ahlflam eye drop - Ketorolac (0.5% w/v) medicine

Algic Eye Drop: Complete Guide to Uses, Dosage, and Safety

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🏭 Ahlcon Parenterals India Limited 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 18, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 18, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe eye pain that does not improve with the medicine
  • Sudden vision loss or persistent blurred vision
  • Increased redness, swelling, or discharge from the eye
  • Signs of allergic reaction such as rash, itching, swelling of face, lips, or throat
  • Unusual bleeding or bruising
  • Eye pain or discomfort that worsens after using the medicine
  • Development of a white spot on the cornea

If experiencing severe symptoms, call emergency services immediately.

What is ahlflam eye drop used for?

This medicine is an ophthalmic NSAID eye drop containing ketorolac 0.5% w/v. It is used to treat eye inflammation and pain after surgery or due to allergies. It works by blocking prostaglandins. Use one drop four times daily as prescribed. Do not use for more than 2 weeks without medical advice.

  • Generic Name: Ketorolac
  • Manufacturer: Ahlcon Parenterals India Limited
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ahlflam eye drop के बारे में (Hindi Summary)

उपयोग: यह दवा कीटोरोलैक 0.5% व/व युक्त आई ड्रॉप है, जिसका उपयोग आंखों की सूजन, दर्द और लालिमा को कम करने के लिए किया जाता है। यह मुख्य रूप से मोतियाबिंद सर्जरी, कॉर्नियल रिफ्रैक्टिव सर्जरी के बाद और एलर्जिक कंजंक्टिवाइटिस में आंखों की परेशानी को दूर करने के लिए दी जाती है। यह दवा आंखों में प्रोस्टाग्लैंडिन नामक रसायन को कम करके सूजन और दर्द को कम करती है। इसे डॉक्टर के निर्देशानुसार ही आंखों में डालें। आमतौर पर दिन में चार बार एक-एक बूंद डालनी होती है। इसे 2 सप्ताह से अधिक समय तक बिना डॉक्टर की सलाह के न लगाएं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में आंखों में जलन, चुभन, धुंधली दृष्टि, आंखों में लालिमा और कुछ देर के लिए असहजता महसूस हो सकती है। कभी-कभी आंखों में सूजन या संक्रमण भी हो सकता है। गंभीर दुष्प्रभाव बहुत कम होते हैं, लेकिन अगर आंखों में तेज दर्द, लगातार लालिमा, दृष्टि में कमी या पस आना शुरू हो जाए तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का उपयोग केवल अपने नेत्र रोग विशेषज्ञ के निर्देशानुसार करें। ड्रॉपर की नोक को आंख या किसी भी सतह से न छुएं। सॉफ्ट कॉन्टैक्ट लेंस पहनने से पहले इसे हटा दें और दवा डालने के 15 मिनट बाद ही लेंस वापस लगाएं। जब तक आपकी दृष्टि साफ न हो, वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 ahlflam eye drop Uses & Benefits

[{"condition":"Postoperative ocular inflammation","description":"Reduces inflammation and pain after cataract surgery or other ocular procedures.","evidence":"Well-established"},{"condition":"Allergic conjunctivitis","description":"Relieves itching, redness, and swelling associated with seasonal or perennial allergic conjunctivitis.","evidence":"Well-established"},{"condition":"Corneal refractive surgery pain","description":"Manages pain and discomfort following photorefractive keratectomy (PRK) or LASIK.","evidence":"Well-established"},{"condition":"Cystoid macular edema prevention","description":"Used perioperatively to reduce the risk of cystoid macular edema after cataract surgery.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Uveitis","description":"Sometimes used as an adjunct to steroids for anterior uveitis.","evidence":"Limited"},{"condition":"Episcleritis","description":"May be used off-label for symptomatic relief of episcleritis.","evidence":"Limited"}]

Primary treatment for: Postoperative ocular inflammation

Also treats: Allergic conjunctivitis, Corneal refractive surgery pain, Cystoid macular edema

