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ketoprofen

 
Dental Dictionary: ketoprofen

n

trade names: Orudis, Oruvail, Actron; drug class: nonsteroidal antiinflammatory; action: inhibits prostaglandin synthesis by interfering with cyclooxygenase needed for biosynthesis; possesses analgesic, antiinflammatory, antipyretic properties; uses: osteoarthritis, rheumatoid arthritis, dysmenorrhea.

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Drug Info: Ketoprofen
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Brand names: Orudis®Orudis® KTOruvail®

Chemical formula:



Ketoprofen tablets or capsules

What do ketoprofen tablets or capsules do?

KETOPROFEN (Orudis® KT™, Oruvail®) is an anti-inflammatory drug. Ketoprofen helps relieve the inflammation and pain associated with rheumatoid arthritis, osteoarthritis, menstrual cramps or premenstrual pain and swelling. Ketoprofen is available in a non-prescription strength to treat minor aches and pains associated with the common cold, backache, muscular aches, toothache and menstrual pain. Generic ketoprofen immediate- and extended-release capsules are available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• asthma, especially aspirin-sensitive asthma
• bleeding problems
• cigarette smoker
• coronary artery bypass graft (CABG) surgery within the past 2 weeks
• diabetes mellitus
• drink more than 3 alcohol-containing beverages a day
• heart or circulation problems like angina, high blood pressure, heart failure, heart rhythm problems, history of heart attack, history of blood clots, or leg edema (fluid retention)
• kidney disease
• liver disease
• lost a lot of fluid due to continued vomiting or diarrhea
• stomach or duodenal ulcers
• history of stroke
• systemic lupus erythematosus
• ulcerative colitis
• an unusual or allergic reaction to ketoprofen, aspirin, other salicylates, other NSAIDs, foods, dyes or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take ketoprofen tablets or capsules by mouth. Follow the directions on the label. Swallow tablets or capsules whole with a full glass of water; take tablets or capsules in an upright or sitting position. Taking a sip of water first, before taking the tablets or capsules, may help you swallow them. If possible take bedtime doses at least 10 minutes before lying down. Do not crush or chew the extended-release capsules. You can take ketoprofen with food to prevent stomach upset. Take your doses at regular intervals. Do not take your medicine more often or for a longer time than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What other medicines can interact with ketoprofen?

• alcohol
alendronate
• anti-inflammatory drugs (other NSAIDs, prednisone)
• aspirin and aspirin-like medicines
cidofovir
cyclosporine
• drospirenone; ethinyl estradiol (Yasmin®)
entecavir
• herbal products that contain feverfew, garlic, ginger, or ginkgo biloba
lithium
• medicines for high blood pressure
• medicines that affect platelets
• medicines that treat or prevent blood clots such as warfarin and other 'blood thinners'
methotrexate
pemetrexed
• water pills (diuretics)

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What do I need to watch for while I take ketoprofen?

Let your prescriber or health care professional know if your pain continues, do not take with other pain medicines or fever medicine without advice. If you get flu-like symptoms (fever, chills, muscle aches and pains), call your prescriber or health care professional. Do not treat yourself.

To reduce unpleasant effects on your throat and stomach, take ketoprofen with a full glass of water and never just before lying down. Take ketoprofen with food or milk if stomach upset occurs. If you notice black, tarry stools or experience severe stomach pain and vomit blood or what looks like coffee grounds, notify your health care prescriber immediately. If you have stomach pain or an upset stomach that worsens or persists, redness or swelling in a painful area, or any new symptoms, call your health care professional.

If you are taking medicines that affect the clotting of your blood, such as aspirin or blood thinners such as Coumadin®, talk to your health care provider or prescriber before taking this medicine.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how ketoprofen affects you. Do not sit or stand up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Do not smoke cigarettes or drink alcohol; these increase irritation to your stomach and can make it more susceptible to damage from ketoprofen.

It is especially important not to use ketoprofen during the last 3 months of pregnancy unless specifically directed to do so by your health care provider. Ketoprofen may cause problems in the unborn child or complications during delivery.

If you are going to have surgery, tell your prescriber or health care professional that you are taking ketoprofen. Problems can arise if you need dental work, and in the day to day care of your teeth. Try to avoid damage to your teeth and gums when you brush or floss your teeth.

What side effects may I notice from taking ketoprofen?

Side effects that you should report to your prescriber or health care professional as soon as possible:
• signs of bleeding - black tarry stools, blood in the urine, unusual tiredness or weakness, vomiting blood or vomit that looks like coffee grounds
• signs of an allergic reaction - difficulty breathing, wheezing, skin rash, redness, blistering or peeling skin, hives, itching, swelling of eyelids, throat, lips
• blurred vision
• change in the amount of urine passed
• difficulty swallowing, severe heartburn or burning, pain in throat
• pain or difficulty passing urine
• stomach pain or cramps
• swelling of feet or ankles

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• diarrhea or constipation
• dizziness, drowsiness
• gas or heartburn
• headache
• nausea, vomiting

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature, approximately 25 degrees C (77 degrees F) away from humidity (not in the bathroom or kitchen, if possible). Keep container tightly closed. Throw away any unused medicine after the expiration date.

Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

 
Columbia Encyclopedia: ketoprofen
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ketoprofen (kē'təprō'fĭn), nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic, and fever-reducing effects, used to relieve the symptoms of headaches, arthritis, and painful menstruation. Along with ibuprofen and naproxen, it belongs to the propionic acid class of NSAIDs; it apparently acts by inhibiting the body's production of prostaglandins. Available as a prescription drug for more than 20 years in many countries, it was approved as an over-the-counter painkiller in the United States in 1995 and first marketed as Orudis KT. It is considered more powerful than many other NSAIDs. Side effects may include gastrointestinal disturbances and fluid retention.


