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Posted 10/26/2007 9:17 PM (GMT 0)
I just came back from my family dr. my GI is away until wednesday so she told be to take the entocort again and she Rx taradol

now this is a nsaid you can only take it for 5 days ( checked on the puter...) I am in tremandous pain but I am scarde to take this pain killer

my question is....do you think it's safe for me to take toradol?

has anyone took Nsaid for pain with active crohn's ?

thanks

Posted 10/26/2007 9:35 PM (GMT 0)
Have you every had GI bleeding with your disease? I read the warnings on this drug and if you ever had GI bleeding, this drug is basically a no-no. Given the warnings on it, I understand you being hesitant.

I rarely took NSAIDs when I had active disease because they give me diarrhea. There are others here that have been able to use them for special situations. I assume you tried Tylenol and got no relief?
Posted 10/27/2007 12:08 AM (GMT 0)
Hi Ides,
no I did not get any relief from tynenol and the fam doc doesn't want to give codeine cuz she doesn't want me to get constipated...I never had a GI bleeding ....

thank you ides
Posted 10/27/2007 12:15 AM (GMT 0)
What about Darvocet? I dont know what is in that but I had a hairline fracture on my shoulder and requested specifically NO NSAIDS. It worked great and didn't constipate me. I actually felt normal for once :) Also, it didn't knock me out like other pain killers do but I also had a great deal of pain. I have heard that the more pain you are in the less you get the side effects. Not sure if that is true or not.
Posted 10/27/2007 1:07 AM (GMT 0)
I've taken Toradol for years and years...maybe up to 10 years. I take it for my period, the pain is so intense that Toradol is what I take to keep me out of pain (and I've tried a ton of other options) and at least out of bed and walking those days. I have never had problems with it, since I only take it up to maybe 3 days a month or the first couple days of my period whenever that is. I find they work great on my pain! even if I get a bad headache I take them instead of tylenol cause they work great for me.
My family doc, who is the one who gave them to me doesnt' fully like giving them to me though, she says they counteract our crohns meds, something where our meds are meant to do one thing with our intestines and the toradol actually does the other and is bad for crohns, but since its only for a few days a month its not bad and shouldn't affect badly. I use them no problems and rely on them for my painful days. I say if you are in pain, they definately are worth a shot. They won't do damage for the couple of days they get taken for.
Posted 10/27/2007 5:52 AM (GMT 0)
I took them this afternoon and tonight...it's not bad....I m still in pain but alot a lot less then this morning....will tomorrow morning how I feel

thank you for yor responce...thanks lady G I feel better for taking the toradol....not so worrie about it ....

fitzy if the taradol doen\st work I will ask for that drug...I've also hear for vacodin(sp ) .....
Posted 10/27/2007 7:58 AM (GMT 0)
how does Toradol compare with Vicodin? Which is stronger?
Posted 10/27/2007 12:28 PM (GMT 0)
I didn't know that toradol was available in oral form In the hospital pharmacy I work in we only have "ketorolac" in iv form I wonder why.
Posted 10/27/2007 4:05 PM (GMT 0)
I didn't know Toradol was available in oral form either. I absolutely refuse to take an NSAID because of my Crohn's despite I've never had any GI bleeds.

On the other hand, I WAS given Toradol via IV in ER once (w/o my knowledge that it was an NSAID and w/o even being told what I was being given at the time). The injection stung like a .... so and so .. and I asked WHAT in the devil he was putting into my IV!!! That is when he told me Toradol and phenergan and that it was the phenergan that caused the stinging. HORSEPUCKIES!! I've had PLENTY of phenergan along w/demeral IV and IM thru the years and never had it sting!

It was only when I got home and checked that I found out that Toradol was an NSAID. I did find tho that doctors, nurses and hospitals are REALLY HIGH on Toradol finding it to be AS EFFECTIVE as narcotic pain relievers w/o the risks and side effects of the narcotic pain relievers. And I have to say it did work very well for me that ONE time.

It also became very clear as I researched the situation that it wasn't the Toradol or the phenergan that caused the pain at the IV site so much as it was that it was administered incorrectly. Both drugs are very capable of "burning" the veins and thus MUST BE DILUTED properly as well as administered PROPERLY which includes administering as far from the IV set site as possible and preferably into the IV fluid bag. Mine was administered just an inch or so from the IV set site in the first "port" of the IV.

As it turned out, not only did it sting painfully, it caused 4 areas of superficial thrombophlebitis in the wrist and lower arm (the IV was set at the "dummy" vein at the base of the thumb - so called because almost any dummy can hit that vein) AND a blood clot in the axillary vein in the shoulder/chest region.

Thus my one and only experience w/Toradol wasn't the most pleasant experience when all was said and done BUT - it was because of improper dilution and administration rather than the fault of the drug itself. Our hospital revised their rules of protocol regarding the administsration of both Toradol and phenergan as a result of my experience since I pushed the issue thru channels.

On the other hand, if THAT is what it can do when IMPROPERLY administered via IV WHAT can it do to your innards when taken orally? I'll pass, thank you.

Posted 10/27/2007 4:33 PM (GMT 0)

Hello,

I have to jump in here, whoaaaaa Crohnie, the dummy vein would be an anticube and a big 14 jelco would be my choice to use. :)

Darvocet is in a class of drugs called narcotic analgesics. It works by changing the way the body feels pain.

Vicodin is a very potent and addicting narcotic and people build up a tolerance so they use more...........it is a very popular street drug as well.

Toradol (Ketorolac) is usually given first as an injection, and then as an oral  medicine. Toradol injection is given through a needle into a muscle or a vein. The Toradol tablet should be taken with a full glass of water. Toradol is normally given for 5 days or less, including both the injection and oral forms combined.

Toradol is indeed a NSAID. Do not use any other over-the-counter cold, allergy, or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to Toradol (such as ibuprofen, or naproxen).

This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation.

I would be hesitant if you have any bleeding with your disease and certainly would check with you GI or Family Physician if you have any concerns.  Reference: PDR Pocket Guide 7th Edition, Brunner-Suddarth's Medical-Surgical Nursing 9th Edition

Posted 10/27/2007 4:47 PM (GMT 0)
C2 I have to agree with the thumb IV. I have gotten two in the area in my life and both times my hand swelled so big and hurt for weeks. It infiltrated within 24 hours each time and it was miserable. I have had IV Toradol once in my life and it upset my gut, so they don't give it to me anymore. And I always have a piggy back whenever I get Phenergan by IV.
Posted 10/27/2007 10:52 PM (GMT 0)
I've never had the iv toradol, my dad has I believe with no problems. I've only taken the oral ones...depending on which the pharmacist has I either end up with Toradol or its other name, Ketorolac, either name works the same on me. In oral, for the 10 years I've taken it (couple days a month for my period) I've NEVER had side effects, bleeding, any adverse reaction with my Crohns (in fact it stops all my horrible crohns reaction to my period, which I know so many ladies on here get problems and D with thier period and this makes me wonderfully normal for those days)...so I guess it depends on the person, but in my MANY experiences with it, I'll never give it up unless my body becomes to tolerant to it and I have to move on again (as I've done to so many other painkillers for pms). And also in this whole time I have been diagnosed with the crohns, my docs all know I take it and none have complained or told me to drop it, probably cuase its not an everyday med for me...and my crohns has never gotten worse in all these years either, so for me, its all good.
I guess I'll be the one here with the good stories on it instead of the bad :)
Posted 10/28/2007 1:27 AM (GMT 0)
the taradol is not working for me,,,I am still in alot of pain and a low grade fever I also have the urge to go to the bathroom and only a little BM comes out.....I am not sure what to do at this point...any suggestion???

I restarted entocort 9mg this morning....
Posted 10/28/2007 3:54 PM (GMT 0)
I've had plenty of IV sets in the hand and and base of thumb, that was the only one I had problems with. The problem wasn't w/WHERE the IV was set, it was with the Toradol and phenergan NOT BEING DILUTED enough AND being given too close to the IV site rather than further up the IV line or in the bag of IV fluids. I'm sorry if I didn't make that clear. It is IMPERATIVE that both Toradol be properly diluted when adminstered IV, it is also imperative that phenergan be properly diluted when adminstered IV. I was given both TOGETHER w/neither of them being properly diluted. Check the drug info on the pH of Toradol and of phenergan and you will better understand the risk to the veins if improperly diluted.

I'm sorry if I also didn't make it clear just how pleased hospital personnel are with the pain relief achieved w/Toradol w/LESS RISK OF SIDE EFFECTS than w/the narcotic pain relievers.There is a REASON one should not take Toradol for more than 5 days in a row. That is the high risk of GI bleeds (higher than w/other NSAIDS). We have to weigh the POSSIBLE risks against the POSSIBLE benefits against the pain we are encountering and then each make their own decision. Many crohnies have used NSAIDS for pain relief for year w/no problems. I am not willing to take the risk when I have other pain relief options. That is my PERSONAL decision. That doesn't mean it is the right or the wrong decision for you.
Posted 10/28/2007 4:46 PM (GMT 0)

Hey Crohnie,

I was just joking with yeah about the IV site, nurses have warped senses of humors............forgive me?  I really did put most of my IV's in the antecubital veins as I had big trauma patients or people having  major heart attacks so I had to make sure I had a large vein.

I know a lot of people use the thumb and your right medications come with intructions on how to dilute to give IV.  Obviously your nurse was not aware of the procedure re diluting.

I also agree that NSAIDS should not be used for more than 5 days and I think I did post that. :) 

My husband has the arthritis with his Crohn's and uses the NSAIDS under close physician supervision.  We have been fortunate that he has done as well between surgeries as he has and I am grateful for that

We also are prepared as he has an area in the ileum that is narrowed to the size of a pencil and he has always had active Crohn's so we know that the disease is there.

This forum is outstanding and each of you contribute so much, I read here often as it is a topic I live with.

Hugs to all

Kitt

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