The drug "Dolak": instructions for use, reviews, analogues

The most effective non-steroidal anti-inflammatory and analgesic is ketorolac. It is found in many drugs, one of which is Dolak. Instruction for use describes this tool as a medicine of choice for severe pain symptoms in the joints and soft tissues. The most commonly used "Dolak" for the treatment of diseases of the musculoskeletal system. The preparation is produced in tablets and solution for intramuscular injection. There are also some forms of the drug "Dolak" - ointment. The instructions for use recommend using it for the complex therapy of arthrosis, arthritis, pain relief after trauma and surgery.

What is the effect of the drug

One of the most powerful pain relievers is Dolak. Instructions for use therefore it is recommended to use it for acute pain of high intensity. The patients' comments indicate that its analgesic effect is comparable to morphine, although the result is noticeable not immediately, but after 30-45 minutes. In addition to relief of pain, Dolak has such an effect:

• Effectively removes inflammation;
• Lowers the temperature;
• Improves blood fluidity;
• Does not cause drowsiness and respiratory depression.

The result of using the drug is noticeable not immediately - the pain subsides somewhere in 45 minutes. And the maximum analgesic effect comes in a couple of hours. The mechanism of action of the drug is associated with the ability of ketorolac to block prostaglandins and arachidonic acid, which increase pain sensitivity and participate in the development of an inflammatory reaction.

Scope of the drug

"Dolak" is a remedy for symptomatic therapy. It does not cure any diseases, only relieves inflammation. Most often in emergency cases in a hospital, when you need to remove severe pain, use exactly the drug "Dolak". Its use is advisable under such conditions:

• During severe pain after trauma, surgery or childbirth;
• With oncological diseases;
• Neuralgia accompanied by very severe pain;
• Pain in muscles due to overwork, trauma or inflammation;
• For the treatment of sciatica, arthritis, arthrosis, osteochondrosis;
• For temporary relief of toothache;
• With rheumatism.

Contraindications to the use of the drug

But such an effective tool can not be used by all people suffering from pain. There are many contraindications to the use of the drug "Dolak". The instruction does not recommend using it for treatment in such cases:

• If the patient has an individual intolerance to ketorolac;
• With serious pathologies in the work of the kidneys or liver;
• With bleeding;
• For patients with gastric ulcer, as well as with inflammation of the intestine;
• Children under 16;
• With hemophilia, violation of blood composition;
• With intolerance of "Aspirin";
• With hypovolemia or dehydration;
• Pregnant and lactating women.

There are also conditions in which the drug is used only on strict indications. In patients with cholecystitis, hypertension, bronchial asthma, diabetes mellitus, heart failure, hepatitis, alcoholism, one can only use Dolak with great care. Instructions for use recommend doing this under the supervision of a doctor to avoid side effects. Do not apply "Dolak" for the treatment of patients older than 65 years and with the simultaneous use of other NSAIDs. And it should be remembered that this medicine is indicated only for short-term use. Therefore, it can not be used in the treatment of chronic pain.

Different forms of the drug

"Dolak" is best known in the form of oral tablets and a solution for injections. The external effect of the drug is not so strong, so to stop strong pain ointments are not so effective. One Dolak tablet contains 10 mg of tromethamine ketorolac. It is important to pay attention to this, especially in cases when the drug is taken alone. It is necessary to calculate the dose so that the drug acts, but does not cause negative consequences.

A higher concentration of ketorolac is contained in the liquid preparation "Dolak". Ampoules instruction manual recommends the use only in medical institutions to prevent overdose. After 1 ml of this form of the drug contains 30 mg of ketorolac, which is the maximum single dose for intramuscular use. Injections are used in emergency cases, since the action with such administration of the drug occurs twice as fast.

Dolak: instructions for use

Injections, reviews about which are mostly positive both among doctors and patients, are done most often in a hospital setting. They are effective for the removal of acute severe pain, as well as severe inflammation. For ambulatory treatment, Dolak tablets are used to relieve severe pain in the joints, spine and muscles. Instructions for use recommend continuing treatment no more than 5 days. When determining the dosage, you must pay attention to the weight and age of the patient. The recommended amount is calculated for people from 16 to 65 years old and weighing more than 50 kg.

How correctly to accept Dolak? Instructions for use of the tablet recommend drinking no more than 6 hours later. Maximum of 40 mg per day, so take 1 tablet. The first reception can be doubled. When sharing tablets and injections, a single dosage should not be more than 60 mg per day.

