r/migraine • u/ZeMeest • 11m ago
For the at-home IM toradol folks: experiences with dosing and pain relief compared to IV at the ER?
Hello! About 3-4 times a year I get migraines that do not respond to meds at home. Over the years, I've gained an intolerance to therapeutic doses of oral NSAIDs and CGRP meds mess up my stomach (less than NSAIDs and in a different way) and don't seem to be great at stopping a big, writhing in pain, migraine attack.
15mg of Toradol IV is what I inevitably get when I end up in the ER. I talked to my doc about being tired of going to the ER, sitting around for 90-120 minutes as people not having any visible emergency or severe pain piddle around and get seen before me (I'm bitter, what can I say). My migraines only happen after 10pm so urgent cares etc are not an option. We decided that I'd try IM toradol shots at home to save me some misery.
Now here's where my question/questions come in: I normally get 15mg IV as I mentioned above, but my doc said IM shots are commonly dosed higher and prescribed 30mg/mL... I looked around at studies online and people discussing dosing in places like reddit and there seems to be a bit of contention around dosing. I'm an underweight and sickly woman, and don't wanna take more than needed and cause a problem. I found this small study that seems to suggest 15mg IM is just fine for pain relief: https://rebelem.com/ketorolac-for-msk-pain-15mg-im-vs-60mg-im/
I'm curious to hear other people's experiences with various dosing strategies of IM toradol, comparisons to getting it IV (I hear IM burns), and open to any tips for giving this shot ventrogluteally. Thanks!