ACULAR LS Ophthalmic Solution 5ml

Introduction About ACULAR LS OPHTHALMIC SOLUTION

ACULAR LS OPHTHALMIC SOLUTION contains Ketorolac which belongs to the group of
medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDS). It is used to
reduce eye pain, inflammation, burning or stinging sensation that occurs after
corneal refractive surgery. Corneal refractive surgery also called LASIK is done
to correct the spectacle power of the person and improve vision.

Your doctor may recommend you to take some relevant medical tests to understand
your existing condition. Do not use ACULAR LS OPHTHALMIC SOLUTION while wearing
contact lenses. If you use contact lenses, you should remove your contact lenses
before using ACULAR LS OPHTHALMIC SOLUTION. You can put them back after 15
minutes of using ACULAR LS OPHTHALMIC SOLUTION.

Before using ACULAR LS OPHTHALMIC SOLUTION, inform your doctor if you have
bleeding tendencies (Ex. anaemia or stomach ulcers), diabetes, rheumatoid
arthritis, dry eye syndrome, had or have eye surgery recently, bacterial or
viral eye infections and asthma due to prior use of non-steroidal
anti-inflammatories (such as nepafenac eye drops).

ACULAR LS OPHTHALMIC SOLUTION is not recommended for use in pregnant and
breastfeeding woman unless recommended by the doctor. ACULAR LS OPHTHALMIC
SOLUTION is not recommended for use in children and can be used in elderly
patients only if advised by the doctor.

The common side effects of using ACULAR LS OPHTHALMIC SOLUTION are eye
irritation, stinging or burning sensation the eye, eye pain, allergic reaction,
puffiness or swelling of eye or eyelid, red and itchy eyes. Consult your doctor
if any of the side effect worsens or does not improve.

Uses Of ACULAR LS OPHTHALMIC SOLUTION

• Reduces eye pain, inflammation, burning or stinging sensation that occurs after corneal refractive surgery

How ACULAR LS OPHTHALMIC SOLUTION Works

[GBKEYWORD] works by blocking the effects of prostaglandin (substance produced
during injury and inflammation causing pain), pain signals between the brain and
nerve endings. The inhibition of these substances results in reduced pain and
inflammation thus relieves the condition.

How to use ACULAR LS OPHTHALMIC SOLUTION

Use ACULAR LS OPHTHALMIC SOLUTION as advised by your doctor. It is for
ophthalmic use only. Shake the bottle before use. Tilt your head slightly
backwards and gently pull the lower eyelid to form a small pocket, hold the
bottle upside down above the eye and dispense drops with gentle pressure into
the affected eye, then close your eyes for 30 seconds. Do not touch dropper tip
to your eye surface. Your doctor will decide the correct duration and time
interval between each dose for you depending upon your age and severity of the
condition.

Side Effects Of ACULAR LS OPHTHALMIC SOLUTION

Common

• eye irritation, stinging or burning sensation the eye
• eye pain
• allergic reaction
• puffiness or swelling of eye or eyelid
• red and itchy eyes
• infection or inflammation of the eye either on the surface or inside
• retinal bleeding, swelling in the central retina (light-sensitive layer of the eye)
• headache
• tip of the dropper when touch the eye may cause accidental injury
• increased eye pressure
• blurred or diminished vision

Uncommon

• inflammation or damage to the clear front layer of the eye
• dryness or watery eyes

Rare

Stop using ACULAR LS OPHTHALMIC SOLUTION and contact your doctor immediately if
you experience any of the following side effects:

• severe eye pain
• increased eye irritation or vision changes
• corneal problems (outermost see-through layer of the eye)

How To Manage Side Effects

!### Eye pain Or Sensitivity

Close your eyes and relax for some time. Place an ice pack over the closed eyes
for few minutes. Avoid watching mobile phone, laptop, or any other light sources
which might irritate your eyes. If the symptom persists or worsens, consult your
doctor.

Headache

Apply hot or cold-water bag on your head. Try to take rest in a quiet and dark
room. Drink tea or coffee. Apply a pain-relieving balm on your forehead if
necessary. Massage on your scalp or head with mild pressure. Consult your doctor
for advice if headache doesn’t improve.

Warning & Precautions

!### Pregnancy

Monitoring requiredACULAR LS OPHTHALMIC SOLUTION is not recommended for use in pregnant women
unless it is recommended by the doctor. Consult your doctor before using it.

!### Breastfeeding

Monitoring requiredACULAR LS OPHTHALMIC SOLUTION is not recommended for use in breastfeeding woman
unless it is recommended by the doctor. Consult your doctor for advice before
using it.

!### Driving and Using Machines

Use with CautionDo not drive or use machines if you feel temporary blurring of vision after
using ACULAR LS OPHTHALMIC SOLUTION.

!### Allergy

Do not use ACULAR LS OPHTHALMIC SOLUTION if you are allergic to Ketorolac,
aspirin or any other similar drugs.

!### Lungs

Use with CautionACULAR LS OPHTHALMIC SOLUTION should be used with caution in patients with
asthma particularly after using non-steroidal anti-inflammatories (NSAIDs) such
as nepafenac. Consult with your doctor before using it.

!### Use In Pediatrics

ContraindicatedACULAR LS OPHTHALMIC SOLUTION is not recommended for use in children. Consult
child’s doctor for advice before administration of ACULAR LS OPHTHALMIC
SOLUTION.

!### Use In Geriatrics

Use with CautionACULAR LS OPHTHALMIC SOLUTION can be used in elderly patients. Consult your
doctor for advice before using ACULAR LS OPHTHALMIC SOLUTION.

Others

ACULAR LS OPHTHALMIC SOLUTION is not recommended for use if you

• have planned surgery within 24 hours

Before using ACULAR LS OPHTHALMIC SOLUTION, inform your doctor if you:

• have stomach ulcers or bleeding tendencies (Ex. anaemia)
• have diabetes
• have rheumatoid arthritis
• have dry eye syndrome
• have or had eye surgery recently
• have viral or bacterial infections of the eye
• have corneal denervation (dysfunction of corneal innervation)
• have corneal epithelial defects (loss of focal areas in the outermost layer of the eye)

Interactions

A. Drug - Drug interactions:

Before using ACULAR LS OPHTHALMIC SOLUTION inform your doctor if you are using
or taking any of the following medicines:

• ophthalmic corticosteroids such as dexamethasone, loteprednol (used to manage eye inflammation)
• heparin, coumarin or indandione derivative such as warfarin (medicines that manage or manages blood clot)

Overdosage:

If you or anyone accidentally ingests or use too much of ACULAR LS OPHTHALMIC
SOLUTION, first wash your eyes with water to flush out the excess medicine and
drink fluid to dilute the medicine (in case of ingestion) and then consult your
doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Ketorolac
Pharmacological Category	:	Nonsteroidal Anti-inflammatory Drugs
Therapeutic Indication	:	Reduces eye pain, inflammation, burning and stinging  sensation following eye surgery
Dosage Forms	:	Tablet, Dispersible tablet, Injection, Gel, Eye drops, Ophthalmic solution

More Information

• Keep ACULAR LS OPHTHALMIC SOLUTION out of reach of children
• Store at temperature below 25°C

FAQs About ACULAR LS OPHTHALMIC SOLUTION

Q: What is ACULAR LS OPHTHALMIC SOLUTION and why is it given?

A: ACULAR LS OPHTHALMIC SOLUTION contains Ketorolac which belongs to the group
of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDS). It is used
to reduce eye pain, inflammation, burning or stinging sensation that occurs
after corneal refractive surgery.

Q: How to use ACULAR LS OPHTHALMIC SOLUTION?

A: Use ACULAR LS OPHTHALMIC SOLUTION as advised by your doctor. It is for
ophthalmic use only. Shake the bottle before use. Tilt your head slightly
backwards and gently pull the lower eyelid to form a small pocket, hold the
bottle upside down above the eye and dispense drops with gentle pressure into
the affected eye, then close your eyes for 30 seconds. Do not touch dropper tip
to your eye surface to manage eye damage and to avoid contamination.

Q: Does ACULAR LS OPHTHALMIC SOLUTION cause eye irritation?

A: Yes, it may cause itching, irritation and burning sensation of eyes in some
patients. Close your eyes and relax for some time. Place an ice pack over the
closed eyes for few minutes. Avoid watching mobile phone, laptop, or any other
light sources which might irritate your eyes. If the symptom persists or
worsens, consult your doctor.

Q: Can I stop using ACULAR LS OPHTHALMIC SOLUTION on my own if the symptom
subsides?

A: No, do not abruptly stop using ACULAR LS OPHTHALMIC SOLUTION without
consulting your doctor. Continue to use this medicine, as long as your doctor
tells you to do so, to obtain better results. Ask for your doctor’s advice if
you wish to discontinue using ACULAR LS OPHTHALMIC SOLUTION.

Q: Do I need to follow any safety measures while using ACULAR LS OPHTHALMIC
SOLUTION?

A: Do not let the tip of the dropper to touch the eye or anything else to avoid
injury or contamination. Replace the cap after use. Avoid using ACULAR LS
OPHTHALMIC SOLUTION while wearing contact lens. If you use contact lenses, you
should remove your contact lenses before using ACULAR LS OPHTHALMIC SOLUTION.
You can put them back after 15 minutes of using ACULAR LS OPHTHALMIC SOLUTION.

Q: Can ACULAR LS OPHTHALMIC SOLUTION affect my ability to drive?

A: ACULAR LS OPHTHALMIC SOLUTION may cause temporary blurring of vision. Do not
drive or use machines if you feel blurring of vision after using ACULAR LS
OPHTHALMIC SOLUTION. You can resume with your activities after your vision
becomes normal again.

Useful Diagnostic Tests

• Ophthalmoscopy