Ofirmev (IV tylenol) and Toradol use for decreased narcotic and increased analgesia

Using Ofirmev 1000 mg IV at the beginning of a surgical procedure (1000 mg IV over 15 min infusion) may decrease Narcotic use during the case and adding Toradol 30 mg at the end of the case may be a better way to get patients ambulatory after outpatient surgical procedures. Ofirmev is conjugated in the liver by the p450 cytocrome system and toradol is also largely metabolized by the liver, and excreted in the urine. If the dose of Toradol is given at the end of the case, is there any contraindiction to giving one dose of each for a one to two hour procedure?

Under Review by Board