NSAIDs for renal colic

If an NSAID is appropriate for renal colic (see Choosing an analgesic regimen for renal colic), use:

1 celecoxib 200 mg orally, as a single dose renal colic celecoxib

OR

1 ibuprofen 400 mg orally, as a single dose renal colic ibuprofen

OR

1 naproxen 500 mg orally, as a single dose renal colic naproxen

OR

1 ketorolac 10 mg intravenously or intramuscularly, as a single dose. Do not give repeat doses because of the potential for serious adverse effects¹ ² renal colic ketorolac

OR

1 parecoxib 40 mg intravenously or intramuscularly, as a single dose renal colic parecoxib

OR

2 diclofenac 100 mg rectally, as a single dose renal colic diclofenac

OR

2 indometacin 100 mg rectally, as a single dose. renal colic indometacin

If repeat doses of NSAIDs are required, see here for oral dose regimens, or here for parenteral and rectal regimens.

¹ The ketorolac formulation available in Australia is licensed only for intramuscular use; however, it is commonly administered intravenously.Return

² The analgesic efficacy of ketorolac is not increased with doses above 10 mg in adults but the potential for adverse effects is.Return