📋 Drug Information

Generic Name(s)Ketorolac
Brand NameAcular LS Ophthalmic Solution
ManufacturerAhlcon Parenterals India Limited
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOPHTHAL
Action ClassNSAID's- Non-Selective COX 1&2 Inhibitors (acetic acid)
Route of AdministrationOphthalmic (topical ocular)
StorageStore at room temperature (15-30°C). Protect from light. Do not freeze. Keep the bottle tightly closed when not in use.
Shelf Life24 months from the date of manufacture. Discard 4 weeks after opening.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always wash your hands before and after applying this medicine to prevent contamination.
2
Do not touch the dropper tip to your eye or any surface, as this can introduce bacteria.
3
If you wear soft contact lenses, remove them before application and wait at least 15 minutes before reinserting.
4
Use this medicine exactly as prescribed; do not increase the frequency or duration without consulting your doctor.
5
If you are using other eye drops, wait at least 5 minutes between applications to avoid washing out the medicine.
6
Report any persistent eye pain, redness, or vision changes to your ophthalmologist immediately.
7
Do not use this medicine for more than 2 weeks unless directed by your doctor.
8
Keep the bottle tightly closed and store at room temperature, away from direct sunlight.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Eye pain after surgery
This medicine is commonly prescribed for postoperative eye pain and inflammation.
Likely Use
✅
Itchy, red, watery eyes due to allergy
This medicine can relieve allergic conjunctivitis symptoms.
Likely Use
❌
Dry eyes
This medicine is not a primary treatment for dry eyes and may worsen irritation.
Not Primary
❌
Eye infection with discharge
This medicine is not an antibiotic and should not be used for eye infections unless prescribed.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSystemic absorption of ketorolac after topical ocular administration is minimal but can occur. Detectable plasma levels are generally low and unlikely to cause systemic effects. However, systemic absorption may increase if the corneal epithelium is disrupted or if the medicine is used frequently over a long period.
DistributionKetorolac distributes into ocular tissues, including the cornea, aqueous humor, and iris-ciliary body. It has high protein binding (approximately 99%) and a small volume of distribution. It does not accumulate significantly in ocular tissues after topical use.
Protein BindingKetorolac is approximately 99% bound to plasma proteins, primarily albumin. This high binding can be affected by other highly protein-bound drugs, but clinically significant interactions are rare with topical ocular use.
MetabolismKetorolac is metabolized in the liver primarily via glucuronic acid conjugation and hydroxylation. The metabolites are inactive. Hepatic impairment may prolong the half-life, but topical ocular use is unlikely to be affected significantly.
Half-LifeThe elimination half-life of ketorolac after systemic administration is approximately 5 to 6 hours. After topical ocular use, the half-life in ocular tissues is not well established but is expected to be similar.
ExcretionKetorolac and its metabolites are excreted primarily in the urine (approximately 91%) and feces (approximately 6%). Renal impairment may affect elimination, but topical ocular use is unlikely to require dose adjustment.
BioavailabilitySystemic bioavailability after topical ocular administration is very low, estimated to be less than 5% of an equivalent oral dose. Ocular bioavailability depends on corneal permeability and tear turnover.
Onset of ActionThe onset of anti-inflammatory and analgesic effect is typically within 30 minutes after instillation.
Peak Plasma TimePeak plasma concentrations after topical ocular administration are generally very low and not well defined. For systemic administration, peak plasma time is 0.5 to 1 hour.
Duration of ActionThe duration of action is approximately 4 to 6 hours, requiring dosing up to four times daily.

How It Works

This medicine works by reversibly inhibiting cyclooxygenase (COX) enzymes, primarily COX-1 and COX-2, in the eye. This inhibition blocks the conversion of arachidonic acid into prostaglandin precursors, leading to decreased production of prostaglandins, prostacyclin, and thromboxane. Prostaglandins are key mediators of ocular inflammation, pain, and increased vascular permeability. By reducing their levels, this medicine alleviates redness, swelling, and pain in the eye.

