Drug interactions
Ketorolac + Sodium sulfate / potassium sulfate / magnesium sulfate
Severity: Moderate
Ketorolac and Sodium sulfate / potassium sulfate / magnesium sulfate: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
This sulfate bowel preparation produces fluid loss and electrolyte changes. Ketorolac may reduce renal blood flow in the volume-depleted state and add to the risk of acute kidney injury and electrolyte-related events.
What this interaction means in plain words
Ketorolac and Sodium sulfate / potassium sulfate / magnesium sulfate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Why it happens
Volume depletion from the preparation plus NSAID-induced reduction in renal prostaglandin-dependent perfusion.
What to do
Avoid NSAIDs during bowel preparation where possible and ensure adequate hydration. Check renal function and electrolytes in high-risk patients.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Ketorolac
- Aceclofenac + Ketorolac Contraindicated
- Acemetacin + Ketorolac Contraindicated
- Acetylsalicylic acid + Ketorolac Contraindicated
- Apixaban + Ketorolac Contraindicated
- Argatroban + Ketorolac Contraindicated
- Aspirin / citric acid / sodium bicarbonate + Ketorolac Contraindicated
Frequently asked questions
Can I take Ketorolac with Sodium sulfate / potassium sulfate / magnesium sulfate?
MediHelp rates the interaction as moderate. Ketorolac and Sodium sulfate / potassium sulfate / magnesium sulfate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. This sulfate bowel preparation produces fluid loss and electrolyte changes. Ketorolac may reduce renal blood flow in the volume-depleted state and add to the risk of acute kidney injury and electrolyte-related events.
How serious is the interaction between Ketorolac and Sodium sulfate / potassium sulfate / magnesium sulfate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid NSAIDs during bowel preparation where possible and ensure adequate hydration. Check renal function and electrolytes in high-risk patients.
What other medicines interact with Ketorolac?
MediHelp also lists interactions of Ketorolac with, for example, Aceclofenac, Acemetacin, Acetylsalicylic acid. The full list is on the Ketorolac page.
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