Spanish journal which I do not get but results seem clear enough – ketoralac 60 mg ?IM and Nifedipine XL 30 mg by mouth give best results.
Rev Med Inst Mex Seguro Soc. 2017;55 Suppl 1:S20-S25.
Management of ureteric colic with ketorolac and nifedipine vs. ketorolac and
tamsulosin in the emergency room.
- Lower utereric stone
- Ketorolac (used to be called Toradol) could be 30-60 mg IM with 60 mg being as effective as opioid injection:
Am J Emerg Med. 1999 Jan;17(1):6-10.Efficacy of ketorolac tromethamine versus meperidine in the ED treatment of acute renal colic. Larkin GL
- Nifedipine (Adalat – a blood pressure drug) is often 30 mg in long acting form
- “the pain decreased more in patients managed with ketorolac and nifedipine, p = 0.0041. There were no complications nor side effects in both treatments.”
Comment – going to make that my mix now though oral ketorolac is a problem for stomach…