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Toradol (Ketorolac Tromethamine) - Side Effects and Adverse Reactions

 


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ADVERSE REACTIONS

Adverse reaction rates increase with higher doses of TORADOL. Practitioners should be alert for the severe complications of treatment with TORADOL, such as GI ulceration, bleeding and perforation, postoperative bleeding, acute renal failure, anaphylactic and anaphylactoid reactions and liver failure (see BOX WARNING, WARNINGS, PRECAUTIONS, and DOSAGE AND ADMINISTRATION). These NSAID-related complications can be serious in certain patients for whom TORADOL is indicated, especially when the drug is used inappropriately.

The Adverse Reactions Listed Below Were Reported in Clinical Trials as Probably Related to TORADOL:

  • Incidence Greater Than 1%

Percentage of incidence in parentheses for those events reported in 3% or more patients.

Body as a Whole: edema (4%)

Cardiovascular: hypertension

Dermatologic: pruritus, rash

Gastrointestinal: nausea (12%), dyspepsia (12%), gastrointestinal pain (13%), diarrhea (7%), constipation, flatulence, gastrointestinal fullness, vomiting, stomatitis

Hemic and Lymphatic: purpura

Nervous System: headache (17%), drowsiness (6%), dizziness (7%), sweating

Injection-site pain was reported by 2% of patients in multidose studies.

  • Incidence 1% or Less

Body as a Whole: weight gain, fever, infections, asthenia

Cardiovascular: palpitation, pallor, syncope

Dermatologic: urticaria

Gastrointestinal: gastritis, rectal bleeding, eructation, anorexia, increased appetite

Hemic and Lymphatic: epistaxis, anemia, eosinophilia

Nervous System: tremors, abnormal dreams, hallucinations, euphoria, extrapyramidal symptoms, vertigo, paresthesia, depression, insomnia, nervousness, excessive thirst, dry mouth, abnormal thinking, inability to concentrate, hyperkinesis, stupor

Respiratory: dyspnea, pulmonary edema, rhinitis, cough

Special Senses: abnormal taste, abnormal vision, blurred vision, tinnitus, hearing loss

Urogenital: hematuria, proteinuria, oliguria, urinary retention, polyuria, increased urinary frequency

The Following Adverse Events Were Reported From Postmarketing Experience:

Body as a Whole: hypersensitivity reactions such as anaphylaxis, anaphylactoid reaction, laryngeal edema, tongue edema (see BOX WARNING and WARNINGS), angioedema, myalgia

Cardiovascular: hypotension, flushing

Dermatologic: Lyell's syndrome, Stevens-Johnson syndrome, exfoliative dermatitis, maculopapular rash, urticaria

Gastrointestinal: peptic ulceration, GI hemorrhage, GI perforation (see BOX WARNING and WARNINGS), melena, acute pancreatitis, hematemesis, esophagitis

Hemic and Lymphatic: postoperative wound hemorrhage (rarely requiring blood transfusion -- see BOX WARNING, WARNINGS, and PRECAUTIONS), thrombocytopenia, leukopenia

Hepatic: hepatitis, liver failure, cholestatic jaundice

Nervous System: convulsions, psychosis, aseptic meningitis

Respiratory: asthma, bronchospasm

Urogenital: acute renal failure (see BOX WARNING and WARNINGS), flank pain with or without hematuria and/or azotemia, interstitial nephritis, hyponatremia, hyperkalemia, hemolytic uremic syndrome

Page last updated: 2006-06-22

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