Does TORADOL cross breast milk?

Understanding the Transfer of Toradol into Breast Milk
Toradol, known generically as ketorolac, is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief. For breastfeeding mothers, the question of whether Toradol crosses into breast milk is crucial, as it can impact both maternal health and infant safety.
Current Guidelines and Research Findings
The consensus among healthcare professionals is that ketorolac is contraindicated during breastfeeding. The manufacturer explicitly advises against its use due to potential risks associated with its antiplatelet effects, which can lead to gastrointestinal bleeding in both mothers and infants. This caution is particularly emphasized in the context of postpartum women, who may already be at risk for bleeding complications.
Research indicates that while only a small percentage of ketorolac is free in the bloodstream (about 1% due to its high protein binding), the drug can still be present in breast milk. A study examining the transfer of ketorolac into breast milk found that although the levels detected were low, the potential for adverse effects on a breastfeeding infant remains a concern.
Clinical Recommendations
Given the potential risks, many healthcare providers recommend that breastfeeding mothers avoid ketorolac unless absolutely necessary. If pain management is required, alternatives that are safer for breastfeeding should be considered, especially after the first few days postpartum when milk production increases.
In summary, while Toradol may not transfer in significant amounts into breast milk, the risks associated with its use during breastfeeding lead to a general recommendation against its use. Mothers should consult with their healthcare providers to explore safer pain relief options that will not compromise their infant’s health.

Is Toradol safe while breastfeeding?

Summary of Use during Lactation
Ketorolac injection is used for a short time (typically 24 hours) after cesarean section in some hospital protocols with no evidence of harm to breastfed infants. However, the ketorolac dose an infant receives in colostrum is very low because of the small volume of colostrum produced.

What is the strongest painkiller I can take while breastfeeding?

Morphine (Oramorph®, Actimorph®) is the strong opioid of choice while breastfeeding. It can be used with caution at the lowest effective dose, for the shortest possible duration. Oral morphine is frequently given to mothers after a caesarean section. You can use it with caution when breastfeeding.

Does Toradol have lactose in it?

contains 10 mg ketorolac tromethamine, the active ingredient, with added lactose, magnesium stearate and microcrystalline cellulose.

Can I take Toradol with milk?

Take this medication orally with a full glass of water every 4 to 6 hours, or as directed by your doctor. After taking this medication, do not lie down for 10 minutes. To avoid stomach upset, take Toradol with food, milk, or an antacid.

What drugs don’t go into breast milk?

Table. Examples of drugs contraindicated in breastfeeding.

Drug	Comment
Iodine	High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium	Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals	Contact obstetric information service
Retinoids (oral)	Potential for serious adverse effects

Do NSAIDs pass through breast milk?

Maternal administration or ingestion of most NSAIDs results in low infant exposure via breastmilk, such that both cyclooxygenase-1 and cyclooxygenase-2 inhibitors are generally considered safe, and preferable to aspirin, when breastfeeding.

Does milk interfere with pain medication?

Ibuprofen, aspirin and other NSAIDs (non-steroidal anti-inflammatory drugs) can irritate the stomach lining, so it is best to take them with food, or a glass of milk. Paracetamol doesn’t irritate the stomach lining so it won’t matter if you haven’t eaten.

Why is Toradol used in postpartum?

Ketorolac tromethamine (Toradol) is an nonsteroidal anti-inflammatory drug (NSAID) frequently used among obstetricians for pain management during postpartum recovery.

Which painkiller is safe during lactation?

Dihydrocodeine is a weak opioid. It is the first choice if you need stronger pain relief than paracetamol or ibuprofen whilst breastfeeding. This is because your body processes it differently to codeine.

Does tramadol pass into breast milk?

Tramadol and breastfeeding
However, it is best to only take tramadol for a few days if possible. If you need to take it for longer, talk to your doctor. Tramadol passes into breast milk in very small amounts, and it’s unlikely to cause side effects in your baby.