Ketorolac Tromethamine (kee-toe-ROLE-ak troe-METH-a-meen)

Treats eye itching caused by allergies. Also treats pain, burning, and inflammation after cataract surgery or corneal refractive surgery. This medicine is an NSAID.

Brand Name(s):

Acular, Acular LS, Acuvail

When This Medicine Should Not Be Used:

How to Use This Medicine:

Liquid, Drop

• Your caregiver will tell you how and when to use this medicine.
• Wash your hands with soap and water before and after using this medicine.
• Lie down or tilt your head back. With your index finger, pull down the lower lid of your eye to form a pocket.
• To use the eye drops: Hold the dropper close to your eye with the other hand. Drop the correct number of drops into the pocket made between your lower lid and eyeball. Gently close your eyes. Place your index finger over the inner corner of your eye for 1 minute. Do not rinse or wipe the dropper or allow it to touch anything, including your eye. Put the cap on the bottle right away. Keep the bottle upright when you are not using it.
• After you put the drops in your eyes, you must wait at least 5 minutes before you use any other eye medicine.
• After eye surgery: Use a separate bottle of medicine for each eye. You could spread an infection from one eye to the other if you use the same bottle for both eyes. Use Acuvail® right away after opening and discard the remaining contents after use.
• Do not use this medicine while you are wearing contact lenses.
• Missed dose: Apply a dose as soon as you can. If it is almost time for your next dose, wait until then and apply a regular dose. Do not apply extra medicine to make up for a missed dose.
• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some foods and medicines can affect how ketorolac works. Tell your doctor if you are using a steroid eye medicine or a blood thinner (including warfarin).

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant. Do not use this medicine during the later part of a pregnancy, unless your doctor tells you to.
• Tell your doctor if you are breastfeeding or if you have a history of asthma or an allergic reaction to aspirin or other NSAID pain medicine. Also tell your doctor if you have a bleeding disorder, diabetes, or rheumatoid arthritis. Tell your doctor about any eye problems or surgery you have had (including corneal problems or dry eye syndrome).
• This medicine may cause the following problems:
  • Slow or delayed healing
  • Increased risk of keratitis or other problems with the surface of the eye (the cornea)
• If you hurt your eye, develop an eye infection, or need to have eye surgery, talk with your doctor right away. You may need to change your medicine or stop using it.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Blurred vision, light sensitivity, pain, watery eyes

If you notice these less serious side effects, talk with your doctor:

• Mild burning or stinging in the eyes

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088