain syndrome
Traumatic pain
Traumatic pain
Moderate pain
Moderate pain syndrome
Moderate pain syndrome
T88.9 Complication of surgical and therapeutic intervention, unspecified	Pain syndrome in the postoperative period
	Pain syndrome in the postoperative period after orthopedic surgery
	Pain syndrome after diagnostic procedures
	Pain syndrome after diagnostic interventions
	Pain syndrome after surgery
	Pain syndrome after surgical interventions
	Pain syndrome after orthopedic surgery
	Pain syndrome after removal of hemorrhoids
	Pain syndrome after surgery
	Pain syndrome when using excimer laser
	Pain syndrome during injuries and after surgery
	Pain syndromes in dental practice
	Painful diagnostic interventions
	Painful diagnostic procedures
	Painful instrumental diagnostic procedures
	Painful instrumental manipulations
	Painful treatment procedures
	Painful manipulations
	Painful dressings
	Painful therapeutic interventions
	Painful surgeries
	Pain in the area of the surgical wound
	Pain in the postoperative period
	Pain after diagnostic interventions
	Pain after orthopedic surgery
	Pain after surgery
	Pain during diagnostic procedures
	Pain during therapeutic procedures
	Pain in orthopedics
	Pain in the postoperative period
	Pain after diagnostic interventions
	Pain after sclerotherapy
	Pain after dental procedures
	Pain after surgery
	Postoperative pain
	Postoperative and post-traumatic pain
	Pain during tooth extraction
	Inflammation after surgery and injury
	Inflammation after orthopedic surgery
	Inflammatory processes after surgery
	Inflammatory syndrome after surgery
	Suppurating postoperative fistulas
	Surgical wound
	Complications after tooth extraction
	Postoperative pain
	Postoperative pain
	Postoperative pain syndrome
	Postoperative pain