National Cancer Institute Thesaurus

Last uploaded: February 23, 2024
Preferred Name

Ketorolac Tromethamine

Synonyms

Ketorolac Tromethamine

KETOROLAC TROMETHAMINE

Toradol

Definitions

The tromethamine salt of ketorolac, a synthetic pyrrolizine carboxylic acid derivative with anti-inflammatory, analgesic and antipyretic properties. Ketorolac tromethamine, a non-selective inhibitor of the cyclooxygenases (COX), inhibits both COX-1 and COX-2 enzymes. This agent exerts its anti-inflammatory effect by preventing conversion of arachidonic acid to prostaglandins at inflammation site mediated through inhibition of COX-2, which is undetectable in most tissues but is up-regulated at the inflammation sites. Since COX-1 is expressed virtually in all tissues, inhibition of COX-1 enzyme by this agent prevents normal state production of prostaglandins, which plays housekeeping roles in the protection of the gastrointestinal tract, regulating renal blood flow, and functioning in platelet aggregation. As a result, inhibition of COX-1 is usually associated with adverse effects such as gastrointestinal toxicity and nephrotoxicity.

ID

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C61798

CAS_Registry

74103-07-4

Chemical_Formula

C15H13NO3.C4H11NO3

code

C61798

Concept_In_Subset

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C176424

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C116978

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C116977

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C63923

Contributing_Source

CTRP

FDA

DEFINITION

The tromethamine salt of ketorolac, a synthetic pyrrolizine carboxylic acid derivative with anti-inflammatory, analgesic and antipyretic properties. Ketorolac tromethamine, a non-selective inhibitor of the cyclooxygenases (COX), inhibits both COX-1 and COX-2 enzymes. This agent exerts its anti-inflammatory effect by preventing conversion of arachidonic acid to prostaglandins at inflammation site mediated through inhibition of COX-2, which is undetectable in most tissues but is up-regulated at the inflammation sites. Since COX-1 is expressed virtually in all tissues, inhibition of COX-1 enzyme by this agent prevents normal state production of prostaglandins, which plays housekeeping roles in the protection of the gastrointestinal tract, regulating renal blood flow, and functioning in platelet aggregation. As a result, inhibition of COX-1 is usually associated with adverse effects such as gastrointestinal toxicity and nephrotoxicity.

Display_Name

Ketorolac Tromethamine

FDA_UNII_Code

4EVE5946BQ

FULL_SYN

Ketorolac Tromethamine

KETOROLAC TROMETHAMINE

Toradol

Has_Free_Acid_Or_Base_Form

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C1219

Has_Target

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C17984

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C19705

label

Ketorolac Tromethamine

Legacy Concept Name

Ketorolac_Tromethamine

NCI_Drug_Dictionary_ID

775482

PDQ_Closed_Trial_Search_ID

775482

PDQ_Open_Trial_Search_ID

775482

Preferred_Name

Ketorolac Tromethamine

prefixIRI

Thesaurus:C61798

Semantic_Type

Pharmacologic Substance

UMLS_CUI

C0146226

subClassOf

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C1323

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