Ketanov - an indispensable helper for toothache or a gentle killer?

05.11.2019

A person can “climb the wall” from pain due to pulpitis, periodontitis, unsuccessfully pulled out teeth and other problems of an inflammatory or traumatic nature. To get rid of an unbearable condition, most people are ready to drink handfuls of any pills. Ketanov for toothache is common among ordinary people as the most effective drug. Let's try to figure out how safe Ketanov is, how to use it most effectively, and in what cases taking the medicine is strictly contraindicated.

The main active ingredient of Ketanov is ketorolac. One tablet contains 10 mg of ketorolac (30 mg in one ampoule). In addition to this active substance, the tablets of the drug contain other necessary components of auxiliary action:

1. corn starch;
2. cellulose;
3. magnesium stearate;
4. silica;
5. Macrogol 400;
6. purified talc and water.

If the patient has to use Ketanov in injections, then the injection form of the drug also includes other chemical components (ethyl alcohol, sodium and disodium compounds, water).

THERAPEUTIC ACTION

Ketanov is a non-steroidal anti-inflammatory drug with systemic effects with a particularly powerful analgesic (pain-relieving) effect.

When administered, it has a triple effect on the body:

• relieves heat and inflammation;
• has an analgesic effect.

However, it is the super-powerful analgesic effect that allows this medicine to be used for unbearable toothache.

DOES KETANOV HELP FOR TOOTH PAIN?

The drug has a very powerful peripheral effect. It is this effect of the medicine that “eclipses” all its other qualities. Ketanov is a non-narcotic analgesic substance with an excellent analgesic effect.

Ketanov helps with toothache much more strongly than other drugs from the same group.

For example:

1. butadione – 453 times;
2. analgin – 350 times;
3. nalgesin – 50 times;
4. indomethacin – 5 times.

Obviously, the most powerful peripheral effect of Ketanov compared to other non-steroidal anti-inflammatory drugs. That is why this medicine is a powerful means of relieving various pains, including those caused by traumatic or postoperative conditions.

KETANOV'S WORK IN THE BODY

The medicine inhibits the activity of special enzymes, as a result of which the production of modulators of inflammation, pain and thermoregulation is suspended. The analgesic power of the drug is equal to that of morphine-like substances. On average, the onset of action of the drug is half an hour after intramuscular administration and an hour after using the tablets.

Ketanov does not cause:

1. disorders in breathing or nervous system;
2. the appearance of vomiting or nausea;
3. urinary retention and bowel function;
4. increased pressure;
5. increased heart rate;
6. drug addiction.

Ketanov is able to accumulate in the liver tissue and penetrate into breast milk.

It is excreted through the urine and partially through the intestines.

Reviews

Olga, 36 years old

I consider ketans an excellent remedy for toothache. Only he helps me. I also took solpadeine with tempalgin before - no effect. And this medicine really helped me. I was able to hold out until Monday and go to the doctor.

Evgeniy, 56 years old

Only he saves me from toothache. Before this I drank a lot, even the expensive and advertised nise. And only Ketanov helped for a long time. Now I always buy it.

Lydia, 32 years old

I used to take this drug often, but now I’m more careful. I found out that my liver is not 100% healthy, and the doctor warned me not to get carried away with this painkiller.

Elena, 42 years old

An excellent remedy for toothache. I know this myself, and he saved my children more than once. But do not take this medicine frequently or in more than the prescribed dose. It affects the heart, kidneys and liver.

Yulia Ivanovna, 58 years old

I am a pharmacist and I sell ketans every day. But many ignore and violate the instructions. Yes, the drug is very effective, but it is not designed for course use. Think about your health, don’t get carried away with this medicine.

Ketanov is excellent at relieving toothache. This is evidenced by rave reviews from patients and doctors. However, you should not get carried away with this medicine. After all, the use of any painkillers cannot replace a trip to the dentist and provision of competent and timely care. Health to you and your teeth!

Sources used:

• Medicines in dentistry. Directory / L.N. Maksimovskaya, P.I. Roshchina. - M.: Medicine, 2001.
• Mashkovsky M.D. Medicines. — 15th ed. - M.: New Wave, 2005.
• Lim Blanche X, Lim Chris HL, Lim Dawn K, Evans Jennifer R, Bunce Catey, Wormald Richard. Prophylactic non-steroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery // Cochrane Database of Systematic Reviews. — 2016.

WHAT ARE THE ADVANTAGES OF THE DRUG

The main advantages of Ketanov are its following features:

1. the ability to relieve severe pain of various origins, when other medications are helpless;
2. minimum “side effects” when taken (compared to other painkillers);
3. long-term analgesic effect (at least 6-8 hours);
4. the possibility of abrupt drug withdrawal and the absence of addiction syndrome (withdrawal) even after a long course of administration (up to 6 months).

