Acular Side Effects

Generic name: ketorolac ophthalmic

Note: This document contains side effect information about ketorolac ophthalmic. Some of the dosage forms listed on this page may not apply to the brand name Acular.

Some side effects of Acular may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

For the Consumer

Applies to ketorolac ophthalmic: ophthalmic solution

Get emergency medical help if you have any of these signs of an allergic reaction while taking ketorolac ophthalmic (the active ingredient contained in Acular) hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

• severe burning, stinging, or itching of your eyes;

• eye pain, redness, or watering;

• vision changes, increased sensitivity to light;

• white patches on your eyes; or

• crusting or drainage from your eyes.

Less serious side effects of ketorolac ophthalmic may include:

• mild burning, stinging, or itching of your eyes;

• swollen or puffy eyelids; or

• headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

For Healthcare Professionals

Applies to ketorolac ophthalmic: ophthalmic solution

Ocular

Ocular side effects have included transient burning and stinging upon instillation in 20% to 40% of patients. Conjunctival hyperemia, corneal infiltrates, and ocular edema have been reported in 1% to 5% of patients. Corneal edema, iritis, ocular inflammation, ocular irritation, ocular pain, superficial keratitis, and superficial ocular infections have been reported in 1% to 10% of patients. Corneal erosion, corneal thinning, and epithelial breakdown have also been reported.

Hypersensitivity

A 44-year-old female with a history of severe asthma was given ophthalmic ketorolac for the treatment of conjunctivitis previously unresponsive to topical antihistamine treatment. Two hours after instillation, she developed coughing and tightness in her chest which worsened over night. The next morning the patient was hospitalized with complaints of coughing, dyspnea at rest and wheezing. Her condition improved after administration of intravenous steroids and albuterol nebulizations.

Hypersensitivity reactions have been reported in 1% to 10% of patients.

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