The most effective non-steroidKetorolac is considered an anti-inflammatory and analgesic. It is contained in many preparations, one of which is Dolak. Instructions for use describes this tool as the drug of choice for severe pain in the joints and soft tissues. The most commonly used "Dolak" for the treatment of diseases of the musculoskeletal system. Available in tablets and solution for intramuscular injection. There is also a form of release of the drug "Dolak" - ointment. Instructions for use recommends its use for the combined treatment of arthrosis, arthritis, pain relief after injuries and operations.
What effect does the drug have?
One of the most powerful painkillersis "dolak". Instructions for use is therefore recommended to use it in acute pains of high intensity. Patient reviews indicate that its analgesic effect is comparable to morphine, although the result is not immediately noticeable, but after 30-45 minutes. In addition to relieving pain, Dolak has the following effect:
- effectively relieves inflammation;
- lowers the temperature;
- improves blood flow;
- does not cause drowsiness and respiratory depression.
The result of the drug is not immediately noticeable -pain subsides somewhere in 45 minutes. And the maximum anesthetic effect comes in a couple of hours. The mechanism of action of the drug is associated with the ability of ketorolac to block prostaglandins and arachidonic acid, which increase pain sensitivity and participate in the development of the inflammatory response.
The scope of the drug
Dolak is a remedy for symptomatictherapy. It does not cure any diseases, only reduces inflammation. Most often in emergency cases in a hospital, when you need to remove severe pain, use the drug "Dolak". Its use is advisable in such conditions:
- during severe pain after injury, surgery or childbirth;
- in case of oncological diseases;
- neuralgia with very severe pain;
- muscle pain due to overwork, injury or inflammation;
- for the treatment of radiculitis, arthritis, arthrosis, osteochondrosis;
- for temporary relief of toothache;
- with rheumatism.
Contraindications to the use of the drug
But such an effective tool cantake advantage of not all people suffering from pain. There are many contraindications to the use of the drug "Dolak". The instruction does not recommend using it for treatment in such cases:
- if the patient has an individual intolerance to ketorolac;
- with serious pathologies in the kidneys or liver;
- in the presence of bleeding;
- for patients with gastric ulcer and intestinal inflammation;
- children under 16;
- with hemophilia, violation of the blood;
- with intolerance "Aspirin";
- with hypovolemia or dehydration;
- pregnant and lactating women.
There are also conditions for whichThe drug is only according to strict indications. In patients with cholecystitis, hypertension, bronchial asthma, diabetes mellitus, heart failure, hepatitis, alcoholism, you can only use Dolak with great caution. Instructions for use recommends doing it under the supervision of a physician to avoid side effects. Do not use "Dolak" for the treatment of patients over 65 years of age and with the simultaneous use of other NSAIDs. And still it is necessary to remember that this medicine is shown only for short-term use. Therefore, it can not be used in the treatment of chronic pain.
Different forms of the drug
Dolak is best known as a pill foringestion and solution for injection. The external effect of the drug is not so strong, therefore, to relieve severe pain, ointments are not so effective. One tablet of "Dolac" contains 10 mg of tromethamine ketorolaka. It is important to pay attention to this, especially in cases where the drug is taken independently. It is necessary to calculate the dose so that the drug acts, but does not cause negative consequences.
Higher Ketorolac Concentration Containedin the liquid drug "Dolak". Ampoules instructions for use recommends use only in medical institutions to prevent overdose. Indeed, 1 ml of this form of the drug contains 30 mg of ketorolac, which is the maximum single dose for intramuscular use. Injections are used in case of emergency, since the action with this injection of the drug occurs twice as fast.
"Dolak": instructions for use
Injections, reviews of which are mostly positiveboth among doctors and patients, are most often done in a hospital setting. They are effective for relieving acute severe pains, as well as severe inflammation. For outpatient treatment, Dolac tablets are used to relieve severe pain in the joints, spine and muscles. Instructions for use recommends that you continue treatment for no more than 5 days. In determining the dosage, attention should be paid to the weight and age of the patient. The recommended amount is calculated on people from 16 to 65 years old and with a weight of more than 50 kg.
How to take "Dolak"?Instructions for use tablets recommends drinking no more than 6 hours. The maximum per day is acceptable to take 40 mg, so take 1 tablet. The first method can be doubled. When sharing tablets and injections, a single dosage should not be more than 60 mg per day.
