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ibuprofen vs ketorolac

Side-by-side comparison of ibuprofen 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
ibuprofen Nonsteroidal Anti-Inflammatory Drug (NSAID)
ketorolac Nonsteroidal Anti-Inflammatory Drug (NSAID)
Type
ibuprofen Over-the-Counter
ketorolac Prescription
Summary
ibuprofen

Ibuprofen is a drug that can reduce pain and fever. 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
ibuprofen

Ibuprofen can help with minor aches and pains. You can use it for headaches, toothaches, backaches, menstrual cramps, and muscle aches. It can also help with the common cold, minor arthritis pain, and fever.

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
ibuprofen

Ibuprofen works by reducing hormones that cause pain and swelling in the body. It blocks the production of prostaglandins. Prostaglandins contribute to inflammation and pain signals.

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
ibuprofen
  • Nausea
  • Headache
  • Diarrhea
  • Vomiting
  • Dizziness
ketorolac
  • Stomach pain
  • Constipation or diarrhea
  • Upset stomach
  • Gas
  • Feeling full
FAERS Reports
ibuprofen
  • Drug not working 24,339
  • Pain 18,851
  • Tiredness 17,869
  • Feeling sick to your stomach 17,349
  • Headache 15,814
ketorolac

No adverse event reports.

Serious Warnings
ibuprofen

NSAIDs like ibuprofen may increase the risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. NSAIDs also increase the risk of serious gastrointestinal adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal.

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
ibuprofen

Ask a doctor before using if you are pregnant or breastfeeding. NSAIDs like ibuprofen may cause harm to the fetus.

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 ibuprofen vs ketorolac Comparison

ibuprofen 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, ibuprofen has 94,222 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 substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between ibuprofen and ketorolac — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.