Question on pain med mix

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...

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Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

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Meds - percocet  3x day : nexium : xanax :

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E

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In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 

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

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

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

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....

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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,
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.

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. 

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

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.

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!!!!!

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

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

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

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