How correctly to apply Dolak in ampoules

Particularly often systemic side effects occur when using the drug for injections. After all, in this case ketorolac quickly gets into the blood and spreads throughout the body. Therefore it is very important to accurately observe the dosage for the drug "Dolak". Instructions for the use of injections recommends doing intramuscularly. Only in some cases, intravenous administration with lowering the dosage is allowed.

Injection is permissible for patients from 16 to 65 years old and with a body weight of more than 50 kg. In this case, you can inject 1-2 ampoules 3-4 times a day. Between two injections should be at least 6 hours. And you need to make sure that the maximum dose per day does not exceed 90 mg.

If the patient's body weight is less than 50 kg, his age is more than 65 years, or he suffers from kidney disease, the dosage of the drug is reduced. In a day such a patient is permissible to administer no more than 60 mg of Dolak.

Side effects of the drug

Dolak is usually used only in emergency cases. Therefore, the benefit from it often exceeds the harm caused. But still many reviews point out that the drug can cause unpleasant, and sometimes dangerous side effects:

• Nausea, vomiting, bloating, pain in the epigastric region;
• An intestinal disorder, flatulence, constipation, rectal bleeding;
• Decreased appetite, stomatitis;
• Fluctuations in blood pressure, tachycardia;
• Violation of respiratory function, cough, dyspnea and bronchospasm;
• Rash, itching, hives;
• nose bleed;
• Impaired vision and concentration of attention, hearing loss;
• Depression, hallucinations;
• Tremor, convulsions, hyperactivity;
• Swelling, weight gain;
• Anaphylactic shock, angioedema.

What can be with an overdose?

If the drug is used strictly according to the instructions, then an overdose is not possible. Usually the course of treatment "Dolak" can not be more than 5 days. But in the case when the medicine is drunk without prescribing a doctor or exceeds the recommended dosage, serious consequences are possible:

• Ulcerative lesions of the mucous membrane of the gastrointestinal tract;
• Serious violations in the work of the kidneys;
• Metabolic acidosis.

Incorrect use of the drug can cause the development of diseases such as gastritis, pancreatitis, anemia, rhinitis, aseptic meningitis, bronchial asthma.

Interaction with other drugs

Ketorolac should be used separately from other drugs. After all, it does not fit well with many of them.

• If used in conjunction with corticosteroids, calcium or ethanol preparations, the risk of bleeding in the gastrointestinal tract is high.
• If you drink Dolak and Paracetamol together, your kidneys may suffer.
• Joint use of this drug and other NSAIDs can lead to increased blood pressure, edema and cardiac dysfunction.
• When treating insulin, it is necessary to revise its dosage, as Dolak enhances its hypoglycemic effect.
• Do not apply ketorolac during treatment with anticoagulants, for example "Aspirin" or "Heparin". It is possible to develop severe bleeding.
• When taking Dolak, the effectiveness of diuretics and hypotensive drugs decreases.

Most often, the drug is prescribed together with narcotic analgesics. So their effectiveness improves.

Special instructions for taking the drug

It is not always possible to use "Dolak" for severe pain. Instructions for use notes that no medication is prescribed to maintain anesthesia before surgery. It can not be used also in the postoperative period, since ketorolac can cause an increase in bleeding. It is not recommended to use "Dolak" for analgesia of childbirth.

To prevent the development of ulcers on the gastric mucosa and gastropathy, you can take antacids, such as "Almagel" or "Omeprazole."

Ketorolac often causes a decrease in concentration of attention, drowsiness, dizziness, so during treatment it is advisable not to get behind the wheel, and also not to carry out potentially dangerous work with different mechanisms.

In addition, many serious side effects and complications can cause the taking of this remedy. Therefore, it is so important to study before using the drug "Dolak" instructions for use.

Reviews

Analogues of this tool are more known to consumers. Such preparations as "Ketorolac", "Ketanov", "Ketorol" are popular. But "Dolak" has an equally strong analgesic effect, but costs no more than 80 rubles. Many patients who have tried such treatment note that even the most severe pains are susceptible to ketorolac, and although the pain does not go away right away, it does not return for a long time.

Especially many positive reviews about "Dolak" from those who suffer from arthritis, sciatica, neuralgia, pain in the muscles. After all, such pain is almost impossible to remove the usual analgesics. And "Dolak" in this case is most effective.