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Hardcastle Tim, Dr <tch at sun.ac.za> tch at sun.ac.za
Sat Apr 1 06:37:10 BST 2006


Just cos the FDA have not approved of something - does not mean it is not safe etc. Just means FDA either have not tested it or if failed on some usually minor technical agenda. Here in South Africa Diclofenac is also used selectively as an IV preparation, but only well diluted (1X 75mg amp in 1000ml RL over 30 min.) in minor and non-trauma surgery. Because it is for stable patients - the U&E is usually pre-checked!

Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Krin135 at aol.com
Sent: Saturday, April 01, 2006 5:20 AM
To: trauma-list at trauma.org
Subject: Re: Toradol

In a message dated 31-Mar-06 12:39:52 Central Standard Time,  dr-chi
noy at cyber.net.pk writes:

"  Toradol is the only NSAID  indicated for treatment of pain available  for
parenteral use (i.e., IV or IM  injection); "

Here in  Pakistan, we use a lot of another NSAID, Diclofenac, which is
available as  parenteral preparation, both IV and IM, as most places do not
have any  opiod analgesia available, due to various restrictions.

Muhammad Amin  Chinoy

Interesting, as there is only one other IV NSAID  listed on the US FDA site, 
indomethacin, listed for treatment of patent ductus  arteriosis.
Charles S. Krin, DO  FAAFP

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