BY-EFFECT

Unfortunately, in some people this drug can cause a lot of unpleasant phenomena in the body. The most common of them include:

1. dyspeptic symptoms (dry mouth, nausea or vomiting, inflammation of the stomach or exacerbation of ulcers, constipation or diarrhea, stomach pain);
2. neurological changes (headache or dizziness, nervousness or excessive drowsiness, hyperesthesia of some parts of the body);
3. from the ENT organs (sometimes it reduces hearing or provokes ringing in the ears, and can impair vision);
4. therapeutic disorders (high blood pressure, slow heartbeat);
5. from the urinary organs - swelling is sometimes possible.

WHEN KETANOV IS CONTRAINDICATED

Despite its high effectiveness, ketans should not be used by people with a number of diseases.

This drug is contraindicated in:

1. individual intolerance;
2. bronchial and “aspirin” asthma, bronchospasms;
3. impaired kidney or liver function;
4. congestive decompensated heart failure;
5. diseases of the hematopoietic system and bone marrow (including hemophilia);
6. serious gastrointestinal problems (exacerbation of ulcerative pathology, cirrhosis, hepatitis);
7. in the preoperative period (due to the real risk of bleeding);
8. for polyps in the nose or paranasal sinuses;
9. in conditions after a stroke.

The use of this medicine is limited to:

1. in case of blood clotting disorders, it is necessary to control the level of platelets in the blood (especially after operations);
2. use requires caution in case of hypertension, diabetes mellitus, lupus erythematosus, sepsis;
3. careful use for people in professions or occupations that require special attention or speed of reactions (including drivers, representatives of dangerous professions, tourists when traveling difficult routes, etc.);
4. restriction of use to patients of the older age group (over 65 years).

APPLICATION OF KETANOV IN CHILDREN'S PRACTICE, PREGNANT AND NURSING WOMEN

During pregnancy or lactation, as well as during childbirth, the drug is contraindicated for use. Ketanov should not be given to children for toothache. It is used only for adults (patients over 16 years of age). In exceptional cases, the medicine can be used to relieve severe pain in children from 2 years of age.

INTERACTION WITH OTHER SUBSTANCES

With the simultaneous use of ketanov and certain drugs, toxic effects on the body and increased side effects are possible.

Such drugs include anticoagulants (aspirin, heparin, etc.), lithium drugs, and other drugs with a similar effect.

The combination of Ketanov with other drugs requires consultation with a doctor. It is prohibited to use Ketanov with any type of alcohol. “Ketanov + alcohol” will deal a severe blow to your liver.

Ketanov®

According to the World Health Organization (WHO), adverse effects are classified with their frequency of development as follows: very common (1/10), common (1/100 to <1/10), uncommon (1/1000 to <1/100) ), rare (1/10,000 to <1/1000), very rare (1/10,000), frequency unknown (the frequency of events cannot be determined based on available data). The following side effects have been reported in connection with the use of ketorolac:

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; infrequently - stomatitis, flatulence, constipation, vomiting, feeling of fullness of 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 and others), 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), impaired taste.

From the respiratory system

: rarely - bronchospasm, 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:

infrequently - 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, exacerbation of ulcerative colitis or Crohn's disease.

From the skin:

uncommon - skin rash (including maculopapular rash), purpura, rare - exfoliative dermatitis (fever with or without chills, redness, thickening or peeling of the skin, swelling and/or tenderness of the tonsils), urticaria, Stevens-Johnson syndrome, Lyell's syndrome.

Local reactions:

Uncommon: burning or pain at the injection site.

Allergic reactions

: rarely - anaphylaxis or anaphylactoid reactions (change in facial skin color, skin itching, 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); infrequently - increased sweating; rarely - swelling of the tongue, fever.

If any of the side effects indicated in the instructions get worse, or you notice any other side effects not listed in the instructions, tell your doctor.

HOW TO USE KETAN CORRECTLY FOR TOOTH PAIN

Ketanov is one of the best drugs for any toothache. What is especially important is that taking it simultaneously relieves pain and alleviates inflammation in the tissues. Usually, relief occurs within 40 minutes after taking the drug. Its effect lasts for 4-6 hours after taking it. Usually this time is enough for the patient to seek medical help at a dental clinic.

If necessary, ketans can be taken again. You can use a maximum of 5 Ketanov tablets per day. Most often, the medicine is used 1-2 tablets per day (the most effective is taken on an empty stomach), washed down with the required amount of water. You can eat food 20-30 minutes after taking the tablet.

You cannot use Ketanov tablets for more than a week. If long-term use of ketans is necessary, replace them with another non-steroidal anti-inflammatory drug.

Ketanov is often prescribed after tooth extraction. However, you should not use the medicine for more than one day.

Unauthorized long-term use of this medicine is not recommended due to its ability to inhibit blood clotting in the tooth socket.

Composition of the drug

The main active ingredient of Ketanov is ketorolac. One tablet contains 10 mg of ketorolac (30 mg in one ampoule). In addition to this active substance, the tablets of the drug contain other necessary components of auxiliary action:

• corn starch;
• cellulose;
• magnesium stearate;
• silica;
• Macrogol 400;
• purified talc and water.

If the patient has to use Ketanov in injections, then the injection form of the drug also includes other chemical components (ethyl alcohol, sodium and disodium compounds, water).