diclofenac vs ketorolac

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of diclofenac and ketorolac. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
diclofenac Nonsteroidal Anti-Inflammatory Drug (NSAID)
ketorolac Nonsteroidal Anti-Inflammatory Drug (NSAID)
Type
diclofenac Over-the-Counter
ketorolac Prescription
Summary
diclofenac

Diclofenac is a gel that helps with arthritis pain in your hands, wrists, elbows, feet, ankles, or knees. It belongs to a class of drugs called NSAIDs.

ketorolac

Ketorolac (Toradol) is a strong pain reliever. It is a nonsteroidal anti-inflammatory drug (NSAID).

What It Treats
diclofenac

This medicine temporarily relieves arthritis pain. It is only for pain in your hands, wrists, elbows, feet, ankles, or knees. It may take up to 7 days to start working. If you still have pain after 7 days, stop using it.

ketorolac

Ketorolac is used for short-term relief of moderate to severe pain. It is often used after surgery. You should only use it for up to 5 days.

How It Works
diclofenac

Diclofenac is an NSAID. It reduces pain and swelling by blocking substances in the body that cause inflammation.

ketorolac

Ketorolac reduces pain by blocking the production of substances called prostaglandins in the body. Prostaglandins contribute to inflammation and pain. By reducing prostaglandins, ketorolac helps to alleviate pain.

Common Side Effects
diclofenac
  • Pain
  • Headache
ketorolac
  • Stomach pain
  • Constipation or diarrhea
  • Upset stomach
  • Gas
  • Feeling full
FAERS Reports
diclofenac
  • Pain 12,281
  • Fatigue 11,317
  • Rheumatoid Arthritis 9,241
  • Rash 8,747
  • Arthralgia 8,640
ketorolac

No adverse event reports.

Serious Warnings
diclofenac

No specific warnings noted.

ketorolac

Ketorolac can cause stomach ulcers, bleeding, and holes in the stomach or intestines, which can be fatal. It can increase your risk of heart attack or stroke, which can be fatal. Ketorolac is not for long-term use or for treating minor pain. Do not take it before major surgery. It can also cause kidney problems and bleeding problems.

Pregnancy
diclofenac

No pregnancy information available.

ketorolac

Ketorolac may harm your unborn baby. Do not use ketorolac during labor and delivery. Talk to your doctor if you are pregnant or breastfeeding.

Also Compare, Nearby Drugs

How to Read This diclofenac vs ketorolac Comparison

diclofenac is classified in the Nonsteroidal Anti-Inflammatory Drug (NSAID) drug class, while ketorolac sits within the Nonsteroidal Anti-Inflammatory Drug (NSAID) class. Because both drugs share the same classification, they are often considered interchangeable in theory, but clinical outcomes rarely track that cleanly. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, diclofenac has 50,226 submissions while ketorolac has 0. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for diclofenac or ketorolac.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.