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<font size=3>At 03:53 PM 8/8/2006, you wrote:<br>
<blockquote type=cite class=cite cite="">Guy<br><br>
As long as you give it orally or rectally - the incidence of
complications after IMI diclofenac is so high that the Medical Protection
Society in South Africa considers this an indefencible action and the
Health Professions Council of SA a reason for investigation of a doctor
for negligence (Personal communication with KD Boffard of the HPCSA
Disciplinary Committtee)<br>
</blockquote><br>
Tim,<br>
That policy seemed a bit strong (based on my anecdotal experience, which
is just that, but which has seen zero adverse reactions to a LOT of IM
Toradol/ketorolac) so I just did a literature search and can't find any
case reports of ADR's either. We heard about a single case of acute
renal failure on either list or CCM-L (not sure), but that actually is
the only ADR I know of.<br>
Can you shed any light on that reasoning of Dr. Boffard (I understand
that it is not necessarily yours)?<br>
I am a bit surprised that an everyday occurrence in the U.S. with many,
many doses given is considered negligence elsewhere, just because of the
numbers involved and lack of published reports (or did I miss them in my
search?).<br><br>
THANKS! <br>
</font><x-sigsep><p></x-sigsep>
<font face="Lucida Handwriting" size=3><b><i>Lorick<br><br>
</i></b></font><div align="center"><font size=1>Lorick Fox, MPAS,
PA-C<br>
SEAVIN/GSC<br>
USAF Peace Vector IV<br>
Gianaclis Egyptian Air Force Base<br>
<b>Gianaclis, Egypt<br>
</b>+(20)3-448-2335 or FAX +(20)3-448-2339<br>
<a href="http://www.lorick.org/" eudora="autourl">www.lorick.org<br>
</a></font></div>
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