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Pronounced: TOH-rah-dol
Generic name: Ketorolac tromethamine

Why is this drug prescribed: Toradol, a nonsteroidal anti-inflammatory drug, is used to relieve moderately severe, acute pain. It is prescribed for a limited amount of time (no more than 5 days for adults and as a single dose for children), not for long-term therapy.

Most important fact about this drug: Toradol can cause serious side effects, including ulcers and internal bleeding. Never take it for more than 5 days.

How should you take this medication: Toradol works fastest when taken on an empty stomach, but an antacid can be taken if it causes upset. Take this medication exactly as prescribed. Take Toradol with a full glass of water. Also, do not lie down for about 20 minutes after taking it. This will help to prevent irritation of your upper digestive tract. --If you miss a dose... If you take Toradol on a regular schedule, take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time. --Storage instructions... Store at room temperature, away from light.

What side effects may occur: Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using Toradol. More common side effects may include: Diarrhea, dizziness, drowsiness, headache, indigestion, nausea, stomach and intestinal pain, swelling due to fluid retention Less common side effects may include: Abdominal fullness, constipation, gas, high blood pressure, inflammation of the mouth, itching, rash, red or purple spots on the skin, sweating, vomiting Rare side effects may include: Abnormal dreams, allergic reactions, anemia, asthma, belching, black stools, blood in the urine, convulsions, difficult or labored breathing, esophagitis (inflammation of the food canal), exaggerated feeling of well-being, fainting, fever, fluid in the lungs, flushing, gastritis (inflammation of the lining of the stomach), hallucinations, hearing problems, hives, increased appetite, kidney failure, kidney inflammation, loss of appetite, low blood pressure, nosebleeds, pallor, peptic ulcer, rapid heartbeat, skin inflammation and flaking, skin peeling, stomach and intestinal bleeding, swelling of the throat or tongue, thirst and dry mouth, tremors, urinary problems, vertigo, vision problems, vomiting blood, weight gain, yellow skin and eyes

Why should this drug not be prescribed: Do not take Toradol if it has ever given you an allergic reaction. Also avoid this medication if you have ever had an allergic reaction--such as nasal polyps (tumors), swelling of the face, limbs, and throat, hives, wheezing, light-headedness--to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as Motrin. Do not take Toradol if you have ever had a peptic ulcer or stomach or intestinal bleeding. Avoid it if you have severe kidney disease or bleeding problems. Never combine this drug with aspirin, NSAIDs, or probenecid. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about this medication: Remember that Toradol has been known to cause peptic ulcers and bleeding. Contact your doctor immediately if you suspect a problem. This drug should be used with caution if you have kidney or liver disease. It may cause liver inflammation or kidney problems in some people. Toradol is not recommended for long-term use, since side effects increase over time. This medication should be taken for no more than 5 days. If you are an older adult, use this drug cautiously. Toradol can increase water retention. If you have heart disease or high blood pressure, use this drug with care. This medication can prolong bleeding time. If you are taking blood-thinning medication, take Toradol with caution.

Possible food and drug interactions when taking this medication: If Toradol is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Toradol with the following: ACE inhibitor drugs such as the blood pressure medications Vasotec and Capoten Antidepressants such as Prozac Antiepileptic drugs (Dilantin, Tegretol) Aspirin and other nonsteroidal anti-inflammatory drugs such as Motrin Blood thinners such as Coumadin Lithium (Eskalith, Lithobid) Major tranquilizers such as Navane Methotrexate (Rheumatrex) Probenecid Tranquilizers such as Xanax Water pills such as Lasix and Dyazide

Special information if you are pregnant or breastfeeding: Toradol should not be taken late in pregnancy; during this period, it can harm the developing baby. If you are pregnant or plan to become pregnant, inform your doctor immediately. Toradol appears in breast milk and could affect a nursing infant. This medication should not be used while you are breastfeeding.

Recommended dosage: ADULTS: Your doctor will give you Toradol intravenously or intramuscularly to start, then have you switch to the tablets. Most patients take 2 tablets for the first dose (20 milligrams) and then 1 tablet (10 milligrams) every 4 to 6 hours. You should not take more than 40 milligrams per day and should not take Toradol for more than 5 days in all. CHILDREN: For children under 16, the doctor may prescribe a single dose of Toradol, by intravenous or intramuscular injection, after an operation. Toradol is not recommended for children under 2. OLDER ADULTS: Doses are usually lower for people over 65, those with kidney problems, and those who weigh less than 110 pounds. Your doctor will tailor the best dosage for you.

Overdosage: Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately. Symptoms of Toradol overdose may include: Drowsiness, stomach pain, nausea, vomiting In rare cases, the victim may develop stomach bleeding, high blood pressure, kidney failure, impaired breathing, or coma. Severe allergic reactions are also possible.

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