Toramax 10 mg/ml Injection

Strong NSAID painkiller for short-term treatment of moderate to severe acute pain:

• Pain after surgery or dental procedures
• Renal colic, acute musculoskeletal pain
• Eye drops: pain and inflammation after eye surgery; itching of allergic conjunctivitis

Adults (oral): 10 mg every 4–6 hours as needed; maximum 40 mg/day. Usually continued from injection; total treatment (injection + tablets) not more than 5 days.

Injection (IM/IV): 10–30 mg every 4–6 hours; maximum 90 mg/day (60 mg/day in the elderly, under 50 kg, or kidney impairment); maximum 2 days by injection.

Eye drops: 1 drop 3–4 times daily as directed.

• Take with food. Not for children under 16 years (oral) unless specifically prescribed.

• Allergy to ketorolac, aspirin or other NSAIDs
• Active or past peptic ulcer, stomach bleeding, bleeding disorders, or high bleeding risk; before major surgery
• Moderate to severe kidney impairment, dehydration
• Heart failure, after heart bypass surgery
• Use with other NSAIDs, aspirin, pentoxifylline, probenecid, lithium
• Pregnancy (labour and delivery) and breastfeeding

Common: stomach pain, indigestion, nausea, diarrhoea, headache, drowsiness, dizziness, swelling, injection-site pain.

Serious: stomach or bowel bleeding or perforation, kidney failure, high blood pressure, heart attack/stroke, bleeding after surgery, severe allergic and skin reactions.

• Strictly limit to 5 days total; risk of serious bleeding and kidney damage rises with dose and duration.
• Correct dehydration before use.
• Elderly patients need lower doses.

Avoid in pregnancy, especially the last 3 months, and during labour. Avoid while breastfeeding.

• Other NSAIDs/aspirin, anticoagulants, antiplatelets, SSRIs (bleeding)
• ACE inhibitors, ARBs, diuretics (kidney failure)
• Lithium, methotrexate (toxicity)
• Probenecid, pentoxifylline (contraindicated)

Stomach pain, vomiting, bleeding, drowsiness; kidney failure possible. Seek emergency care.

Store below 30°C, protect from light.