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Toradol

Toradol®
(ketorlac tromethamine)

CLASSIFICATION

Nonsteroidal anti-inflammatory (NSAIDs)

DOSAGE

Adult:
30mg IV
60mg IM

ACTIONS

    Toradol works by reducing hormones that cause inflammation and pain in the body.

    Ketorolac is used to relieve moderately severe pain, usually pain that occurs after an operation, kidney stones, back pain or other painful procedure. It belongs to the group of medicines called nonsteroidal anti-inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not habit-forming. It is 30 times the strength of asprin. It will not cause physical or mental dependence, as narcotics can. However, ketorolac is sometimes used together with a narcotic to provide better pain relief than either medicine used alone.

      INDICATIONS

      Used for pain that occurs after an operation, trauma, kidney stones, back pain or other painful procedure.

      CONTRAINDICATIONS

      Do not use Toradol if the patient is allergic to ASA or NSAIDs, or if they are taking any blood thinning or anticoagulants.

      Do not use if they have:
      - severe renal disease or kidney transplant
      - a bleeding or blood clotting disorder
      - a closed head injury or bleeding in brain
      - a stomach ulcer or a history of stomach or intestinal bleeding
      - patient needing surgery
      - a surgical candidate with open fracture or fracture deformities
      - if breast-feeding a baby

      WARNINGS

      Consult physician if patient has a history of any liver disease, kidney disease, blood disorders, ulcers, heart disease, alcohol use, high blood pressure, eye disease, asthma, nasal polyps, any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib).

      SIDE EFFECTS

      Nausea, vomiting, bloating, gas, loss of appetite, sweating, dizziness, drowsiness, blurred vision, dry mouth, irritation at the injection site and abnormal tastes may also occur. Stomach upset is the most common side effect.

      Other side effects include:
      - chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance
      - black, bloody, or tarry stools
      - coughing up blood or vomit that looks like coffee grounds
      - swelling or rapid weight gain
      - urinating less than usual or not at all
      - nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice
      - fever, sore throat, and headache with a severe blistering, peeling, and red skin rash
      - the first sign of any mouth sores or skin rash, no matter how mild
      - pale skin, easy bruising, severe tingling, numbness, pain, muscle weakness; or
      - fever, headache, neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions).

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