Mechanism Steps

1
Penetration into ocular tissues: After topical instillation, ketorolac penetrates the cornea and reaches the aqueous humor and other ocular tissues.
2
Inhibition of cyclooxygenase: Ketorolac reversibly binds to and inhibits COX-1 and COX-2 enzymes in the eye.
3
Reduced prostaglandin synthesis: This inhibition decreases the production of prostaglandins, which are mediators of inflammation and pain.
4
Decreased inflammatory response: The reduction in prostaglandins leads to less vasodilation, vascular permeability, and pain sensitization.
5
Symptom relief: Patients experience reduced eye redness, swelling, and pain.

💡 How to Take ahlflam eye drop

Strength: Ophthalmic solution, 0.5% w/v (5 mg/mL)

1Wash your hands thoroughly with soap and water.
2Shake the bottle gently before use.
3Tilt your head back and pull down your lower eyelid to form a pouch.
4Hold the dropper above your eye and squeeze one drop into the pouch.
5Close your eye gently and press the inner corner with your finger for 1-2 minutes to prevent drainage.
6Wipe away any excess liquid with a clean tissue.
7Replace the cap tightly and wash your hands again.

Dosage Information

Adult DosageThe usual adult dose is one drop instilled into the affected eye(s) four times daily for up to 2 weeks, or as directed by your ophthalmologist. For postoperative inflammation, dosing may begin 24 hours after surgery. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustment is required for elderly patients. However, elderly patients may be more susceptible to adverse effects. Use with caution and monitor closely.
Renal ImpairmentNo dose adjustment is required for topical ocular use. However, patients with severe renal impairment should use with caution due to potential systemic absorption.
Hepatic ImpairmentNo dose adjustment is required for topical ocular use. However, patients with severe hepatic impairment should use with caution.
Maximum Daily DoseThe maximum recommended daily dose is one drop in the affected eye(s) four times daily. Do not exceed the prescribed frequency.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of ahlflam eye drop

✅ Common Side Effects

Transient stinging or burning (Common (5-10%))
Usually resolves within minutes. If persistent, consult your eye doctor.
Blurred vision (Common (5-10%))
Avoid driving until vision clears. If blurred vision persists, contact your doctor.
Eye redness (Common (5-10%))
May be due to the medicine or underlying condition. Consult if it worsens.
Foreign body sensation (Common (5-10%))
Usually temporary. If it continues, seek medical advice.

🚨 Serious Side Effects

Corneal ulceration (Rare (<0.1%))
Seek immediate medical attention if you experience severe eye pain, persistent redness, or vision loss.
Corneal perforation (Very rare (<0.01%))
This is a medical emergency. Go to the nearest emergency room immediately.
Severe allergic reaction (anaphylaxis) (Very rare (<0.01%))
Seek emergency care if you develop swelling of face, lips, throat, or difficulty breathing.
Increased bleeding tendency (Rare (<0.1%))
Inform your doctor if you notice unusual bleeding or bruising.

⚠️ Rare Side Effects

Delayed wound healing
Report to your ophthalmologist if healing seems slow after surgery.
Ocular hypertension
Regular eye pressure monitoring may be needed.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Other topical NSAIDs Major
Topical corticosteroids Major
Warfarin Moderate
Clopidogrel Moderate
Other eye drops Minor

🚨 Major Interactions

  • Other topical ocular NSAIDs
  • Corticosteroids (topical ocular)

⚡ Moderate Interactions

  • Anticoagulants (e.g., warfarin)
  • Antiplatelet agents (e.g., clopidogrel)

🍷 Alcohol Interaction

No known direct interaction between this medicine and alcohol. However, alcohol may worsen eye dryness or irritation. It is advisable to limit alcohol consumption while using this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to ketorolac or any component of the formulation","Active corneal epithelial herpes simplex infection","Fungal diseases of the eye","Untreated ocular infections","Use in children under 12 years of age (safety not established)","Wearing soft contact lenses during use"]

⚠️ Warnings & Precautions

["For topical ocular use only. Not for injection or oral use.","Do not touch dropper tip to any surface to avoid contamination.","Remove soft contact lenses before use and wait 15 minutes before reinserting.","Avoid driving or operating machinery until vision is clear.","Do not use for longer than prescribed without medical advice.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Keep out of reach of children.","Do not share this medicine with others.","Discard 4 weeks after opening."]

