Does TORADOL cross into breast milk?

Understanding Toradol and Breastfeeding
Toradol, known generically as ketorolac, is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief. For breastfeeding mothers, concerns often arise regarding the safety of medications and their potential transfer into breast milk.
Does Toradol Cross into Breast Milk?
Research indicates that ketorolac does transfer into breast milk, but the levels are generally low. A study involving ten women who began taking ketorolac between two to six days postpartum found that while the drug was present in breast milk, the concentrations were not deemed significant enough to pose a risk to breastfeeding infants.
The amount of ketorolac that enters breast milk is relatively small, especially when taken at standard oral dosages. However, it is important to note that milk levels have not been extensively studied following higher dosages or different administration routes, such as injectable forms.
Safety Considerations
While the presence of ketorolac in breast milk is acknowledged, many health professionals suggest that the risk to infants is minimal. The American Academy of Pediatrics emphasizes that many medications, including some NSAIDs, are safe for breastfeeding mothers, and the amount transferred to the infant is often much lower than the doses that would be administered directly to infants.
Moreover, the general consensus among healthcare providers is that mothers do not need to stop breastfeeding when taking medications like ketorolac, as the benefits of breastfeeding often outweigh the potential risks associated with low drug levels in milk .
Conclusion
In summary, while Toradol does cross into breast milk, the levels are low and typically not considered harmful to breastfeeding infants. Mothers should consult with their healthcare providers to weigh the benefits and risks of using ketorolac while breastfeeding, ensuring that both maternal pain management and infant safety are prioritized.

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.

Is it safe to breastfeed with Toradol?

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.

Do you have to pump and dump after sedation?

Try and have someone bring your baby to you as soon as possible after the procedure so you can breastfeed them once you are awake. If this is not possible you may wish to pump or express once awake. You do not need to discard/”dump” this milk, you can feed it to your breastfed child later.

What drugs pass through breast milk?

Most drug molecules, including alcohol, nicotine and caffeine, are small enough to enter milk. Exceptions are drugs with high molecular weights such as heparins and insulin.

Does tramadol get into breastmilk?

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.

How long after IV sedation can I breastfeed?

IV anesthesia can also include monitored anesthesia care (midazolam, fentanyl): These are taken by mouth or given through IV for pain or anxiety. You can breastfeed or pump after you have this type of anesthesia as soon as you are awake and alert.

Which painkiller is safe during breastfeeding?

Paracetamol is the first choice pain medication during breastfeeding. While it appears in breast milk, the amount is too small to cause harm to your baby. Sometimes paracetamol alone may not control your pain. In this case a non- steroidal anti-inflammatory (NSAID), for example ibuprofen, can also be taken.

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.

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.

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