Another case of not reading the whole story -- toradol works great for post c section and post op pain -- is safe for breastfeeding -- not for pain reli ef during labor -- that is where the black box warning came from --- see currenent information below from micromedex, I love to call the PDR the Physycians Dumb Reference -- it is an advertising medium for the drug companies given free to most doctors. -- go to newer more up to date sources. see below I will be lecturing at Wayne State University School of Pharmacy (as i have for the past 9+ years (on just this type Breastfeeding sacrifice from 8-11 am tomorrow (Monday morning) And besides due to the possibility of GI side effects in Mom she is only supposed to take it for no more than 5 days so how much exposure is the baby early postpartum really going to have (lets get real) KETOROLAC TROMETHAMINE <A HREF="http://micromedex.isu.edu:2000/MDXCGI/proddict.exe?CTL=F:\MDX\MDXCGI\PROD.SYS&SET=1C30232B18E7BD20&SYS=1&SRCHTERM=KETOROLAC&NOEXPAND=1">Common Tradenames (See Complete Tradename Listing)</A> ACULAR ACULAR PF TORADOL TORADOL IM TORADOL IV/IM Class nsaid nsaid, ophthalmic ophthalmic © 1974 - 2003 Thomson MICROMEDEX. All rights reserved. MICROMEDEX(R) Healthcare Series Vol. 116 expires 6/2003 - Content for use only by healthcare professionals in conjunction with clinical data. <A HREF="http://micromedex.isu.edu:2000/MDXCGI/qsdict.exe?CTL=F:\MDX\MDXCGI\MEGAT.SYS&SET=1C30232B18E7BD20&SYS=1&QS=012002030401&T=1088"> Breast Feeding</A> safe <A HREF="http://micromedex.isu.edu:2000/MDXCGI/display.exe?CTL=F:\MDX\MDXCGI\MEGAT.SYS&SET=1C30232B18E7BD20&SYS=1&T=1088&M=161826">PHARMACOKINETICS</A> <A HREF="http://micromedex.isu.edu:2000/MDXCGI/display.exe?CTL=F:\MDX\MDXCGI\MEGAT.SYS&SET=1C30232B18E7BD20&SYS=1&T=1088&M=161868">ADME; HALF-LIFE; EXTRACORPOREAL ELIMINATION</A> <A HREF="http://micromedex.isu.edu:2000/MDXCGI/display.exe?CTL=F:\MDX\MDXCGI\MEGAT.SYS&SET=1C30232B18E7BD20&SYS=1&T=1088&M=161892">EXCRETION</A> 2.3.4.1 BREAST MILK A. BREASTFEEDING: Unknown 1. The manufacturer states that ketorolac is contraindicated in nursing mothers due to the potential for adverse effects related to prostaglandin inhibition in neonates (Prod Info Toradol(R), 2001). <<<< MY Addtion here NO PROOF OF ADVERSE EFFECTS>>>>>> 2. One study (n=10) found that breast-fed infants would receive the equivalent of 0.16% to 0.4% of the maternal dose (Wischnik et al, 1989). <<<<<MY Addition such a tiny amount of potential cross over in the early postpartum period (5 days max dosage) is a VERY LOW (yes i am shouting) >>>>>> Anne F.Norton-Krawciw, RPh, IBCLC (doctoral candidate) International Board Certified Lactation Consultant / Pharmacist / MOM!!!! Breastfeeding Specialists, Michigan USA 586-939-8378 Fax 586-977-9535 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html
