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  • Generic Name: (ketorolac tromethamine)
    Other Brands: Acular
  • Last Revised: 11/2013
    • What is this medication and its most common uses?

      Acular is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve itchy eyes due to seasonal allergies. Acular is also used to treat inflammation in your eye after a cataract surgery. Acular is available as eye drops.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Acular blocks a substance in your body that is involved in causing pain and inflammation.

      What are the beneficial effects of this medication and when should I begin to have results?

      What: Acular has been shown to relieve itchy eyes.

      When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you use Acular exactly as your healthcare provider has prescribed.

      How do I know it is working?

      You may feel an improvement in your eyes once you begin using Acular. This is a good indicator that your medication is working. Your healthcare provider may ask you questions to assess how well your symptoms are controlled.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      More common side effects may include: temporary stinging and burning upon application.

      Less common side effects may include:

      Delayed healing after eye surgery.

      Increased risk of bleeding of the eye tissue with eye surgery.

      Acular may also cause keratitis (inflammation of the cornea [the clear tissue over the pupil of your eye]).

    • Who should not take this medication?

      Do not use Acular if you are allergic to it or any of its ingredients.

    • What should I tell my healthcare provider before I take the first dose of this medication?

      Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Acular. Also, talk to your healthcare provider about your complete medical history, especially if you have bleeding problems; asthma; a history of an allergic reaction with aspirin or any other NSAID (such as ibuprofen or naproxen); diabetes; rheumatoid arthritis (a type of arthritis that involves inflammation of the joints); eye problems (such as dry eyes) or had multiple eye surgeries; or if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Itchy Eyes

      Adults and children ≥2 years: Apply 1 drop into the affected eye(s) four times a day.

      After a Cataract Surgery

      Adults and children ≥2 years: Apply 1 drop into the affected eye(s) four times a day, starting 24 hours after surgery and continuing throughout the first 2 weeks.

    • How should I take this medication?

      Use Acular exactly as prescribed by your healthcare provider. Do not use it more often without first talking to your healthcare provider.

      If you are using another eye medicine, apply it at least 5 minutes before or after applying Acular.

    • What should I avoid while taking this medication?

      Do not allow the tip of the bottle to touch your eye or any other surface, as this can contaminate Acular.

      Do not use the same bottle for both eyes.

      Do not wear contact lenses while applying Acular.

    • What are the possible food and drug interactions associated with this medication?

      No significant interactions have been reported with Acular at this time. However, always tell your healthcare provider about any medicines you take, including over-the-counter medications, vitamins, and herbal supplements.

    • May I receive this medication if I am pregnant or breastfeeding?

      Do not use Acular if you are in the late stages of your pregnancy. The effects of Acular during early pregnancy are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What should I do if I miss a dose of this medication?

      If you miss a dose of Acular, apply it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not apply two doses at once.

    • How should I store this medication?

      Store at room temperature. Protect from light.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
      time!
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.