Non-steroidal anti-inflammatory drug (NSAID) — Strong Painkiller
Last reviewed June 2026
Who is this for?
Ketorolac trometamol is a strong painkiller that works by reducing the chemicals in your body that cause pain, swelling, and inflammation — it belongs to the same family as ibuprofen but is much stronger.
Inhibits cyclooxygenase (COX-1 and COX-2) enzymes, reducing prostaglandin synthesis and thereby decreasing pain, inflammation, and fever. Provides rapid onset of analgesia suitable for moderate to severe acute pain management.
Prescription Required
You need a doctor's prescription to buy this drug.
Explore this drug
Ketorolac is usually given as an injection (like Panache Injection) by a doctor or nurse, but it also comes as tablets. If prescribed tablets, the usual adult dose is 10 mg every 4 to 6 hours as needed for pain, but do not take more than 40 mg in a day. It should be taken with food or milk to protect your stomach. Very important: this drug should NOT be used for more than 5 days total, whether by injection or tablet.
Since ketorolac is usually taken only when you have pain (not on a fixed schedule), missing a dose is not common. If your doctor told you to take it regularly and you miss a dose, take it as soon as you remember — but if it is almost time for the next dose, skip the missed one. Never double up.
This is a very strong painkiller meant for short-term use only — do not use it for more than 5 days, and do not buy or use it without a doctor's prescription. Make sure you buy genuine products like Panache Injection from licensed pharmacies, not from roadside sellers or open markets. If you notice any stomach pain, dark stool, or unusual bleeding, stop taking it and see a doctor immediately.
Do not combine with other painkillers like ibuprofen, diclofenac, or aspirin as this greatly increases the risk of stomach bleeding. Avoid taking it with blood-thinning medicines like warfarin. Do not drink alcohol while using ketorolac as it increases the chance of stomach damage.
Check your specific combination
Is it safe to take Ketorolac with your other drugs?
Ketorolac is NOT safe during pregnancy (especially the last 3 months) and is not recommended during breastfeeding — avoid it completely or consult your doctor for a safer alternative.
Store at room temperature, away from direct sunlight and heat — Nigerian weather can be very hot, so avoid leaving it on window sills or in your car. Keep it in a cool, dry place away from moisture, and always keep out of the reach of children.
For information only — not medical advice. Always talk to a doctor or pharmacist before changing your medication.
Names this drug is sold under — especially in Nigerian and West African pharmacies
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Counterfeit Drug Warning
Fake drugs are a serious problem in Nigeria. Always buy from a registered pharmacy. If the packaging looks different from what is described above, do not use it.