Panache Injection Injection (Ketorolac Tromethamine) — Uses, Dosage & NAFDAC

Who is this for?

What is this drug?

Ketorolac tromethamine is a strong painkiller that works by reducing substances in your body that cause pain, swelling, and inflammation — similar to how ibuprofen works but much stronger.

What is it used for?

Moderate to severe pain after surgerysevere body painshort-term pain relief when other painkillers are not enough

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Pain Relief Anti-inflammatory (NSAIDs)Arthritis & Joint Pain Osteoarthritis Moderate & Strong Pain

Prescription Required

You need a doctor's prescription to buy this drug.

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How to take this drug

For adults, the usual dose is one 10 mg tablet every 4 to 6 hours as needed for pain, but do not take more than 4 tablets (40 mg) in a day. This drug is only meant for short-term use — no more than 5 days total. You can take it with food or milk to reduce stomach upset.

What if I Miss a Dose?

Since ketorolac is usually taken only when you have pain, you may not be on a fixed schedule. If you are taking it regularly and miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed one — never double up.

What to watch out for

This drug is strictly for short-term use (maximum 5 days) — do not continue taking it beyond that even if you still have pain, as it can cause serious stomach or kidney damage. Always buy from a licensed pharmacy and check the expiry date, especially with brands like Dolac-30 and Ketolac. Do not share this medication with others even if they have similar pain — it is a prescription drug and must be used under a doctor's guidance.

Common Side Effects

Stomach pain or upset
headache
dizziness
nausea or feeling like you want to vomit
mild swelling in hands or feet

Serious Side Effects

Black or bloody stool or vomiting blood (this means stomach bleeding — go to the hospital immediately)
sudden chest pain or difficulty breathing
signs of kidney problems like very little urination or swollen legs

Drug Interactions

Do not take ketorolac together with other painkillers like ibuprofen, diclofenac, or aspirin — combining them greatly increases the risk of stomach bleeding. Avoid alcohol while using this drug as it worsens stomach side effects. If you are taking blood pressure drugs or blood thinners like warfarin, tell your doctor before using ketorolac.

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Pregnancy & Breastfeeding Warning

Ketorolac is not safe during pregnancy, especially in the last 3 months, and should be avoided while breastfeeding — consult your doctor for a safer alternative.

Who Should NOT Take This

People with stomach ulcers or a history of stomach bleeding
anyone with kidney or liver problems
people allergic to ketorolac or other painkillers like aspirin or ibuprofen
pregnant women in their third trimester
children under 16
people about to have or recovering from major surgery with high bleeding risk
and anyone currently on aspirin or other NSAIDs.

How to Store

Store in a cool, dry place away from direct sunlight and heat — Nigerian weather can be very hot, so avoid leaving it in your car or near windows. Keep it in its original pack and far away from children.

For information only — not medical advice. Always talk to a doctor or pharmacist before changing your medication.

Panache Injection