Drug interactions
Ketorolac intranasal + Mistletoe
Severity: Minor
Ketorolac intranasal and Mistletoe: minor 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
Ketorolac is systemically absorbed from the nasal route and reversibly inhibits platelets, raising bleeding risk. Mistletoe is theorized to oppose coagulation effects, so the net effect is uncertain.
What this interaction means in plain words
Ketorolac intranasal and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Opposing pharmacodynamic effects on hemostasis are theorized; the mechanism is not established.
What to do
Ask about herbal use and watch for bleeding or bruising during ketorolac therapy, and keep the treatment course short.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Mistletoe
Frequently asked questions
Can I take Ketorolac intranasal with Mistletoe?
MediHelp rates the interaction as minor. Ketorolac intranasal and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ketorolac is systemically absorbed from the nasal route and reversibly inhibits platelets, raising bleeding risk. Mistletoe is theorized to oppose coagulation effects, so the net effect is uncertain.
How serious is the interaction between Ketorolac intranasal and Mistletoe?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask about herbal use and watch for bleeding or bruising during ketorolac therapy, and keep the treatment course short.
What other medicines interact with Mistletoe?
MediHelp also lists interactions of Mistletoe with, for example, Aceclofenac, Aescin, Aspirin / citric acid / sodium bicarbonate. The full list is on the Mistletoe page.
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