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Two medicines, side by side

Ketorolac vs aspirin

Ketorolac and aspirin are both labeled for pain. Drugs@FDA records approvals of ketorolac since 1989 and of aspirin since 1965. Pharmacies paid $1.02 per mL (Ketorolac 30 mg/mL vial) and $0.0142 per aspirin ec 81 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Only the ketorolac label carries a boxed warning.

Check it at the source: the ketorolac FDA label on DailyMed (effective August 31, 2023); the aspirin FDA label on DailyMed (effective September 9, 2025).

Highlights of the ketorolac record

Ketorolac (Toradol) · label of August 31, 2023

Boxed warning

Ketorolac tromethamine, a nonsteroidal anti-inflammatory drug (NSAID), is indicated for the short-term (up to 5 days in adults) management of moderately severe acute pain that requires analgesia at the opioid level. Oral ketorolac tromethamine is indicated only as continuation treatment following intravenous or intramuscular dosing of ketorolac tromethamine, if necessary.

Used for

From the label: indications

Carefully consider the potential benefits and risks of ketorolac tromethamine and other treatment options before deciding to use ketorolac. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS ). […]

On the market

Earliest approval on file
November 30, 1989
Generic labelers
60 labelers
Pharmacy cost
$1.02 per mL

Supply and safety

Shortage
In shortage
Recalls
24

Highlights of the aspirin record

Aspirin (Measurin) · label of September 9, 2025

Used for

From the label: indications

Temporarily relieves headache toothache pain and fever of colds muscle pain menstrual pain minor pain of arthritis

On the market

Earliest approval on file
June 25, 1965
Generic labelers
none listed
Pharmacy cost
$0.0142 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
1

Source: FDA drug labels via openFDA (Ketorolac label of August 31, 2023, Aspirin label of September 9, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ketorolac and aspirin differ on the record?

Only the ketorolac label carries a boxed warning.

Generics: ketorolac since 1997; aspirin none approved (Drugs@FDA).

KetorolacAspirin
Labeled forPainPain, Cough and cold, Fever
Pharmacologic classCyclooxygenase Inhibitor, Nonsteroidal Anti-inflammatory Drugn/a
How it works (label)of ketorolac, like that of other NSAIDs, is not completely understood but may be related to prostaglandin synthetase inhibition. The biological activity of ketorolac tromethamine is associated with the S-form.n/a
Half-life (label)The half-life of the ketorolac tromethamine S-enantiomer was approximately 2.5 hours (SD ± 0.4) compared with 5 hours (SD ± 1.7) for the R-enantiomer.n/a
Earliest approval on file (Drugs@FDA)November 30, 1989June 25, 1965
First generic approvedMay 16, 1997none
Generic labelers (NDC)60 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.02 per mL (Ketorolac 30 mg/mL vial)$0.0142 per tablet (Aspirin ec 81 mg tablet)
12-month price change-6%-2%
Boxed warningYesNo
Shortage nowIn shortageA presentation being discontinued
Recalls recorded241
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)5,597534,208
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Ketorolac label, boxed warning

Ketorolac tromethamine is CONTRAINDICATED in patients with previously demonstrated hypersensitivity to ketorolac tromethamine or allergic manifestations to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs).

Ketorolac label, contraindications

Ketorolac tromethamine should not be given to patients who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to ketorolac
every medicine labeled for the same conditions