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Ketorocaine LM Kit

KETOROLAC TROMETHAMINE, LIDOCAINE HYDROCHLORIDE, BUPIVACAINE HYDROCHLORIDE, POVIDINE IODINE

Manufacturer: Advanced Rx Pharmacy of Tennessee, LLC

Score: 142.0

Quick Summary

Ketorocaine LM Kit is used for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. The kit contains bupivacaine hydrochloride, lidocaine hydrochloride, and ketorolac tromethamine. Key clinical findings include the management of moderately severe acute pain that requires analgesia at the opioid level. Important safety information includes warnings about cardiac arrest, dose-related toxicity, and methemoglobinemia. Contraindications include obstetrical paracervical block anesthesia and known hypersensitivity to bupivacaine or other local anesthetics. Main dosing recommendations vary depending on the procedure and patient population, with careful attention to dosing in pediatric, geriatric, and nursing mother populations.

Key Clinical Findings and Indications

  • Production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures
  • Management of moderately severe acute pain that requires analgesia at the opioid level

Important Safety Information

Warning

Risk of cardiac arrest with use in obstetrical anesthesia

Contraindications

  • Obstetrical paracervical block anesthesia
  • Known hypersensitivity to bupivacaine or other local anesthetics

Adverse Reactions

  • Cardiac arrest
  • Dose-related toxicity
  • Methemoglobinemia

Dosing Recommendations

General Guidance

Careful attention to dosing in pediatric, geriatric, and nursing mother populations

Surgery

Adult Dose

2.5-7.5 mg/mL

Pediatric Dose

Not recommended

Special Population Considerations

Pregnancy

  • Use with caution in pregnant women
  • Avoid use in obstetrical paracervical block anesthesia

Nursing Mothers

  • Use with caution in nursing mothers
  • Monitor infant for adverse effects

Pediatric Use

  • Not recommended for use in pediatric patients younger than 12 years
  • Use with caution in pediatric patients

Geriatric Use

  • Use with caution in geriatric patients
  • Monitor for signs of toxicity