Question on pain med mix

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LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 3/26/2009 3:38 PM (GMT -7)   
Today I received my refill on lortab 10's.  I have tissue obstructions which feel just like passing kidney stones.  She put me on Toradol  to take with the lortabs.  I can only take them every 6 hours and lortabs every 4.  I took my second does of Toradol and I am IN SHOCK!!!  The pain is at its lowest in months. 
 
One draw back I can only take Toradol for 5 days.  I have researched it but can't find out why????
 
I'm sitting here as happy as a two year old in a mud puddle  turn
 
So why can't a person take more the 5 days worth?
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 3/26/2009 3:51 PM (GMT -7)   
I am pretty sure it is because of how horribly it can hurt your stomach. It is known to cause peptic ulcers and GI bleeds.
 
However, I LOVE that drug. Non narcotic and it works wonders. It is the first thing I ask for if I get shipped off to the ER and if/when it does not work well enough do I get the "heavy hitters"

This just got me thinking, I wonder if my PM could rx me a standing order for when things get rough...


Hysterectomy at 25

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Cervical stenosis in C3 & C4

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Post Edited (ekkorose) : 3/26/2009 4:55:31 PM (GMT-6)


LLPLUV
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Date Joined Mar 2009
Total Posts : 1158
   Posted 3/26/2009 3:55 PM (GMT -7)   
I'm still in shock!!!!
 
I have called my husband, emailed my sister just all silly like... tongue
 
I have NEVER had this but its wonderful.
 
At this point any relief is soooooooo welcomed  yeah
 
I'm glad I'm not the only one who has felt the same thing with this medication
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 3/26/2009 4:15 PM (GMT -7)   
My son hurt his back and went to the ER. I asked if the doctor gave him anything.
"Yeah, Mom. He gave me Trauma Doll."

So ... Here is my answer. He was given Toradol. That has to be it. You think?

LLPLUV, my oh me, it sounds like you have had something lovely. Pass it over
here, would you?

Pamela

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 3/26/2009 4:18 PM (GMT -7)   
I wish I could give all of you some  tongue
 
I had never heard of it, you would think everyone would know what it is..lol
 
My pharmacist says they give injections to athletes before they play if they have injuries to get them through the game
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


Boxerlover
Regular Member


Date Joined Dec 2006
Total Posts : 274
   Posted 3/26/2009 5:40 PM (GMT -7)   

Bless your heart, I have kidney stones all the time so I know how you feel!  Toradol is actually hard on the kidneys or at least that is what I have been told which is why you can only take it for awhile.  I keep it on hand and it is WONDERFUL!!!

 

Melissa


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 3/26/2009 6:51 PM (GMT -7)   
LLP ...

I wish they'd give me some to get me thorugh my life.

Pamela

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 3/31/2009 9:55 AM (GMT -7)   
i TOOK Toradol many many years ago...it didn't do a thing for me... I am so glad that it does help somebody..

Me.

Keep feeling good for as long as you can....
 
We are all in the same boat...unfortunatley it seems like it's sinking...
 
Rhonda
Post Lamenectomy Syndrome
Hemi Lamenectomy
Spinal Fusion
 
120 mg. Methadone daily
60 mg. Oxycodone daily
Lyrica as needed 
 
Type 2Diabetes 
Metformin 500 mg. once daily
                                                                     

 


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 3/31/2009 10:02 AM (GMT -7)   
It worked so well the first few days, yesterday I had renal colic what PAIN>>>>> Screaming, crying in ER.
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 3/31/2009 10:32 AM (GMT -7)   
LLPLUV,
I agree with you about how wonderfully Toradol (generic name= ketorolac) works! I too wish I could take it all the time. Doesn't make you sleepy or anything & gets rid of all the pain. I think Ekkrose is right about the main risk being stomach ulcers. A lot of people cannot take it at all b/c they have other conditions (see below), but even in healthy patients, serious adverse side effects can develop from taking Toradol on a regular basis. My doc limits me to only 3 days a month.

Here's the warning from the FDA's site:

WARNING

TORADOL ORAL (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 and only as continuation treatment following IV or IM dosing of ketorolac tromethamine, if necessary. The total combined duration of use of TORADOL ORAL and ketorolac tromethamine should not exceed 5 days.

TORADOL ORAL is not indicated for use in pediatric patients and it is NOT indicated for minor or chronic painful conditions. Increasing the dose of TORADOL ORAL beyond a daily maximum of 40 mg in adults will not provide better efficacy but will increase the risk of developing serious adverse events.

GASTROINTESTINAL RISK
Ketorolac tromethamine, including TORADOL can cause peptic ulcers, gastrointestinal bleeding and/or perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms.

CARDIOVASCULAR RISK
NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk (see WARNINGS and CLINICAL TRIALS).

RISK OF BLEEDING
TORADOL inhibits platelet function.

