Generic Name: ketorolac tromethamine (KEE-toe-ROLE-ak troe-METH-a-meen)
Brand Name: Acuvail
Acuvail drops are used for:
Treating eye pain and swelling following cataract surgery. It may also be used for other conditions as determined by your doctor.
Acuvail drops are a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking the production of prostaglandin, a substance that causes pain and swelling.
Do NOT use Acuvail drops if:
- you are allergic to any ingredient in Acuvail drops
- you are in late pregnancy
Contact your doctor or health care provider right away if any of these apply to you.
Before using Acuvail drops:
Some medical conditions may interact with Acuvail drops. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to aspirin or an NSAID (eg, ibuprofen, naproxen, celecoxib)
- if you have asthma, diabetes, bleeding problems, or rheumatoid arthritis
- if you have other eye problems (eg, dry eye syndrome, cornea problems, glaucoma or increased pressure in the eye), have had complicated eye surgery, or have had repeated eye surgeries within a short period of time
- if you have a herpes infection in the eye
Some MEDICINES MAY INTERACT with Acuvail drops. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Anticoagulants (eg, warfarin), aspirin, heparin, or NSAIDs (eg, ibuprofen) because the risk of bleeding may be increased
- Topical corticosteroids for the eye (eg, dexamethasone) because they may slow or delay the healing of the eye
This may not be a complete list of all interactions that may occur. Ask your health care provider if Acuvail drops may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Acuvail drops:
Use Acuvail drops as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Acuvail drops. Talk to your pharmacist if you have questions about this information.
- Acuvail drops are only for the eye. Do not get it in your nose or mouth.
- To use Acuvail drops in the eye, first, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Do not blink. Remove excess medicine around your eye with a clean, dry tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.
- To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed.
- Each vial of Acuvail drops are intended for single use only. Throw away any unused medicine in the vial immediately after you have used your dose.
- If you will be using Acuvail drops to treat both eyes after surgery, do not use the same vial for both eyes. Doing so may increase the risk of passing an infection from one eye to the other.
- If you are using other eye medicines, wait at least 5 minutes before applying them to the eye.
- Do not wear contact lenses while you are using Acuvail drops. Take care of your contact lenses as directed by the manufacturer. Check with your doctor before you use them.
- Do not use Acuvail drops if it is discolored or contains particles.
- If you miss a dose of Acuvail drops and you are using it regularly, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Acuvail drops.
Important safety information:
- Acuvail drops may cause blurred vision. Do not drive or perform other possibly unsafe tasks unless you can see clearly.
- Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor. Using Acuvail drops more than 24 hours before eye surgery or for more than 14 days after eye surgery may increase the risk of certain eye problems (eg, corneal problems). Some of these could be serious. Talk with your doctor if you have questions.
- If your symptoms do not get better within a few days or if they get worse, check with your doctor.
- Tell your doctor if you have a tendency to bleed easily.
- If you injure your eye, develop an eye infection, or need to have eye surgery, contact your doctor right away. You will need to discuss the continued use of Acuvail drops.
- Acuvail drops should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Avoid using Acuvail drops late in pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Acuvail drops while you are pregnant. It is not known if this medicine is found in breast milk after topical use. If you are or will be breast-feeding while you use Acuvail drops, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Acuvail drops:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Headache; temporary stinging and burning of the eye while applying.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); pain, irritation, redness, swelling, or persistent stinging or burning of the eyes; unusual bleeding; vision changes (eg, blurred vision).
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of Acuvail drops:
Store Acuvail drops at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store the vials in the pouch provided with pouch ends folded closed. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Acuvail drops out of the reach of children and away from pets.
- If you have any questions about Acuvail drops, please talk with your doctor, pharmacist, or other health care provider.
- Acuvail drops are to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Acuvail drops or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Acuvail drops. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Acuvail drops. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Acuvail drops.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.