Toradol? Do you give it to breastfeeding moms?

Specialties Ob/Gyn

Updated:   Published

Does your hospital give toradol to breastfeeding mothers I've read conflicting information about this and was wondering what other hospitals do.

Specializes in OBGYN, Neonatal.

Previously we did as it was always a selected order by anesthesia who controls the pain meds in c-section cases. However then they started to not give it to known breastfeeding moms. Generally it was 30mg IV (sometimes 15mg) q6 hours x 10 doses and then switch to prn 800mg motrin after the 10 doses. But it really depended on the anesthesiologist that was on as to whether it was given or not. It works well so I wish more would give it. And if my patient is having problems and its not ordered I do call to ask for it.

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The use of TORADOL in labor and delivery is contraindicated because it may adversely affect fetal circulation and inhibit uterine contractions. The use of TORADOL is contraindicated in nursing mothers because of the potential adverse effects of prostaglandin-inhibiting drugs on neonates.

Toradol (Ketorolac Tromethamine) Drug Information: Uses, Side Effects, Drug Interactions and Warnings at RxList

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Specializes in Anesthesia.
jennifers said:
The use of TORADOL in labor and delivery is contraindicated because it may adversely affect fetal circulation and inhibit uterine contractions. The use of TORADOL is contraindicated in nursing mothers because of the potential adverse effects of prostaglandin-inhibiting drugs on neonates.

Toradol (Ketorolac Tromethamine) Drug Information: Uses, Side Effects, Drug Interactions and Warnings at RxList

I think I will stick with the American Academy of Pediatric recommendation that Toradol is safe in breast feeding. You can find a contraindication to almost any medication. For example: Most everyone knows that droperidol has a blackbox warning that it may increase QT interval, but did you also know that Zofran has been shown in studies to have equal effect in prolonging QT intervals..? How often do you give zofran to pregnant patients, and do you get a 12-lead ekg before and after every dose to make sure it didn't increase the QT interval? Percocet is also generally not recommended for nursing mothers, but it is the most commonly ordered po pain medication for moderate to severe post C-section. Percocet (Oxycodone and Acetaminophen) Drug Information: Uses, Side Effects, Drug Interactions and Warnings at RxList

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Specializes in OB.

We give 30mg Q6 x 8 doses, then if the mom is still with us, we give Naproxen Q8. Toradol is such an effective medication!

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