Veterinary Dictionary: ketoprofen
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A propionic acid, nonsteroidal anti-inflammatory agent; used also as an analgesic and antipyretic.

Wikipedia: Ketoprofen
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Ketoprofen
Systematic (IUPAC) name
(RS)-2-(3-benzoylphenyl)propanoic acid
Identifiers
CAS number 22071-15-4
ATC code M01AE03 M01AE17, M02AA10
PubChem 3825
DrugBank APRD01059
ChemSpider 3693
Chemical data
Formula C16H14O3 
Mol. mass 254.281 g/mol
Pharmacokinetic data
Bioavailability  ?
Protein binding 99%
Metabolism  ?
Half life 2-2.5 hours
Excretion  ?
Therapeutic considerations
Pregnancy cat.

C (D in 3rd trimester)

Legal status

Prescription-only medicine

Routes Oral, topical, intravenous (veterinary use)

Ketoprofen, (RS)2-(3-benzoylphenyl)-propionic acid (chemical formula C16H14O3) is one of the propionic acid class of non-steroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic effects. It acts by inhibiting the body's production of prostaglandin.

Contents

Available forms

Ketoprofen was available over-the-counter in the United States in the form of 12.5 mg coated tablets (Orudis KT & Actron), but the product has been discontinued. It is available by prescription as 50, 75, 100, 150, and 200 mg capsules.

Ketoprofen is available also as a 2,5% gel for topical application.

Brand names in the US are Orudis and Oruvail. It is available in the UK as Ketoflam and Oruvail, in Finland as Ketorin, Keto, Ketomex, and Orudis'; in France as Bi-Profénid, in Italy as Fastum Gel, Ketoprofene, Lasonil or Oki, in Poland, Serbia, Slovenia and Croatia as Knavon,Ketonal, in Mexico as Arthril and Norway as Zon or Orudis.

In Lithuania, ketoprofen is called Ketoprofenum and/or Ketoprofenas. For topical application: the name brands are Fastum with 2.5% (gel) which is over the counter and Ketospray with 10% (liquid spray) which must be prescribed. In Switzerland, an innovative ketoprofen formulation based on Transfersome technology for direct application on the skin above the site to be treated has been approved.

In some countries, the optically pure (S)-enantiomer (dexketoprofen) is available; its trometamol salt is said to be particularly rapidly reabsorbed from the gastrointestinal tract, having a rapid onset of effects.

Indication

Ketoprofen is generally prescribed for arthritis-related inflammatory pains or severe toothaches that result in the inflammation of the gums.

Ketoprofen can also be used for treatment of some pain, especially nerve pain like post-herpetic neuralgia and referred pain for radiculopathy, in the form of a cream, ointment, liquid, spray, or gel which also contains ketamine and lidocaine, along with other agents which may be useful such as cyclobenzaprine, amitryptiline, acyclovir, gabapentin, orphenadrine and other drugs used as NSAIDs or adjuvant, atypical or potentiators for pain treatment.

Efficacy

The results vary in each case, with varying degrees of the attenuation of the burning, tingling, and/or shooting component of neuralgic pain being quite frequent, along with a modest reduction in overall pain level in some cases. In severe cases and those involving multiple conditions in addition to the cause of the neuralgia, there is no substitute for comprehensive palliative therapy including systemic NSAIDs, opioids, muscle relaxants, intermittent corticosteroids and other agents if needed and adjuncts & potentiators to increase the power of the analgesics in addition to the topical preparation and physical and alternative modalities such as physiotherapy, acupuncture, biofeedback & related modalities, nutritional approaches and many others relevant to each case. Even the addition of the opioid tramadol to topical preparations is not known to be an adequate replacement for systemic opioids in cases where they can be useful and efficacious.

Use in horses and other animals

Ketoprofen (Ketofen) is a common NSAID, antipyretic, and analgesic used in horses and other equines. It is also used as a mild painkiller in smaller animals, generally following surgical procedures. It is most commonly used for muscoskeletal pain, joint problems, and soft tissue injury, as well as laminitis. It does not treat the underlying problem, nor does it speed the healing process. It is also used to control fevers and prevent endotoxemia. However, they may mask the symptoms of the underlying problem, and therefore make diagnosis more difficult for a veterinarian.

Side effects and precautions

Side effects are relatively uncommon if used as recommended, and less common than 2 other commonly used NSAIDs: flunixin or phenylbutazone. Side effects include gastrointestinal ulcers, drop in red blood cell count (a result of GI bleeding), and rarely kidney damage, protein loss, and bleeding disorders. It should therefore be used with caution in horses with liver or kidney disease, or gastrointestinal problems.

Additionally, it should not be used in horses allergic to aspirin.

Uses with other drugs

Ketoprofen should not be used in with other NSAIDs or corticosteroids, as this increases the risk of GI ulceration. It should also be used with caution with other anticoagulants. It is commonly used with omeprazole, sucralfate, and cimetidine to help protect the GI tract.

Administration

Ketoprofen is labeled to be administered intravenously only, and is recommended for a maximum of five days of use. Its analgesic and antipyretic effects begin to occur 1–2 hours following administration. The most common dosage is 10 mg/lb, once per day, although this dosage may be lowered for ponies, who are most susceptible to NSAID side effects. it is also available as CAPSULE dosage form

References


 
 

 

Copyrights:

Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Drug Info. Gold Standard. Copyright © 2008 by Gold Standard. All rights reserved.  Read more
Columbia Encyclopedia. The Columbia Electronic Encyclopedia, Sixth Edition Copyright © 2003, Columbia University Press. Licensed from Columbia University Press. All rights reserved. www.cc.columbia.edu/cu/cup/ Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Ketoprofen" Read more