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 3/31/2009 10:34 AM (GMT -7)   
Pam,
I think your son was probably referencing Tramadol. The brand name is Ultram. It is a mild narcotic pain med.

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 3/31/2009 10:51 AM (GMT -7)   

Thank you that was what I was wondering about.  I would hate to have stomach bleeding on top of everything else.  But it is a wonderful medication.

Thank you again for the FDA information.  turn


Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 3/31/2009 11:13 AM (GMT -7)   
I fell here in my house last Nov and landed of course on my back. My pain mgt dr di 8 trigger point injections in my back using Toradol and man did it ever relieve the pain I was in in. It was totally awesome. I had put off going to him but it just got so out of hand I had to to do something. I was so glad I went in too. Susie


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 3/31/2009 11:44 AM (GMT -7)   
LLPLUV,
I noticed you also listed Chronic Kidney Failure in your signature. There is a special FDA warning on Toradol for patients with prior kidney problems. I've posted that section below.

Renal Effects
Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of a NSAID may cause a dose-dependent reduction in prostaglandin
formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors, and the elderly. Discontinuation of NSAID therapy is usually followed by recovery to the pretreatment state.

TORADOL and its metabolites are eliminated primarily by the kidneys, which, in patients with reduced creatinine clearance, will result in diminished clearance of the drug (see CLINICAL PHARMACOLOGY). Therefore, TORADOL should be used with caution in patients with impaired renal function (see DOSAGE AND ADMINISTRATION) and such patients should be followed closely. With the use of TORADOL, there have been reports of acute renal failure, interstitial nephritis and nephrotic syndrome.

Impaired Renal Function
TORADOL is contraindicated in patients with serum creatinine concentrations indicating advanced renal impairment (see CONTRAINDICATIONS). TORADOL should be used with caution in patients with impaired renal function or a history of kidney disease because it is a potent inhibitor of prostaglandin synthesis. Because patients with
underlying renal insufficiency are at increased risk of developing acute renal decompensation or failure, the risks and benefits should be assessed prior to giving TORADOL to these patients.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 3/31/2009 1:33 PM (GMT -7)   
Excellent post Frances Toradol can be a real Godsend for some people but it can be the Devil for others! I am surprised that they would even give it to LLPLUV. but what do I know! it sure sounds a little risky to me though! Personally I can't take the stuff, because of my UC!

I know last week when I went to the ER for back pain they put in an IV and pushed a Phenergan/Demerol cocktail and I was out for a few hours! My daughter who is a nurse at Mayos is amazed that they still use Demerol down where I am at, I guess they rarely use that up there any more! But the hospital I go to, Demerol is still a stable for treating pain!

White Beard


 

I'm Retired USAF, went back to school and became an RN, and now am on ful disalbility!

Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!)

Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 3/31/2009 4:49 PM (GMT -7)   
Ok this now is making my wonder.  I already have severe Kidney issues with chronic kidney failure.  Why would she put me on that medication???  This is the same doctor who I'm having issues with.  Most of you know about my thread on "Don't we Pay the Dr's"
 
I'm so wanting to just read a book and forget about this day!!!!!
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 3/31/2009 8:45 PM (GMT -7)   
LLPLUV,

If it were me, I would get an opinion from a nephrologist. I have had a relatively minor kidney problem in the past (kidneys shut down for a few days when I was on baclofan, major infection ...) & b/c of that my docs now basically keep me clear of toradol. When things are really horrible (i.e., almost never), my PM will let me get a shot in the ER & 2 days worth of pills, but I have to check in with my PCP every day & get extra fluids and monitoring from the outpatient infusion unit. Perhaps my PCP is just being overly cautious, but with all the problems you've had in the past, it might be worth getting a second opinion from an expert (either a PM or a nephrologist). I'm not really sure whether maybe there are certain factors specific to your case that make it okay for you to take it, but I figure a second opinion can't hurt & better to be safe than sorry.

take care & be safe,
frances

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/1/2009 3:20 AM (GMT -7)   

I've seen 2 Urologists and 1 Nephreologist.  I pretty much have the DX in place.  Its pretty hard not to mix thousands of cysts.

My PCP was well aware of all myDX's I believe she just didn't pay enough attention to my chart or was just wanting to push patients in and then out.

But you are right many opinions are the best route to go.

I'm off to work lets see if I make it the whole 12 hours


Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 4/1/2009 6:52 AM (GMT -7)   
LLPLUV I second Frances I would check with your Urologist or Nephreologist, and from all your other problems with your PCP, I think I might be out looking for a new PCP also!

Hope you have had a good day at work!

White Beard
 

I'm Retired USAF, went back to school and became an RN, and now am on ful disalbility!

Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!)

Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 4/1/2009 10:27 AM (GMT -7)   
LLP-
Sorry, I didn't mean to get a dx from them. I mean to check about whether or not it was okay for you to be taking the Toradol. I figured you had a nephrologist & was just suggesting that you talk to that doc about how safe it is for you to continue taking the Toradol.

best,
frances
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