2012
DOI: 10.1177/1941738112457154
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Recommendations of the National Football League Physician Society Task Force on the Use of Toradol® Ketorolac in the National Football League

Abstract: Ketorolac tromethamine (Toradol®) is a non-steroidal anti-inflammatory drug that has potent analgesic and anti-inflammatory properties. It can be administered orally, intravenously, intramuscularly, or via a nasal route. Ketorolac injections have been used for several years in the National Football League (NFL), in both the oral and injectable forms, to treat musculoskeletal injuries and to prevent post-game soreness. In an attempt to determine the appropriate use of this medication in NFL players, the NFL Tea… Show more

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Cited by 23 publications
(14 citation statements)
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“…5 We support the recommendations of the task force that ketorolac should be administered only under the direct supervision and order of a team physician and should not be used prophylactically. However, as the developers of the intranasal formulation SPRIX® (ketorolac tromethamine nasal spray), 8 we wish to point out some additional published data regarding the pharmacokinetics of the oral formulation as compared with the intranasal formulation.…”
supporting
confidence: 66%
“…5 We support the recommendations of the task force that ketorolac should be administered only under the direct supervision and order of a team physician and should not be used prophylactically. However, as the developers of the intranasal formulation SPRIX® (ketorolac tromethamine nasal spray), 8 we wish to point out some additional published data regarding the pharmacokinetics of the oral formulation as compared with the intranasal formulation.…”
supporting
confidence: 66%
“…Non‐steroidal anti‐inflammatory drugs (NSAIDs) are commonly used by athletes participating in contact sports. Some evidence suggests that individuals who sustain trauma while routinely taking NSAIDs are at increased risk of bleeding complications . In a study of geriatric patients who sustained falls, the risk of developing intracranial hemorrhage among those treated with warfarin was not significantly different to those taking aspirin .…”
Section: Risk Considerationsmentioning
confidence: 97%
“…33 A task force appointed by the NFL Physician Society published recommendations on the use of ketorolac in the NFL in 2012. 15 There were 8 primary recommendations listed. Some of these recommendations are common to the use of any NSAID medication (in athletes and the general patient population): The medication should only be administered under the direct supervision and order of a team physician; it should be given in the lowest effective dose; it should not be given with other NSAIDs; and it should not be taken by players with a history of allergic reaction to ketorolac or other NSAIDs, in a player with renal compromise, or a player with a history of prior adverse reaction to ketorolac or other NSAIDs.…”
Section: Adverse Effects Of Injectable Ketorolac and Corticosteroids mentioning
confidence: 99%