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HCID 84003생성일: 2026년 10월 27일

Ketorolac Tromethamine

syntex · TORADOL · Ketorolac (Toradol) · Ketorolac Thromethamine · KETOROLAC TROMETHAMINE SALT · Godek · Ketanov · Ketorol

https://huagongshe.com/ko/chemical/84003

Ketorolac Tromethamine 분자 구조식

식별자 및 물리적 특성

CAS No.74103-07-4
분자식C19H24N2O6
평균 분자량376.4 g/mol
단동위원소 질량376.16343649 g/mol
SMILESNC(CO)(CO)CO.O=C(c1ccccc1)c1ccc2n1CCC2C(=O)O
InChIKeyBWHLPLXXIDYSNW-UHFFFAOYSA-N
PubChem CID84003
ChEMBLCHEMBL1201124
EC No.620-545-3
DTXSIDDTXSID0045597

화학 및 물리적 성질

극성 표면적146
수소 결합 공여자 수5
수소 결합 수용자 수7
회전 가능 결합 수6
무거운 원자 수27
형식 전하0
복잡도430
용해도>56.5 [ug/mL] (The mean of the results at pH 7.4)H2O: 15 mg/mL -20°C.에서 최소 한 달간 안정함, 용해성
Collision Cross Section155.6 Ų [M+H]+ [CCS Type: TWMethod: calibrated with polyalanine and drug standards]
녹는점160-161 C
저장 조건2-8°C
물리적 상태수정 같은
색상흰색에서 밝은 노란색
생물학적 소스synthetic (organic)
용해도H2O: soluble 15mg/mL, clear, colorless to faintly yellow (stable at least one month at -20 °C.)
Merck14,5306
안정성흡습성
InChIInChI=1S/C15H13NO3.C4H11NO3/c17-14(10-4-2-1-3-5-10)13-7-6-12-11(15(18)19)8-9-16(12)135-4(1-6,2-7)3-8/h1-7,11H,8-9H2,(H,18,19)6-8H,1-3,5H2
InChIKeyBWHLPLXXIDYSNW-UHFFFAOYSA-N
SMILESC(N)(CO)(CO)CO.C(C1C=CC=CC=1)(C1=CC=C2C(C(=O)O)CCN12)=O

화학적 성질

A carboxylic acid derivative nonsteroidal antiinflammatory agent, ketorolac tromethamine occurs as an off-white crystalline powder with a pKa of 3.54 (in water). More than 500 mg are soluble in one mL of water at room temperature. The commercially available injection is a clear, slightly yellow solution with a pH of 6.9 – 7.9. Sodium chloride is added to make the solution isotonic. Ketorolac tromethamine may also be known as RS-37619-00- 31-3; many trade names are available.

안전 및 규제

GHS 분류DangerH301 (96.9%): Toxic if swallowed [Danger Acute toxicity, oral]H315 (93.8%): Causes skin irritation [Warning Skin corrosion/irritation]H319 (93.8%): Causes serious eye irritation [Warning Serious eye damage/eye irritation]H335 (92.2%): May cause respiratory irritation [Warning Specific target organ toxicity, single exposureRespiratory tract irritation]P261, P264, P264+P265, P270, P271, P280, P301+P316, P302+P352, P304+P340, P305+P351+P338, P319, P321, P330, P332+P317, P337+P317, P362+P364, P403+P233, P405, and P501 (click each P-code to see the statement)Aggregated GHS information provided per 64 reports by companies from 12 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.Information may vary between notifications depending on impurities, additives, and other factors. The percentage value in parenthesis indicates the notified classification ratio from companies that provide hazard codes. Only hazard codes with percentage values above 10% are shown. For more detailed information, please visit ECHA C&L website.
Hazard Classes and CategoriesAcute Tox. 3 (96.9%)Skin Irrit. 2 (93.8%)Eye Irrit. 2 (93.8%)STOT SE 3 (92.2%)
Drug Induced Liver InjuryDrug Induced Liver Injury Rank (DILIrank 2.0)Ketorolac tromethaminevLess-DILI-concern3Warnings & precautionsDOI:10.1016/j.drudis.2016.02.015
Effects During Pregnancy and Lactation◉ Summary of Use during LactationMilk levels of ketorolac are low with the usual oral dosage, but milk levels have not been measured after higher injectable dosages or with the nasal spray. Ketorolac injection is used for a short time (typically 24 hours) after cesarean section in some hospital protocols with no evidence of harm to breastfed infants. However, the ketorolac dose an infant receives in colostrum is very low because of the small volume of colostrum produced. Some evidence suggests that IV ketorolac as part of a multimodal post-cesarean section analgesia reduces percentage of mothers who fail exclusive breastfeeding compared to patient-controlled IV morphine-based analgesia. Ketorolac has strong antiplatelet activity and can cause gastrointestinal bleeding. The manufacturer indicates that ketorolac is contraindicated during breastfeeding, so an alternate drug is preferred after the first 24 to 72 hours when larger volumes of milk are produced, especially while nursing a newborn or preterm infant.

