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Emergency treatment of renal colic with intravenous Ketoprofen

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Abstract

The non-steroidal anti-inflammatory drug (NSAID) Ketoprofen (Profenid) is used as intravenous monotherapy incorporated in 0.9% normal saline solution (100 mg Ketoprofen ampoule +200 ml normal saline) in the treatment of renal colic.

We present our experience in 65 patients complaining of clinically diagnosed renal colic who were treated by intravenous saline-Ketoprofen. Prospective investigations revaled urinary calculi in 51 patients, oxaluria (crystalluria) in 5, acute colitis in 2, severe myositis in 2, negative investigations in 3 and radiculitis in 2 patients.

Positive response was observed in 93.8% of patients as far as pain relief is concerned. Pain relief started within 5–7 minutes after beginning the infusion. Duration of analgesic effect ranged between 4 and 12 hours. Repeating the injection was done for maintenance of analgesia.

Side effects included drowsiness in 2 patients, palpitation in 1 patient, epigastric pain in 1, muscular cramp in 1 patient.

Ketoprofen, an antiprostaglandin, is a powerful anti-inflammatory and potent analgesic. Intravenous saline-Ketoprofen is a good emergency treatment for acute episodes of renal colic.

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El-Baz, M.A., Nasser, M.ET. Emergency treatment of renal colic with intravenous Ketoprofen. International Urology and Nephrology 27, 245–249 (1995). https://doi.org/10.1007/BF02564757

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  • DOI: https://doi.org/10.1007/BF02564757

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