How to apply "Dolak" in ampoules
Especially often systemic side effects occur.action when using the drug for injection. Indeed, in this case, ketorolac quickly enters the bloodstream and is spread throughout the body. Therefore, it is very important to strictly observe the dosage for the drug "Dolak". Instructions for use injections recommends doing intramuscularly. Only in some cases, intravenous administration with a doubling of the dosage is allowed to double.
Injections can be made sick from 16 to 65 yearsand weighing more than 50 kg. In this case, the drug can be 1-2 ampoules 3-4 times a day. Between two injections should take at least 6 hours. And you need to make sure that the maximum dose per day does not exceed 90 mg.
Если же масса тела пациента составляет менее 50 kg, his age - more than 65 years, or he suffers from kidney diseases, the dosage of the drug is reduced. Per day such patients are allowed to enter no more than 60 mg of "Dolac".
Side effects of the drug
Usually "Dolak" is used only in emergencycases. Therefore, the benefits of it often exceeds the damage caused. But still, many reviews indicate that the drug can cause unpleasant and sometimes dangerous side effects:
- nausea, vomiting, bloating, epigastric pain;
- intestinal upset, flatulence, constipation, rectal bleeding;
- loss of appetite, stomatitis;
- fluctuations in blood pressure, tachycardia;
- impaired respiratory function, cough, shortness of breath and bronchospasm;
- rash, itching, hives;
- nose bleed;
- blurred vision and attention span, hearing loss;
- depression, hallucinations;
- tremor, convulsions, hyperactivity;
- swelling, weight gain;
- anaphylactic shock, angioedema.
What can be in case of overdose
If the drug is used strictly according to the instructions,then overdose is impossible. Usually the course of treatment with Dolac can not be more than 5 days. But in the case when the medicine is drunk without a prescription or exceeds the recommended dosage, serious consequences are possible:
- ulcerative lesion of the gastrointestinal mucosa;
- severe renal impairment;
- metabolic acidosis.
Improper use of the drug can cause the development of diseases such as gastritis, pancreatitis, anemia, rhinitis, aseptic meningitis, bronchial asthma.
Interaction with other drugs
Ketorolac is desirable to use separately from other drugs. After all, it does not fit well with many of them.
- If used in conjunction with corticosteroids, calcium supplements or ethanol, there is a high risk of bleeding in the gastrointestinal tract.
- If you drink together "Dolak" and "Paracetamol", the kidneys may suffer.
- The combined use of this drug and other NSAIDs can lead to increased pressure, swelling and disruption of the heart.
- When treating with insulin, it is necessary to revise its dosage, as Dolak enhances its hypoglycemic effect.
- Ketorolac should not be used during treatment with anticoagulants, such as Aspirin or Heparin. In this case, the development of severe bleeding is possible.
- When taking "Dolak" decreases the effectiveness of diuretic and antihypertensive drugs.
Most often, the drug is prescribed in conjunction with narcotic analgesics. So their efficiency increases.
Special instructions for taking the drug
Not always with severe pain you can use"Dolak." Instructions for use notes that the drug is not assigned to maintain anesthesia before surgery. You can not use it also in the postoperative period, as ketorolac can cause increased bleeding. It is not recommended to use "Dolak" and for pain relief childbirth.
To prevent the development of ulcers on the gastric mucosa and gastropathy, you can take antacids, such as "Almagel" or "Omeprazole."
Ketorolac often causes a decrease in concentration.attention, drowsiness, dizziness, so during treatment it is advisable not to drive and not to perform potentially dangerous work with different mechanisms.
In addition, many serious side effects and complications can cause the admission of this tool. Therefore, it is so important to study before using the drug "Dolak" instructions for use.
Reviews
Analogs of this means are more known.to consumers. Such drugs as Ketorolac, Ketanov, Ketorol are popular. But "Dolak" has an equally strong anesthetic effect, but costs no more than 80 rubles. Many patients who have tried this treatment note that even the most severe pains can be affected by ketorolac, and although the pain does not go away immediately, it does not return for a long time.
Especially a lot of positive reviews about "Dolaka"from those who suffer from arthritis, radiculitis, neuralgia, muscle pain. After all, such pain is almost impossible to remove conventional analgesics. And "Dolak" in this case is most effective.
