Acular Ophthalmic Solution

Other name for Acular: Ketorolac Ophthalmic (kee toe role’ ak)

Why is Acular prescribed?

Acular (Ketorolac ophthalmic) is used to treat itchy eyes caused by allergies. It also is used to treat swelling and redness (inflammation – cystoid macular edema) that can occur after cataract surgery. Ketorolac ophthalmic is in a class of drugs called nonsteroidal anti-inflammatory drugs. It works by stopping the release of substances that cause allergy symptoms and inflammation.

Click here to watch a Cataract Surgery animation

How should Acular be used?

Acular comes in the form of eyedrops. For allergy symptoms, one drop is usually applied to the affected eyes four times a day. For inflammation after cataract surgery, one drop is usually applied to the affected eye four times a day for 2 weeks beginning 24 hours after surgery. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use ketorolac ophthalmic exactly as directed. Do not use more or less of it or use it more than prescribed by your doctor.

Your allergy symptom (itchy eyes) should improve when you apply the eye drops. If your symptoms do not improve or they worsen, call your doctor.

For treatment of itchy eyes caused by allergies, continue to use ketorolac ophthalmic until you are no longer exposed to the substance that causes your symptom, allergy season is over, or your doctor tells you to stop using it.

For eyedrop installation instructions, click here.

Acular special precautions

Before using Acular eyedrops…

• tell your doctor or pharmacist if you are allergic to ketorolac ophthalmic, aspirin, or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants (”blood thinners”) such as warfarin (Coumadin); aspirin; nonsteroidal anti-inflammatory agents, such as celexocib (Celebrex), diclofenec (Voltaren), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), ibuprofen (Advil, Motrin, Midol), indomethacin (Indocin), ketoprofen (Orudis, Oruvail), ketorolac (Toradol), meclofenamate, mefenamic (Ponstel), nabumetone (Relafen), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), Piroxicam (Feldene), refecoxib (Vioxx), sulindac (Clinoril), and tolmetin (Tolectin); and vitamins or herbal products.
• tell your doctor if you have or have ever had heart, kidney, or liver disease or bleeding problems.
• tell your doctor if you wear soft contact lenses. You should not use ketorolac ophthalmic while wearing your soft contact lenses.
• tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.
• use caution when driving or operating machinery because your vision may be blurred after inserting the drops.

What should I do if I forget a dose of Acular?

Apply the missed dose as soon as you remember it. However, if is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.

What side effects can Acular cause?

Although side effects from ketorolac ophthalmic are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

• stinging and burning of the eyes
• blurry vision

If you experience any of the following symptoms, stop using ketorolac ophthalmic and call your doctor immediately:

• redness or swelling of eyes, lips, tongue, or skin
• infection in or around the eye
• skin rash, hives, or skin changes
• difficulty breathing or swallowing

How do I store Acular?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

What other information should I know?

Keep all appointments with your doctor.

Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.