IRCT20201028049179N1 IRCT 2020-11-02 Yazd University of Medical Sciences Compression of intranasal ketamine, intranasal fentanyl adjunct to intravenous ketorolac on renal colic pain relief Compression of intranasal ketamine, intranasal fentanyl adjunct to intravenous ketorolac on renal colic pain relief: A Randomized Clinical Trial 2020-09-29 anticipated 120 Complete https://irct.ir/trial/51947 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individual simple randomization Based on a random sequence of numbers from Random.org, a table will be prepared, with the first forty consecutive numbers in Group A, the next forty consecutive numbers in Group B, and the final forty consecutive numbers in Group C. These numbers will be assigned to each patient in order of admission, Blinding description: The drug will be prescribed by a triage nurse, according to random number generator and none of the patients nor physician won't know which drug was to be prescribed. 3 renal colic. Intervention 1: Intervention group: first intervention group: Group A: 1 milligram per kilogram intranasal ketamine (maximum 50 milligrams, 25 milligrams in each nostril) and 30 milligrams intravenous ketorolac by a 2 cc syringe in 15 seconds. Intervention 2: Intervention group: second intervention group: Group B: 1 microgram per kilogram intranasal fentanyl (maximum 50 micrograms, 25 micrograms in each nostril) and 30 milligrams intravenous ketorolac injected by a 2 cc syringe in 15 seconds. Intervention 3: Control group: Group C: nasal placebo spray and 30 milligrams intravenous ketorolac injected by a 2 cc syringe in 15 seconds. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information