용도

개요

Ketorolac tromethamine is a nonsteroidal antiinflammatory agent that exhibits analgesic and antipyretic activity. The compound is effective in the management of moderate to severe postoperative pain. It is, however, the first of this type of agent to be administered parenterally as an analgesic and is specifically indicated for intramuscular injection. Ketorolac represents a useful alternative to the narcotic analgesics due to its lack of abuse potential.

용도

Cyclo-oxygenase inhibitor; analgesic; anti-inflammatory.

일반 설명

Pharmaceutical secondary standards for application in quality control, provide pharma laboratories and manufacturers with a convenient and cost-effective alternative to the preparation of in-house working standards. Ketorolac Tromethamine belongs to the class of non-steroidal anti-inflammatory drugs, and its mode of action involves the inhibition of the bodily synthesis of prostagladins. It exhibits anti-inflammatory, antipyretic and analgesic effects.

Maternal use of ketorolac eye drops would not be expected to cause any adverse effects in breastfed infants. To substantially diminish the amount of drug that reaches the breastmilk after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.
◉ Effects in Breastfed Infants
A randomized, double-blind study compared standard care of mothers receiving a cesarean section delivery (n = 60) to those receiving standard care plus multimodal pain management that included a single dose of 60 mg of intramuscular ketorolac given at the time of fascial closure (n = 60). No significant differences in abnormal neonatal growth, difficulty feeding, neonatal sedation, or respiratory depression rates between the two groups were seen during the first month postpartum.
◉ Effects on Lactation and Breastmilk
A randomized, double-blind study compared standard care of mothers receiving a cesarean section delivery (n = 60) to those receiving standard care plus multimodal pain management that included a single dose of 60 mg of intramuscular ketorolac given at the time of fascial closure (n = 60). No significant differences in breastfeeding rates (78% and 79%, respectively) were seen during the first month postpartum.
In a study comparing standard of care to enhanced recovery after cesarean section deliveries, a fixed dose of ketorolac 15 mg every 6 hours intravenously for 24 hours postpartum was part of the enhanced recovery protocol whereas as needed ketorolac 15 mg intravenously was part of the standard protocol. Patients in the enhanced recovery protocol (n = 58) had a greater frequency of exclusive breastfeeding (67%) than those in the standard protocol (48%
A retrospective study evaluated 1349 women who had undergone a cesarean section and were given ketorolac within 15 minutes of the end of surgery. The results indicated that there was no difference in pain control in the first 6 hours after surgery nor in the percentage of women who were breastfeeding at discharge.
A prospective cohort study of postcesarean pain control compared (1) morphine PCA and scheduled ibuprofen for the first 12 hours followed by continued scheduled ibuprofen with hydrocodone-acetaminophen as needed to a multimodal pain management regimen consisting of (2) acetaminophen 1000 mg orally every 8 hours, ketorolac 30 mg IV once initially, then 15 mg IV every 8 hours for 24 hours, then ibuprofen 600 mg orally every 8 hours for the remainder of the postoperative course with opioids given only as needed. Of women who planned to exclusively breastfeed on admission, fewer women used formula prior to discharge in the multimodal group compared to the traditional group (9% vs. 12%).
수질 위해 등급(WGK)3
RTECS 번호UY7759900
운송 번호(UN)UN 2811 6.1/PG 3
관세 코드2933995500
위험 문구(R)25-36/37/38-23/24/25
위험 표시T
안전 문구(S)26-45-36/37/39
포장분류II
위험 등급6.1(a)Acute Tox. 3 OralEye Irrit. 2Skin Irrit. 2STOT SE 3
저장 분류6.1C - Combustible acute toxic Cat.3toxic compounds or compounds which causing chronic effects