🤱 Lactation Safety

It is not known whether ketorolac is excreted in human milk after topical ocular administration. Systemically administered ketorolac is excreted in breast milk. Caution should be exercised when this medicine is used by a nursing mother. Consult your doctor.

💊 Overdose Management

Overdose with topical ocular ketorolac is unlikely due to the small volume in the bottle. If accidental ingestion occurs, seek medical attention. Symptoms of systemic overdose may include nausea, vomiting, abdominal pain, and drowsiness. There is no specific antidote; treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Use this medicine exactly as prescribed by your ophthalmologist. Do not touch the dropper tip to any surface, including your eye, to avoid contamination. Remove soft contact lenses before application and wait at least 15 minutes before reinserting them. Do not use this medicine while wearing contact lenses if you have an eye infection. Avoid driving or operating heavy machinery until your vision is clear. Do not use this medicine for more than the recommended duration without medical advice. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Keep this medicine out of reach of children. Do not share your eye drops with anyone else. Discard the bottle 4 weeks after opening or as directed on the label.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the side effects of this medicine, including corneal toxicity and delayed wound healing. Use with caution and monitor closely. No specific dose adjustment is required for topical ocular use.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy or are pregnant, consult your doctor before using this medicine. It is classified as FDA Pregnancy Category C. Use only if the potential benefit justifies the potential risk to the fetus.

🏥 Post-Surgery Considerations

This medicine is commonly prescribed after cataract surgery, corneal refractive surgery, and other ocular procedures to reduce inflammation and pain. Use exactly as directed by your surgeon. Do not use for longer than prescribed. Report any unusual symptoms to your surgeon immediately.

🦷 Dental Procedures

No specific considerations for dental procedures. However, if you are taking this medicine and undergoing dental work, inform your dentist about all medications you are using.

💚 Lifestyle Tips for Better Results

🏃
Avoid rubbing your eyes to prevent irritation and infection.
🥗
Wash your hands frequently, especially before touching your eyes or applying eye drops.
😴
Wear sunglasses outdoors to protect your eyes from sunlight and irritants.
💧
Avoid exposure to allergens such as pollen, dust, and pet dander if you have allergic conjunctivitis.
🧘
Follow a healthy diet rich in vitamins A, C, and E to support eye health.
🌞
Get adequate sleep to promote eye healing and overall well-being.
🚭
Use a humidifier in dry environments to prevent eye dryness.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that may cause eye strain or increase eye pressure immediately after eye surgery. Consult your ophthalmologist before resuming exercise routines. Swimming should be avoided until your doctor approves, as water can introduce infection.

🥗 Diet Recommendations

Include foods rich in omega-3 fatty acids, such as fish and flaxseeds, to support eye health.
Eat plenty of fruits and vegetables rich in antioxidants, such as carrots, spinach, and citrus fruits.
Stay well hydrated to maintain tear production.
Limit processed foods and sugary drinks that can promote inflammation.

💼 Impact on Daily Work & Life

This medicine may cause temporary blurred vision or stinging after application. Avoid driving or operating heavy machinery until your vision is clear. If your work involves computer use, take frequent breaks to rest your eyes. Inform your employer if you need accommodations during recovery from eye surgery.

🛑 When to Stop This Medicine

Stop using this medicine after the prescribed duration or as directed by your doctor. If you experience persistent eye pain, redness, or vision changes, stop using it and consult your ophthalmologist immediately. Do not stop abruptly if you are using it for a chronic condition without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine beyond the recommended duration may increase the risk of corneal adverse effects, including corneal ulceration, delayed wound healing, and increased intraocular pressure. It may also mask signs of infection. Regular monitoring by an ophthalmologist is advised if prolonged use is necessary. Do not use for more than 2 weeks without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cold compresses

Applying a cold compress to closed eyes can help reduce swelling and soothe irritation.

