A valid prescription needed upon order collectionKetorolac tromethamine 0.45% ophthalmic solution
What Ketorolac tromethamine is used for:
- Ketorolac tromethamine is a nonsteroidal anti-inflammatory drug. 
 - The ophthalmic solution is indicated for the treatment of pain and inflammation following cataract surgery.
 
Do not take Ketorolac tromethamine if:
- Beyond 24 weeks of amenorrhea (5 months of age pregnancy) 
 - Hypersensitivity to Ketorolac tromethamine
 - History of asthma triggered by the use of Ketorolac tromethamine or substances of similar activity such as other NSAIDs, aspirin
 - Gastrointestinal haemorrhage, cerebrovascular haemorrhage or another evolving haemorrhage
 - An evolving gastric ulcer or intestinal
 - Severe hepatic impairment
 - Severe renal impairment
 - Severe uncontrolled heart failure.
 
Warnings & Precautions:
- Delayed Healing: Topical nonsteroidal anti-inflammatory drugs (NSAIDs) may slow or delay healing. 
 - Tell your doctor if you are taking topical corticosteroids 
 - There is the potential for cross-sensitivity to acetylsalicylic acid, phenylacetic acid derivatives, and other NSAIDs. 
 - There have been reports of bronchospasm or exacerbation of asthma associated with the use of ketorolac tromethamine ophthalmic solution in patients who either have a known hypersensitivity to aspirin/non-steroidal anti-inflammatory drugs, or a past medical history of asthma. 
 - Increased Bleeding Time: With some NSAIDs, there exists the potential for increased bleeding time due to interference with thrombocyte aggregation. 
 - It is recommended that ophthalmic solution be used with caution in patients with known bleeding tendencies or who are receiving other medications, which may prolong bleeding time.
 - If you have evidence of corneal epithelial breakdown should immediately discontinue use of topical NSAIDs and should be closely monitored for corneal health.
 - If you used more than 1 day prior to surgery or used beyond 14 days post-surgery may increase risk for the occurrence and severity of corneal adverse events.
 - It should not be administered while wearing contact lenses.
 
Possible Side Effects:
- High pressure in the eye
 - Headache 
 - Blurred vision
 
Other medicines and Ketorolac tromethamine:
- Tell your doctor or pharmacist about all medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.
 - Tell your doctor if you are taking any of the following medicines:
 - Topical corticosteroids are also known to slow or delay healing. 
 - Concomitant use of topical NSAIDs and topical steroids may increase the potential for healing problems.
 - Several substances are involved in interactions, due to their antiplatelet medicinal products properties: aspirin and NSAIDs, ticlopidine and clopidogrel, tiro¬ban, epti¬batide and abciximab, iloprost.
 -  The use of several antiplatelet agents increases the risk of bleeding.
 
How to take Ketorolac tromethamine:
Adults:
- One drop should be applied to the affected eye twice daily beginning 1 day prior to cataract surgery,
 -  continued on the day of surgery, and through the first 2 weeks of the postoperative period.
 - If administered in conjunction with other topical ophthalmic medications such as alpha-agonists, beta-blockers, carbonic anhydrase inhibitors, cycloplegics, and mydriatics. Drops should be administered at least 5 minutes apart.
 
How to store Ketorolac tromethamine:
- Keep this medicine out of the sight and reach of children. 
 - Store at 15°-30°C (59°-86°F). 
 - Store the vials in the pouch, protected from light. 
 - Fold pouch ends closed.