This medication is also known under the following names in the USA and Canada:
Brand names: Acular, Acular LS, Acuvail
Generic name: Ketorolac Opthalmic
Brand Medications For Sale - Acular
| Product name | Dosage / Strength | |
|---|---|---|
| Acular Opthalmic Solution | 0.5 % | See Prices |
| Acular LS Opthalmic Solution | 0.4 % | See Prices |
Generic Medication For Sale - Ketorolac
| Product name | Dosage / Strength | |
|---|---|---|
| Ketorolac Ophthalmic Solution | 0.5 % | See Prices |
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Information About Acular Opthalmic Solution and/or Equivalents
Acular is an ophthalmic solution indicated for postoperative surgery after cataract extraction. It is also used for the treatment of ocular itching resulted from seasonal allergic conjunctivitis. These eye drops have been approved by the Food and Drug Administration since 1992. Acular is developed by Allergan (previously known as Actavis).
Active ingredients
Acular is formulated with ketorolac tromethamine, a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory and analgesic properties. Ketorolac tromethamine is able to prevent the synthesis of prostaglandin, thereby inhibiting ocular inflammation.
Conditions treated
Acular is indicated for:- Postoperative inflammation after cataract surgery;
- Ocular itching as a result of seasonal allergic conjunctivitis.
What are cataracts?
Cataracts are a condition in which the lens in the eye is clouded, resulting in an impaired vision. It can affect one or both eyes. Cataracts can be subdivided into several types, including nuclear cataracts, cortical cataracts, and subcapsular cataracts. The condition has a high prevalence among geriatrics, affecting almost half of the population over 80 years old in the US. Fortunately, cataract patients can easily regain their vision through a simple, virtually-painless cataract surgery.
What is allergic conjunctivitis?
Allergic conjunctivitis is the inflammation of the eye resulted from allergic reactions to pollen, mold spores or other substances. Some of the common symptoms include watery, burning, itchy and red eyes. The condition can be divided into two categories, namely acute allergic conjunctivitis and chronic allergic conjunctivitis. There are a wide range of pharmacological treatments available for allergic conjunctivitis, including anti-inflammatory agents, steroid eye drops and antihistamines.
Dosage information
Each bottle of Acular contains 5ml of sterile aqueous solution.
For postoperative inflammation after cataract surgery, use Acular 0.5%:
- Apply 1 drop to the affected eye 4 times per day, starting from 1 day after the surgery until the first 2 weeks of the postoperative period.
For ocular itching caused by seasonal allergic conjunctivitis, use Acular LS 0.4%:
- Apply 1 drop into the eye 4 times per day.
Side effects
- Increased intraocular pressure
- Headaches
- Visual disturbance
- Eye irritation
This is not a complete list of all possible side effects. Refer to the product pamphlet for more information.
Warnings and precautions
Contraindications
Acular is contraindicated in patients with a known hypersensitivity to any of the ingredients in the ophthalmic solution (including active and inactive ingredients and preservatives).
Precautions
- Avoid driving or operating machinery while you are using Acular. This drug may cause blurred vision.
- Acular belongs to Pregnancy Category C (i.e. no reliable data in pregnancy). Your doctor will assess the potential risks and benefits before prescribing this drug.
- Use Acular cautiously if you are breastfeeding.
- Acular is not intended for pediatrics.
- Do not wear contact lenses while applying this drug. The preservative in the formulation may cause discoloration of the contact lens. Remove contact lenses 15 minutes before administering the drug.
- Topical NSAIDs may lead to corneal thinning, perforation or ulceration, epithelial breakdown and keratitis corneal erosion. If corneal epithelial breakdown is observed, your doctor may cease use of the drug. Monitor for corneal health if this occurs.
- Use the drug cautiously if you have high bleeding tendencies or are taking other drugs that can extend bleeding time.
- NSAIDs may result in slow healing. Concurrent use with topical corticosteroids (which also delay healing) may aggravate the effects.
Drug interactions
- Pain medications such as NSAIDs, naproxen, aspirin and ibuprofen
- Blood thinning agents (including warfarin, dabigatran and enoxaparin)
- Corticosteroids such as prednisone
- Clopidogrel or other antiplatelet medications
- Other eye medications such as corticosteroid eye drops
Frequently asked questions
How to store it
Acular should be stored in a cool environment with the temperature under 25°C. Protect from light. To avoid contamination, do not leave the cap open. As with all medications, keep out of reach of children.
Is there an alternative generic brand to Acular?
A generic version of these eye drops is available as ketorolac tromethamine solution. It is produced by several manufacturers including Apotex Inc., Sun Pharma Global, Akorn, and Sandoz Inc.
What if I overdose on Acular?
Acular is unlikely to cause any untoward effects, even if you accidentally apply too many drops. However, if you ingest the solution, drink plenty of water to dilute it and seek medical attention immediately. Acular should not be taken orally.
What if I miss a dose of Acular?
If you forget to apply Acular, use it as soon as possible. If the next dose is impending, skip the missed dose and take the next dose as you normally would. Do not increase the dosage to make up for the missed dose. If you are not sure what to do, ask your doctor. Talk to the pharmacist if you have trouble adhering to the dosage schedule.