Ketanov is considered one of the most powerful remedies in the fight against toothache. It allows you to relieve even severe sensations of discomfort in various dental diseases and is a structural analogue of Ketanov. The drug allows you to reduce the severity of symptoms of periodontitis, pulpitis, the pain from which prevents a person from leading a normal lifestyle. However, for chronic dental disorders, preference is given to other painkillers, since Ketanov has too large a list of contraindications and side effects.
Release form and composition
Ketanov is available in several pharmacological forms: tablets and solution for intramuscular administration. The tablets are white and round in shape. On one of their surfaces there is an engraving KTV. Ketanov tablets are available in cardboard packages containing 1, 2, 3 or 10 blisters.
The injection solution has a pale yellow tint and is used to quickly relieve unbearable pain. Typically, treatment with the drug in this form of release is carried out in hospitals. The liquid for injection is packaged in ampoules of 1 ml each. The ampoules are placed in cardboard packaging and sold in packs of 5 or 10 pieces.
The main substance in the solution and tablets is ketorolac trometamol. Auxiliary components in the tablets:
- starch;
- magnesium stearate;
- silicon dioxide, etc.
In addition to the active ingredient, the injections also include:
- purified water;
- ethanol;
- disodium edadate.
Before taking Ketanov, it is very important to study the instructions for use in order to exclude allergic reactions to its substances in its composition. Auxiliary components do not have an analgesic or anti-inflammatory effect. They are necessary in order to give the drug a certain shape and consistency and increase its shelf life.
Components
The composition of the drug Ketanov includes the following components:
Active substance – ketorolac tromethamine
Additional components of the tablets:
- Colloidal silicon dioxide
- Magnesium stearate
- Corn starch
- Microcrystalline cellulose
Components of the film shell:
- Macrogol 400
- Titanium dioxide
- Hydroxypropyl methylcellulose
- Purified talc
- Purified water
Additional components of the solution:
- Disodium edetate
- Sodium hydroxide
- Ethanol
- Sodium chloride
- Water for injections
Action
The drug has a complex effect on the human body:
- anti-inflammatory;
- antipyretic;
- painkiller.
The medicine does not affect the central nervous system of patients and their moral state. The active component begins to act immediately after entering the blood. It stops the production of prostaglandins, which are responsible for the perception of pain. After taking the tablets or administering the solution, a person ceases to feel not only toothaches, but also spasms of other localizations.
The effect of taking Ketanov is observed after 30-40 minutes and lasts for 5-8 hours. How long it takes for Ketanov to take effect largely depends on its release form, the intensity of pain in a person and the patient’s individual susceptibility to medications.
The components of the drug are excreted along with urine, so it is not recommended to drink it for people who have problems with kidney function. Ketanov is excreted in the urine in the form of metabolites.
Indications for use
Among the dental indications for taking the drug, the following should be noted:
- tooth extraction and treatment;
- implantation;
- prosthetics;
- inflammation of the nerve ending of the tooth;
- cyst;
- advanced forms of caries;
- flux;
- periodontal disease.
The tablets also help with muscle pain and headaches. Other indications for their use:
How to relieve toothache
- otitis;
- tumor processes;
- pain after childbirth;
- hepatic colic;
- muscle spasm;
- osteochondrosis;
- radicular syndrome;
- osteoarthritis and osteoarthritis;
- pinched sciatic nerve.
Advantages
Ketanov has a powerful anesthetic effect for toothache, which lasts for a long period of time. Among NSAIDs, you cannot find another drug with a similar effect. A person can achieve a more pronounced therapeutic effect only by taking steroid painkillers. For this reason, Ketanov is prescribed even for unbearable toothaches associated with postoperative complications and traumatic factors.
Blocking prostaglandins also makes it possible to stop signs of inflammation and fever.
The therapeutic effect of Ketanov is equal to the drug Nise
Ketanov can be included in the list of the best painkillers because it:
- does not affect the cells of the central nervous system;
- does not provoke digestive disorders in the form of vomiting and stool disorders;
- does not increase heart rate;
- is not addictive;
- relieves severe pain, in which other NSAIDs are powerless;
- has a long-lasting analgesic effect (up to 8 hours);
- dispensed without a doctor's prescription;
- affects pain of various localizations.
Contraindications
Despite its effectiveness and long-lasting effect, the use of Ketanov is prohibited for people intolerant of its auxiliary and active substances and with certain types of diseases:
- chronic renal and liver failure;
- decompensated heart failure;
- exacerbation of gastrointestinal pathologies (ulcers, gastritis);
- disorders of the circulatory system;
- polyps and malignant formations in the nasopharynx.
Drink Ketanov with caution:
- with a low number of platelets in the blood;
- diabetes mellitus;
- rheumatoid disorders;
- sepsis;
- hypertension.
The drug is not recommended for pregnant and lactating women. Its active substance can be absorbed into breast milk and have a negative effect on children.
The tablets have age restrictions. They are not recommended for use by persons under 12 and over 65 years of age.
Features of use for children, pregnant women and during breastfeeding
Ketanol is contraindicated during pregnancy, breastfeeding, and children under 16 years of age.
The drug Ketanov is not recommended for use by pregnant women. The constituent components have a harmful effect on the child. Also, you should not use the medicine during childbirth.
Since the constituent components are excreted in breast milk, the drug is not used during breastfeeding.
Important! Contraindicated for use in children. Ketanov can only be used by adults and adolescents over 16 years of age. Sometimes in exceptional cases it is used for children from 2 years of age.
