Indications and Usage
SPRIX® (ketorolac tromethamine) is indicated in adult patients for the short term (up to 5 days) management of moderate to moderately severe pain that requires analgesia at the opioid level.
Limitations of Use
- Sprix is not for use in pediatric patients less than 2 years of age.
IMPORTANT SAFETY INFORMATION ABOUT SPRIX®
What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?
Sprix (ketorolac tromethamine) Nasal Spray is an NSAID.
SPRIX can cause serious side effects, including:
- Increased risk of a heart attack or stroke that can lead to death. This risk may happen early in treatment and may increase:
- with increasing doses of SPRIX
- with longer use of SPRIX
Do not take SPRIX right before or after a heart surgery called a “coronary artery bypass graft (CABG).”
Avoid taking SPRIX after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take SPRIX after a recent heart attack.
- Increased risk of bleeding, ulcers, and tears (perforation) of the esophagus (tube leading from the mouth to the stomach), stomach and intestines:
- anytime during use
- without warning symptoms
- that may cause death
The risk of getting an ulcer or bleeding also increases with:
- past history of stomach ulcers, or stomach or intestinal bleeding with use of NSAIDs
- taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”
- increasing doses of NSAIDs
- longer use of NSAIDs
- drinking alcohol
- older age
- poor health
- advanced liver disease
- bleeding problems
SPRIX should only be used:
- exactly as prescribed
- at the lowest dose possible for your treatment
- for the shortest time needed
What are NSAIDs, including SPRIX?
NSAIDs are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain.
Do not use SPRIX:
- If you are allergic to ketorolac or any components of the drug product
- If you have had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAIDs
- Right before or after heart bypass surgery
- If you have active ulcer disease or any history of bleeding in the stomach or intestines
- If you have had bleeding in the brain, a tendency to bleed, or have decreased ability for your blood to clot
- If you have kidney disease
- If you are taking probenecid or pentoxifylline
- For more than 5 days or with other formulations of ketorolac or with other NSAIDs
- Sprix is not for use in children less than 2 years of age
Before taking SPRIX or any NSAID, tell your healthcare provider about all of your medical conditions, including if you:
- have liver or kidney problems
- have high blood pressure or heart failure
- have asthma
- have bleeding problems
- are pregnant or plan to become pregnant. Talk to your healthcare provider if you are considering taking NSAIDs during pregnancy. You should not take SPRIX after 29 weeks of pregnancy.
- are breastfeeding or plan to breast feed. Some SPRIX can pass into your breast milk.
Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements. SPRIX and some other medicines can interact with each other and cause serious side effects. Do not start taking any new medicine without talking to your healthcare provider first.
What are the possible side effects of SPRIX?
SPRIX can cause serious side effects, including:
See “What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?”
- new or worse high blood pressure
- heart failure
- liver problems including liver failure
- kidney problems including kidney failure
- low red blood cells (anemia)
- life-threatening skin reactions
- life-threatening allergic reactions
- Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness.
Most common side effects with SPRIX include: discomfort in the nose; pain in the nose; increased tears; throat irritation; decreased amount of urine; rash; slow heart rate; increased liver enzymes; high blood pressure; stuffy nose.
Keep SPRIX away from your eyes. If you get SPRIX in your eyes, wash out the eye with water or saline, and call a doctor if irritation persists for more than an hour.
Get emergency help right away if you get any of the following symptoms:
- shortness of breath or trouble breathing
- chest pain
- weakness in one part or side of your body
- slurred speech
- swelling of the face or throat
Stop taking your SPRIX and call your healthcare provider right away if you get any of the following symptoms:
- more tired or weaker than usual
- your skin or eyes look yellow
- indigestion or stomach pain
- flu-like symptoms
- vomit blood
- there is blood in your bowel movement or it is black and sticky like tar
- unusual weight gain
- skin rash or blisters with fever
- swelling of the arms, legs, hands and feet
If you take too much SPRIX, call your healthcare provider or get medical help right away.
These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Please see full Prescribing Information, including Boxed Warning and patient Medication Guide.