Caldolor - Drug Monograph

Comprehensive information about Caldolor including mechanism, indications, dosing, and safety information.

Introduction

Caldolor (ibuprofen) injection is a nonsteroidal anti-inflammatory drug (NSAID) available in intravenous formulation. It represents an important therapeutic option for patients who cannot tolerate oral medications or require rapid onset of analgesic, antipyretic, or anti-inflammatory effects. Approved by the FDA in 2009, IV ibuprofen provides clinicians with an alternative to oral NSAIDs in hospital settings.

Mechanism of Action

Caldolor exerts its pharmacological effects through inhibition of prostaglandin synthesis via non-selective cyclooxygenase (COX) inhibition. It reversibly inhibits both COX-1 and COX-2 enzymes, thereby reducing the formation of prostaglandin precursors. This mechanism provides analgesic, antipyretic, and anti-inflammatory effects. The inhibition of prostaglandin synthesis is dose-dependent and correlates with clinical efficacy.

Indications

FDA-approved indications include:

  • Management of mild to moderate pain
  • Management of moderate to severe pain as an adjunct to opioid analgesia
  • Reduction of fever in adults

Clinical applications often extend to postoperative pain management, musculoskeletal pain, and inflammatory conditions where oral administration is not feasible.

Dosage and Administration

Standard dosing:
  • Pain: 400-800 mg IV every 6 hours as needed
  • Fever: 400 mg IV initially, then 400 mg every 4-6 hours or 100-200 mg every 4 hours as needed
Administration:
  • Must be diluted to a final concentration of 4 mg/mL or less in 0.9% NaCl, 5% Dextrose, or Lactated Ringer's solution
  • Infuse over at least 30 minutes
  • Maximum daily dose: 3200 mg
Special populations:
  • Renal impairment: Use caution; avoid in advanced renal disease
  • Hepatic impairment: Use caution in severe hepatic impairment
  • Elderly: Consider reduced doses due to increased NSAID sensitivity
  • Pediatrics: Safety and efficacy not established for patients <17 years

Pharmacokinetics

Absorption: Complete bioavailability following IV administration Distribution: Volume of distribution approximately 0.15 L/kg; 99% protein-bound Metabolism: Hepatic metabolism primarily via CYP2C9 with minor CYP2C8 involvement Elimination: Renal excretion (90% as metabolites, <1% unchanged); elimination half-life 2-2.5 hours

Contraindications

  • Known hypersensitivity to ibuprofen or other NSAIDs
  • History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs
  • Perioperative pain in coronary artery bypass graft (CABG) surgery
  • Third trimester of pregnancy

Warnings and Precautions

Boxed Warning: Risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal
  • Increased risk of serious gastrointestinal bleeding, ulceration, and perforation
  • Risk of renal injury, including acute renal failure
  • Hepatic injury, including rare cases of fatal hepatitis
  • Hypertension exacerbation and heart failure worsening
  • Anaphylactoid reactions possible
  • Hematologic effects including anemia and bleeding

Drug Interactions

Significant interactions:
  • Aspirin: Reduced cardioprotective effects; avoid concomitant use
  • Anticoagulants (warfarin): Increased bleeding risk
  • ACE inhibitors/ARBs: Reduced antihypertensive effect; renal risk
  • Diuretics: Reduced diuretic efficacy; renal risk
  • Lithium: Increased lithium levels
  • Methotrexate: Increased methotrexate toxicity
  • SSRIs/SNRIs: Increased bleeding risk
  • Cyclosporine: Increased nephrotoxicity

Adverse Effects

Common (≥1%):
  • Nausea, vomiting, flatulence
  • Headache, dizziness
  • Edema, hypertension
  • Anemia
Serious:
  • Gastrointestinal bleeding/perforation
  • Myocardial infarction, stroke
  • Acute renal failure
  • Severe cutaneous adverse reactions
  • Anaphylaxis
  • Hepatotoxicity

Monitoring Parameters

  • Pain assessment and fever monitoring
  • Renal function (BUN, creatinine)
  • Hepatic function (ALT, AST)
  • Complete blood count
  • Blood pressure
  • Signs of gastrointestinal bleeding
  • Fluid status and edema
  • Therapeutic response and adverse effects

Patient Education

  • Report any signs of bleeding (unusual bruising, blood in stool)
  • Monitor for cardiovascular symptoms (chest pain, shortness of breath)
  • Report signs of allergic reaction (rash, swelling, difficulty breathing)
  • Avoid concurrent aspirin use unless specifically directed
  • Report symptoms of gastrointestinal upset or ulceration
  • Inform all healthcare providers of Caldolor use
  • Do not use during late pregnancy
  • Report any visual changes or hearing problems

References

1. FDA Prescribing Information: Caldolor (ibuprofen) Injection. 2021 2. Southworth S, et al. Pharmacotherapy. 2009;29(12):1459-1470 3. Kroll PB, et al. Clin Ther. 2007;29(11):2516-2529 4. American Society of Health-System Pharmacists. AHFS Drug Information. 2023 5. Lexicomp Online. Ibuprofen (Intravenous). Wolters Kluwer Clinical Drug Information 6. Clinical Pharmacology [database online]. Tampa, FL: Elsevier 7. Cochrane Database Syst Rev. 2015;(7):CD011558 8. Ann Pharmacother. 2010;44(5):924-933

This information is intended for educational purposes only and should not replace professional medical advice. Always consult with qualified healthcare providers for medical decisions.

Medical Disclaimer

The information provided in this article is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

The content on MedQuizzify is designed to support, not replace, the relationship that exists between a patient and their healthcare provider. If you have a medical emergency, please call your doctor or emergency services immediately.

How to Cite This Article

admin. Caldolor - Drug Monograph. MedQuizzify [Internet]. 2025 Sep 07 [cited 2025 Sep 08]. Available from: http://medquizzify.pharmacologymentor.com/blog/drug-monograph-caldolor

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