Evidence: Well-established
Artificial tears

Lubricating eye drops can provide relief for dry eyes and irritation, but do not treat inflammation.

Evidence: Well-established
Antihistamine eye drops

For allergic conjunctivitis, antihistamine eye drops may be used as an alternative or adjunct.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are scheduled for eye surgery or have an active eye infection, consult your doctor about vaccination timing.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✅ DO

Discard 4 weeks after opening

❌ DON'T

Do not use if the solution is discolored or contains particles

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case customs or security asks for documentation. Store it in your carry-on luggage to avoid extreme temperatures in checked baggage. Keep it away from direct sunlight and heat. If you are traveling across time zones, continue your regular dosing schedule as prescribed; no adjustment is needed for topical eye drops. Ensure you have enough supply for your trip and do not share it with others.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 65-year-old man who underwent cataract surgery
He was prescribed this medicine four times daily after surgery. He noticed significant reduction in eye redness and pain within two days. He was advised to avoid touching the dropper tip and to wash hands before use. He completed the 2-week course without any side effects.
💡 Lesson: Consistent use as prescribed and proper hygiene are key to preventing infection and achieving optimal recovery.
👤 A 30-year-old woman with seasonal allergic conjunctivitis
She experienced itchy, red, and watery eyes every spring. Her doctor prescribed this medicine for short-term relief. She found that using it four times daily reduced her symptoms significantly. She was cautioned not to use it for more than 2 weeks and to avoid contact lenses during use.
💡 Lesson: This medicine provides effective short-term relief for allergic conjunctivitis, but it should not replace avoiding allergens and should be used only as directed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts relieving eye pain and inflammation within 30 minutes after instillation. The full effect may take a few days of regular use.

Q: Can I use this medicine for dry eyes?

A: No, this medicine is not indicated for dry eyes. It is used for inflammation and pain after surgery or due to allergies. Using it for dry eyes may cause irritation.

Q: Is this medicine safe for children?

A: The safety and efficacy of this medicine in children under 12 years of age have not been established. Consult a pediatrician or ophthalmologist for appropriate treatment.

Q: Can I wear contact lenses while using this medicine?

A: No, you should remove soft contact lenses before applying this medicine and wait at least 15 minutes before reinserting them. This medicine should not be used while wearing contact lenses if you have an eye infection.

Q: What should I do if I miss a dose?

A: If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Q: Can I drive after using this medicine?

A: This medicine may cause temporary blurred vision. Avoid driving or operating heavy machinery until your vision is clear.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine for dry eyes?
  • How long does it take to work?
  • Is it safe to use with other eye drops?
  • Can I wear contact lenses while using this medicine?
  • What if I miss a dose?
  • Can I use this medicine after the expiry date?
  • Does it cause blurred vision?
  • Is it safe for long-term use?

🔄 Substitutes for ahlflam eye drop

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a steroid.
    Fact: This medicine is a nonsteroidal anti-inflammatory drug (NSAID), not a steroid.
  • Myth: This medicine can be used for any eye infection.
    Fact: This medicine is not an antibiotic or antiviral. It should not be used for eye infections unless prescribed.
  • Myth: More drops mean faster relief.
    Fact: Using more than prescribed can increase the risk of side effects. Follow your doctor's instructions exactly.

🔄 Alternative Options

Generic Alternatives

  • Ketorolac tromethamine ophthalmic solution 0.5%

Brand Alternatives

  • Acular
  • Acular LS
  • Ketorol
  • Toradol

📊 Comparison with Similar Medicines

[{"medicine":"Ketorolac ophthalmic","class":"NSAID","primary_use":"Postoperative inflammation, allergic conjunctivitis","frequency":"Four times daily"},{"medicine":"Diclofenac ophthalmic","class":"NSAID","primary_use":"Postoperative inflammation","frequency":"Four times daily"},{"medicine":"Bromfenac ophthalmic","class":"NSAID","primary_use":"Postoperative inflammation","frequency":"Once daily"},{"medicine":"Nepafenac ophthalmic","class":"NSAID","primary_use":"Postoperative inflammation","frequency":"Three times daily"}]

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