Reception scheme
For toothache Ketanov take 1 tablet per day. It does not matter when the drug is taken (before or after meals). Also, the period of time that has passed since the next meal does not matter. If the pain worsens again, then you need to take another tablet after 5-6 hours. If the doctor has allowed children under 12 years of age to take tablets, then a single dosage of the drug for this category of patients will not exceed ½ tablet.
The solution is administered intramuscularly only to those patients who have reached 16 years of age. It is allowed to use no more than 2 ml of solution at a time. For people with kidney pathologies and older people, the maximum dosage of Ketanov does not exceed 1 ml. The interval between injections is also 5-6 hours.
The frequency of taking the medication depends on the severity of pain symptoms:
- for moderate pain, take 1 tablet every 12 hours;
- for acute unbearable spasms, consumption of 4 capsules per day is allowed.
Despite the fact that Ketanov has a powerful effect, after its consumption it is not recommended to exert mechanical force on the tooth. Otherwise, the pain syndrome may worsen again. Also, you should not take the drug immediately before going to the dentist. It can distort the clinical picture of the disease (for example, when determining the stage of caries) and contribute to the incorrect diagnosis.
The drug should be discontinued on day 5. Failure to comply with this rule increases the likelihood of developing side effects from the gastrointestinal tract. It is necessary to consult a doctor for toothaches even if Ketanov has completely relieved the pain symptoms. There is a high probability that the symptom will make itself felt in the near future with greater intensity.
The drug in the form of a solution is rarely used to eliminate symptoms of dental problems. It is used to relieve muscle spasms. You can learn more about the methods of administering the solution in the instructions for use.
Ketanov during pregnancy: 2nd trimester
Due to the fact that in the second trimester the fetus is already formed and reliably protected by the placental barrier, during this period the risk of harm to it is minimized. If the instructions for a medicine say that it is allowed during pregnancy, then we are usually talking about the second trimester and the beginning of the third.
Despite this, the expectant mother will still have to relieve pain on her own, without the use of analgesics. However, as for headaches, it is in the second trimester that, according to statistics, they bother you the least.
Danger of use
If used incorrectly and for too long, Ketanov can cause side effects such as:
- Allergic reactions. The condition is manifested by skin rashes, difficulty breathing (less commonly, anaphylactic shock and asphyxia).
- Digestive disorders - constipation, loose stool, flatulence.
- Hypertension.
- Kidney pathologies.
In case of an overdose of the drug, it is necessary to rinse the stomach with plenty of water and take any sorbent.
Summary: Ketanov during pregnancy
So, the drug is really good and effective, but you should not take it without a doctor’s prescription. Still, the list of side effects is really extensive. Even though such cases are extremely rare, where are the guarantees that you will not fall into that rare percentage that may develop anaphylactic shock, for example?
If we talk about indications for use, then Ketanov fully justifies its purpose - the effect occurs very quickly, the pain syndrome is relieved.
But as for pregnant women, they will have to use other methods to relieve headaches and toothaches during the gestation period and even while breastfeeding!
Compatibility with other drugs
People who additionally take other medications need to pay attention to the drug compatibility of Ketanov. Failure to comply with the rule can lead to serious side symptoms during therapy.
Ketanov is not recommended to be combined:
- With other NSAIDs. In this case, the risk of exacerbation of gastrointestinal pathologies that occur in a chronic form increases. While taking several painkillers, internal bleeding often occurs.
- With acetyl acid and products containing paracetamol as an active ingredient.
- With thrombolytics due to the risk of blood thinning.
- With diuretics. In this case, the therapeutic effect of the two drugs is reduced.
- With insulin. Ketanov enhances the hypoglycemic effect of insulin.
Ketanov during pregnancy: 3rd trimester
In late pregnancy, analgesics are dangerous because they impair blood clotting, and this can significantly complicate labor and lead to large blood losses.
Ketanov, of course, cannot be taken at this stage, but the doctor may recommend other painkillers, the main active ingredient of which is paracetamol.
Reviews
Anton, 37 years old. Ketanov toothache tablets act quickly and help eliminate spasms for several hours, but you should not abuse them. If you experience pain, you should contact your dentist as soon as possible.
Irina, 41 years old. At the dacha I got a toothache. I couldn’t see a dentist because I was too far from the city. The pain was so severe that it radiated into the ears and eyes. I took the only painkiller that was in my first aid kit – Ketanov. The product relieved the pain within 15 minutes and allowed me to spend the weekend at the dacha without any problems. I got an appointment with a doctor only 4 days later. The dentist said that I acted irresponsibly, because Ketanov has a lot of side effects.
Vitaly, 38 years old. I can’t speak unequivocally about the drug. I only used it once, when I damaged the root of a tooth. I took it as a preventive measure so that I wouldn’t feel pain later. However, my injury was not accompanied by pain. This drug does not help my brother at all. He says it also hurts to chew food and drink. I think you shouldn’t count on a special therapeutic effect from the drug for serious problems. It's better to go to the dentist right away.
Side effects
During use, this product can cause various unpleasant phenomena. The most common side effects include the following:
- Dyspeptic symptoms may appear - nausea, vomiting, stool upset, dry mouth, pain in the abdomen, exacerbation of gastric ulcers
- Headaches, dizziness
- Increased sleepiness
- Phenomena of nervousness
- Hearing loss
- The occurrence of ringing in the ears
- Vision problems
- Increased blood pressure
- Slow heartbeat
- Edema
In any case, you should take this analgesic only when absolutely necessary.
Taking medication will only help temporarily. Only a dentist can relieve you of toothache
It is advisable to use it as an emergency aid for severe pain in the tooth. But after use, you should immediately consult a doctor. The dentist will examine the tooth and provide the necessary treatment.
