Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/29/2025

Ketorolac Contraindications and Precautions

Contraindications and High-Risk Populations

  • The American Academy of Family Physicians recommends avoiding ketorolac in patients with aspirin/NSAID-induced asthma, pregnancy, and cerebrovascular hemorrhage 1
  • The National Comprehensive Cancer Network guidelines identify high-risk populations requiring dose reduction or avoidance, including age ≥60 years with cardiovascular disease risk, history of peptic ulcer disease, concurrent anticoagulant use, and compromised fluid status 2, 3, 4, 5

REFERENCES

1

management of the acute migraine headache. [LINK]

American family physician, 2002

2

adult cancer pain. [LINK]

Journal of the National Comprehensive Cancer Network : JNCCN, 2010

3

adult cancer pain. [LINK]

Journal of the National Comprehensive Cancer Network : JNCCN, 2010

4

adult cancer pain. [LINK]

Journal of the National Comprehensive Cancer Network : JNCCN, 2010

5

adult cancer pain. [LINK]

Journal of the National Comprehensive Cancer Network : JNCCN, 2010