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Dexketoprofen

Published: July 26, 2026Updated: August 24, 2026

Dexketoprofen is a non-steroidal anti-inflammatory drug (NSAID) that provides analgesic, anti-inflammatory, and antipyretic effects. It is the active (S)-enantiomer of ketoprofen and is prescribed for the relief of acute mild to moderate pain, including conditions such as dental pain, dysmenorrhea, and musculoskeletal disorders. The medication is available in oral, injectable, and topical formulations depending on the clinical indication.

Quick summary

Dexketoprofen is an NSAID used to treat acute pain and inflammation by inhibiting prostaglandin synthesis.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
M01AE17
RxNorm
237162
Generic
Dexketoprofen
Class
atc-m01
Brands
—
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose above 500mg may cause serious toxicity in adults
Chronic overdose: Prolonged use exceeding recommended daily doses can lead to cumulative gastrointestinal, renal, and cardiovascular toxicity
Immediate actions
Gastric lavage within 1 hour of ingestion if large amount consumed, activated charcoal administration, intravenous fluids, supportive care, monitoring of renal and liver function
Antidote
No specific antidote available(Treatment is supportive and symptomatic; no antidote can reverse NSAID toxicity)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
contraindicated
FDA Category
D
Dose Adjustment

do not use

Key Recommendations

contraindicated - risk of premature closure of ductus arteriosus and impaired fetal renal function

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

not recommended during breastfeeding - excreted in breast milk

Monitor

monitor infant for adverse effects

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly over 65
caution
FDA Category
N
Dose Adjustment

reduce initial dose to 12.5mg

Key Recommendations

start with lowest effective dose, monitor for GI and renal adverse effects

Monitor

regular monitoring of renal function and GI symptoms

Use with caution and monitor for adverse effects.

✗

pediatric_age

children adolescents
contraindicated
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not recommended for use in children and adolescents under 18 years of age

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

use reduced dose

Key Recommendations

use with caution, may exacerbate renal impairment

Monitor

monitor renal function regularly

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
contraindicated
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

contraindicated in severe renal impairment

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose and monitor

Key Recommendations

use with caution, reduce dose to 12.5mg

Monitor

regular monitoring of liver function tests

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
contraindicated
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

contraindicated in severe hepatic impairment

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:NSAID

Nonsteroidal anti-inflammatory drug belonging to the propionic acid derivatives group

mechanismFDA
2023

Mechanism of action

Value:COX-1 and COX-2 inhibitor

Inhibits prostaglandin synthesis through cyclooxygenase enzyme blockade

usageMedical guidelines
2023

Common uses

Value:Pain relief, inflammation, dysmenorrhea

Treatment of mild to moderate pain including musculoskeletal and menstrual pain

pharmacokineticsEMA
2023

Onset of action

Value:30 minutes

Rapid analgesic onset following oral administration

Dexketoprofen is used for the short-term treatment of acute mild to moderate pain, including postoperative pain, dental pain, dysmenorrhea (menstrual cramps), and musculoskeletal conditions such as back pain and joint disorders. It may also be used for renal colic pain management.

Dexketoprofen works by reversibly inhibiting cyclooxygenase (COX-1 and COX-2) enzymes, which are responsible for producing prostaglandins. By reducing prostaglandin synthesis, it decreases inflammation, pain, and fever at the site of injury or disease.

Common side effects include gastrointestinal disturbances such as nausea, abdominal pain, and dyspepsia. Like other NSAIDs, dexketoprofen carries risks of gastrointestinal ulcers, bleeding, renal impairment, and cardiovascular events. It should be used at the lowest effective dose for the shortest duration and is contraindicated in patients with active peptic ulcers, severe renal or hepatic impairment, and in the third trimester of pregnancy.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy