Toradol??

hehehe i know what you mean maybe she was making a generalization to help with understanding that they are both NSAIDS

Maybe she was... lets hope so. LOL  I am glad she said something and didn't just give it to her.  It would have been a sucky deal had something gone wrong.  It is just so important for us to manage our own care because while I am sure she is a good doctor otherwise, we really can't rely on doctors to know what is best for us most of the time.  There is a lot of responsibility on them, and to keep everything straight must be maddening.  That is one thing my mother taught me growing up is that only I know how I feel and what is going on with me.  It is my job to take responsibility for my own health care, and not to just trust doctors to know what they are doing.  I am glad I  listened to her because when I was pregnant, a doctor tried to give me a class D drug.  Could have ended badly but I made sure he checked the drug book to be sure it was safe during pregnancy.  He knew I was pregnant too, just didn't know that the drug was bad during pregnancy.  Gotta watch these guys.

i was in the hospital recently for a double hernia repair when i was there - i was so out of it at first cuz i had so much pain and so much pain medication on board when they FINALLY brought me a tray of food it had a full sugar popsicle on it full sugar jello some broth and a diet sprite wow that broth was filling! HA point being - since i was not diabetic tney didnt know i cant eat sugar they were trying to give me all kinds of stuff unbelievable there is a section of the hospital where i was - that takes care of the bariatric patients i was down the hall from that section because there were no rooms available down there but, since i was just a few feet from the nurses that were trained the ones i had didnt know squat about bariatric patients

youre right - we gotta manage our own care

my husband took care of all of my food needs

they also tried to give me calcium carbonate instead of calcium citrate so, i didnt get any calcium while i was there for 4 days kf

I currently have a torn rotator cuff which is very painful.  My doctor originally said she ws going to give me toradol as an anti-inflammatory, I reminded her of my RNY and she switched to Votaren.  I called my surgeon who (eventually) said that as long as I was taking prevacid with it, I should be okay.  So I just made sure to do that...I started on the prevacid on that day, and then started both the next day (hoping to give the prevacid a jumpstart)...I'm no longer taking either since they gave me a cortisone shot (which isn't helping I might add).... I'm glad you spoke up.  It is important to take care of ourselves.  Doctors just do whats routine.

You took both Toradol and Voltaren together?  Or did I misunderstand you?  Not a great idea, even for a short time!  But since you're still posting to OH right now, you likely didn't experience any deleterious effects Taking a PPI like Prevacid or Prilosec OTC is presumed to help protect your pouch and the rest of your GI tract against NSAID-related damage, but that has not yet been demonstrated in controlled trials, at least in people post-WLS. BTW, generic omeprazole will be available OTC as of tomorrow, Monday 3/10/2008, at most drug stores and grocery stores, under their house generic brandnames.  It should be even cheaper than Prilosec OTC and just as effective. /Steve

No I didn't take them together.  She was going to give me toradal, and then when I reminded her of my surgery, she switched to voltaren....and then I called my surgeon for the ok...and they told me to take the ant-acid with it. good to know about the generic stuff...I'm going to pick some up!  My daughter has ongoing gastric issues and we always need something on hand.  She currently is taking pepcid every day.  UGH (she is only 18).  they want to wean her off of it, but each time puts her back into severe pain... SOrry, I took a tangent... I only took the voltaren (with prevacid) for about a week...then I got a cortisone shot...which is also anti-inflammatory, so I stopped with the pills.  I've never had acid problems, but no reason to pu****!

Toradol (ketorolac) is a unique NSAID: it can be administered IM or IV as well as orally, and it is powerful enough an analgesic to rival strong opiates like morphine and hydromorphone.  It does not contain ibuprofen, but ketorolac, like ibuprofen, is a NSAID. Ketorolac has all the disadvantages of NSAIDs (even when given IM or IV): it's very hard on the GI tract regardless of whether it's taken orally or injected, and it can aggravate high blood pressure or precipitate acute renal (kidney) failure.  Usually this is not a problem when it's used for a short period of time in the right population of patient.  Its advantages over opiates like morphine for post-op pain relief include less nausea and vomiting, less itching, less sedation and no effect on breathing.  All of these factors may outweigh its risks when used for brief periods, especially immediately after surgery. It's not uncommon to encounter ketorolac used immediately after surgery to control post-op pain, even after RNY surgery, though I suspect that some RNY surgeons might shy away from it.  But its use in such situations hardly constitutes "malpractice".  The proscription against NSAIDs given to post-op RNYers is not a hard-and-fast rule: it's directed towards people who self-medicate with NSAIDs, often for prolonged periods of time, or who are prescribed these drugs for chronic use without an appreciation of their additional risks in post-op RNYers. /Steve

Wow, thanks for all the info.  All the information I have read says that even one dose of NSAIDs can be detrimental.  I would prefer to err on the side of extreme caution.

> I would prefer to err on the side of extreme caution. Well, sure.  But  "even one dose of NSAIDs can be detrimental" is a maxim directed at the patient to influence the patient's future behavior.  It's not an inflexible medical invariant.  That's not to say that patients should second guess this or that medical professionals shouldn't be aware of the risks of NSAIDs in post-op RNY patients. Any RNYer given a couple of injections or tablets of Toradol in the immediate post-op period after surgery needn't worry about this medication being the cause of any marginal ulcers that might develop many weeks or months thereafter.  Once you're out of the hospital, any GI risks from having been given the Toradol in-hospital should be quite small, and would be expected to grow smaller with each passing day that you're home until the risk becomes effectively nil.  However, taking Toradol for more than a few days at a time is risky even for patients who haven't had RNY surgery.  But you'd expect any issues arising from this to occur during or shortly after its administration. /Steve

Hi all: I just joined this Board, looking for a good resource for questions unanswered.  It has been over 10 yrs since my RNY (banded pouch exit and proximal), and am presently recovering (10 days postop) from a total knee replacement.  Everything went fine, but it was a royal pain - explaining again and again - about not taking NSAIDS and aspirin!  I finally (why I never thought of doing this before I dunno!), listed them as allergies, and have them on my wrist.  No more problem with what they are giving me. I am being discharged tomorrow, and am concerned about pain control (TKR is probably one of the most high pain surgeries out there, FYI).  In house, I get Oxycoatin (unsure of the spelling) 1/2 hr before PT is to start.  Oxycoatin is NOT Oxycotin (which has a bad addictive reputation).  Toradol was suggested, and my primary doc also had previously suggested it as a pain killer that a gastric bypass person could tolerate. From what I am reading here, that is untrue. It is as bad as any other NSAID.   I've never heard of Votaren, what is that?  I generally take NOTHING for pain (tylenol does nothing, why bother..).  I might also mention that about 8 years my doc put me on a baby aspirin a day.  6 weeks later, I was in the hospital, 3 bleeding ulcers, 4 pints of blood...  never felt so close to death in my life, and why medication problems as you age (just hit 65 (:<)) are a big concern to me! Mal, aka keysdreamer (yes I've lived in the FL keys..)