藥碼
ANA02
藥名
Ketorolac 針 30 mg/1 mL/Amp
英文商品名
Analac 針 30 mg/1 mL/Amp
中文商品名
抑痛能靜脈注射液
螢幕名
Analac 針 30 mg/1 mL/Amp
劑型
Inj
規格
Ketorolac 針 30 mg/1 mL/Amp
成分
藥理分類
N.S.A.I.Ds
健保碼
AC47784209
ATC碼
藥品圖片
外觀圖片
適應症
短期(≤5 天)使用於緩解無法口服病人之中重度急性疼痛,通常使用於手術後。
藥理
Analgesic, Nonopioid; Nonsteroidal Anti-inflammatory Drug (NSAID), Oral; Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral
藥動學
Onset of action: ~30 minutes.
Peak effect: ~2 to 3 hours.
Duration: 4 to 6 hours.
Distribution: Poor penetration into cerebrospinal fluid. Adults: 0.21 L/kg.
Protein binding: 99%.
Metabolism: Hepatic; undergoes hydroxylation and glucuronide conjugation.
Time to peak, serum: 1 to 3 minutes.
Excretion: Urine (92%, ~60% as unchanged drug); feces ~6%.
禁忌症
Hypersensitivity to ketorolac, aspirin, other nonsteroidal anti-inflammatory drugs (NSAIDs), or any component of the formulation; active or history of peptic ulcer disease, GI bleeding or perforation, asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs; renal disease; prophylactic analgesic before any major surgery; suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, incomplete hemostasis, or high risk of bleeding; concurrent use with aspirin, other NSAIDs, probenecid, or pentoxifylline; use in the setting of coronary artery bypass graft surgery; labor and delivery.
懷孕分類
Maternal use of NSAIDs should be avoided beginning at 20 weeks' gestation; Because NSAIDs may cause premature closure of the ductus arteriosus, prescribing information for ketorolac specifically states use should be avoided starting at 30 weeks' gestation
哺乳分類
副作用
>10%: abdominal pain, dyspepsia, nausea, Increased liver enzymes (≤15%), headache.
1% to 10%: edema, hypertension, diaphoresis, pruritus, skin rash, constipation, diarrhea, flatulence, gastrointestinal fullness, gastrointestinal hemorrhage, gastrointestinal perforation, gastrointestinal ulcer, heartburn, stomatitis, vomiting, anemia, prolonged bleeding time, purpuric disease, pain at injection site (IM, IV), dizziness, drowsiness, tinnitus, renal function abnormality.
劑量和給藥方法
Migraine, severe, acute treatment (off-label use):
Weight ≥50 kg and <65 years of age: IV: 30 mg once.
Weight <50 kg or ≥65 years of age: IV: 15 mg once.
Pain management, acute:
Weight ≥50 kg and <65 years of age: IV: 30 mg as a single dose or 15 to 30 mg every 6 hours as needed; maximum daily dose: 120 mg/day; maximum duration: 5 days.
Weight <50 kg or ≥65 years of age: IV: 15 mg as a single dose or 15 mg every 6 hours as needed; maximum daily dose: 60 mg/day; maximum duration: 5 days.
小兒調整劑量
Pain management (acute; moderately severe):
Infants and Children <2 years: 0.5 or 0.25 mg/kg/dose every 6 to 8 hours, not to exceed 48 to 72 hours of treatment; Maximum dose: 15 mg/dose.
Children ≥2 years and Adolescents ≤16 years: 0.5 mg/kg/dose every 6 to 8 hours; Maximum dose: 30 mg/dose, usual reported duration: 48 to 72 hours; not to exceed 5 days of treatment.
腎功能調整劑量
eGFR ≥60 mL/minute/1.73 m2: no dosage adjustment necessary.
eGFR >30 to <60 mL/minute/1.73 m2: use of analgesics other than nonsteroidal anti-inflammatory drugs may be preferred. If necessary, consider 7.5 to 15 mg every 6 hours.
肝功能調整劑量
安定性
藥袋資訊
臨床用途
疼痛之短期療法
主要副作用
輕微腹痛、腸胃不適、消化不良、頭暈、嗜睡、水腫等
泡製方法
儲存方式
請置於 15-30℃ 乾燥處儲存
注意事項
其他說明
門診 N4、急首/UD針 a4 | 藥庫 注D12
藥品外觀
顏色
形狀
剝痕
標記1
標記2
其他
健保藥價
16
自費價
21.28
仿單
資料庫
健保給付規定