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Indications and dosage of toragesic

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Toragesic is a non-steroidal anti-inflammatory drug with potent analgesic action, which contains ketorolac trometamol in its composition, which is generally indicated to eliminate acute, moderate or severe pain and is available in sublingual tablets, oral solution and solution for injection.

This remedy is available at pharmacies, but you need a prescription to buy it. The price of the drug depends on the quantity of the packaging and the pharmaceutical form indicated by the doctor, so the value can vary between 17 and 52 reais.

What is it for

Toragesic contains ketorolac trometamol, which is a non-steroidal anti-inflammatory with potent analgesic action and can therefore be used for the short-term treatment of moderate to severe acute pain in the following situations:

  • Postoperative of gallbladder, gynecological or orthopedic surgery, for example; Fractures; Renal colic; Biliary colic; Low back pain; Strong toothache or after dental surgery; Soft tissue injuries.

In addition to these situations, the doctor may recommend the use of this medication in other cases of severe pain. See other remedies that can be used to relieve pain.

How to take

The dosage of Toragesic depends on the pharmaceutical form recommended by the doctor:

1. Sublingual tablet

The recommended dose is 10 to 20 mg in a single dose or 10 mg every 6 to 8 hours and the maximum daily dose should not exceed 60 mg. For people over 65, who weigh less than 50 kg or suffer from kidney failure, the maximum dose should not exceed 40 mg.

The duration of treatment should not last more than 5 days.

2. 20 mg / mL oral solution

Each mL of the oral solution is equivalent to 1 mg of active substance, so the recommended dose is 10 to 20 drops in a single dose or 10 drops every 6 to 8 hours and the maximum daily dose should not exceed 60 drops.

For people over 65, who weigh less than 50 kg or suffer from kidney failure, the maximum dose should not exceed 40 drops.

3. Solution for injection

Toragesic can be administered intramuscularly or into a vein by a healthcare professional:

Single dose:

  • People under 65: The recommended dose is 10 to 60 mg intramuscularly or 10 to 30 mg into the vein; People over 65 or with kidney failure: The recommended dose is 10 to 30 mg intramuscularly or 10 to 15 mg in the vein.Children over 16: The recommended dose is 1.0 mg / kg intramuscularly or 0.5 to 1.0 mg / kg in the vein.

Multiple doses:

  • People under 65: The maximum daily dose should not exceed 90 mg, with 10 to 30 mg intramuscularly every 4 - 6 hours or 10 to 30 mg in the vein, in bolus. People over 65 or with insufficiency renal: The maximum daily dose should not exceed 60 mg for the elderly and 45 mg for patients with renal failure, with 10 to 15 mg intramuscularly, every 4 - 6 hours or 10 to 15 mg in the vein, every 6 hours. from 16 years: The maximum daily dose should not exceed 90 mg for children over 16 years of age and 60 mg for patients with renal failure and patients under 50 kg. Dose adjustments can be considered depending on body weight, from 1.0 mg / kg intramuscularly or 0.5 to 1.0 mg / kg in the vein, followed by 0.5 mg / kg in the vein every 6 hours.

Treatment time varies with the type and course of the disease.

Possible side effects

The most common side effects that may occur with the use of this medicine are headache, dizziness, drowsiness, nausea, poor digestion, abdominal pain or discomfort, diarrhea, increased sweating and swelling if you use the injectable.

Who should not use

The Toragesic remedy should not be used by people with stomach or duodenal ulcers, in case of bleeding in the digestive system, hemophilia, blood clotting disorders, after coronary artery bypass surgery, in case of heart or cardiovascular diseases, infarction, stroke, when taking heparin, acetylsalicylic acid or any other anti-inflammatory medication, after surgery with a high risk of bleeding, bronchial asthma, in case of severe renal failure or nasal polyposis.

In addition, it should also not be used by smokers, and in case of ulcerative colitis, during pregnancy, childbirth or breastfeeding. It is also contraindicated as a prophylactic in analgesia before and during surgeries, due to the inhibition of platelet aggregation and consequent increased risk of bleeding.

Indications and dosage of toragesic