Gatilox Plus Eye Drop: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden decrease in vision or loss of vision
- Severe eye pain that does not improve with the drops
- Swelling of the face, lips, or throat, or difficulty breathing
- Signs of a severe allergic reaction such as a widespread rash or hives
- Eye symptoms that get worse instead of better after 2 to 3 days of treatment
- Development of new eye symptoms such as floaters, flashes, or a curtain over your vision
- Severe headache with eye pain and nausea
If experiencing severe symptoms, call emergency services immediately.
What is ketogate eye drop bak free used for?
This medicine is a prescription eye drop that combines an antibiotic (gatifloxacin) and an anti-inflammatory medicine (ketorolac). It is used to treat bacterial eye infections with pain and swelling, and to prevent infection after eye surgery. It is for ophthalmic use only and should be used exactly as prescribed.
- Generic Name: Gatifloxacin (0.3% w/v) + Ketorolac (0.4% w/v)
- Manufacturer: Ajanta Pharma Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ketogate eye drop bak free के बारे में (Hindi Summary)
उपयोग: यह दवा आंखों की बैक्टीरियल संक्रमण और सूजन के इलाज के लिए इस्तेमाल की जाती है। इसमें गैटीफ्लोक्सासिन नाम का एंटीबायोटिक और कीटोरोलैक नाम की सूजन कम करने वाली दवा होती है। यह आंखों की लालिमा, दर्द, सूजन और कीचड़ को कम करने में मदद करती है। यह आंखों की सर्जरी के बाद संक्रमण और सूजन को रोकने के लिए भी दी जाती है। यह दवा सिर्फ आंखों में डालने के लिए है, इसे मुंह से नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में आंखों में जलन, चुभन, धुंधला दिखना, मुंह में कड़वा स्वाद और आंखों में खुजली शामिल हैं। ये आमतौर पर कुछ मिनटों में ठीक हो जाते हैं। कभी-कभी गंभीर एलर्जी, आंखों में तेज दर्द, सूजन या दृष्टि में अचानक कमी हो सकती है। अगर ऐसा हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर के बताए अनुसार ही करें। आंखों में डालने से पहले और बाद में हाथ धोएं। ड्रॉपर की नोक को आंख या किसी सतह से न छुएं। कॉन्टैक्ट लेंस पहनने से पहले डॉक्टर से पूछें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। दवा को बच्चों से दूर रखें। दवा का कोर्स पूरा करें, बीच में न छोड़ें।
💊 ketogate eye drop bak free Uses & Benefits
- [{"condition":"Bacterial conjunctivitis","description":"This medicine is used to treat bacterial infection of the conjunctiva, the clear membrane covering the white part of the eye and the inner eyelid.
- The antibiotic component kills the bacteria while the anti-inflammatory component reduces redness, pain, and inflammation" class="semantic-link" title="Medicines for swelling">swelling.","evidence":"Well-established"},{"condition":"Blepharitis","description":"This medicine helps treat bacterial infection and inflammation of the eyelids, reducing crusting, redness, and discomfort.","evidence":"Well-established"},{"condition":"Bacterial keratitis","description":"This medicine is used for bacterial infection of the cornea, helping to clear the infection and control the inflammatory response that can damage vision.","evidence":"Well-established"},{"condition":"Postoperative eye inflammation and infection prevention","description":"After cataract or other eye surgery, this medicine is often prescribed to prevent bacterial infection and to reduce postoperative pain, swelling, and inflammation.","evidence":"Well-established"},{"condition":"Traumatic eye injury with infection risk","description":"This medicine may be used after a minor eye injury to prevent bacterial infection and reduce inflammation, as directed by an eye specialist.","evidence":"Limited"}]
Off-label uses: [{"condition":"Allergic conjunctivitis with secondary bacterial infection","description":"Sometimes prescribed when allergic eye inflammation is complicated by a bacterial infection, but this is not a standard approved use.","evidence":"Limited"},{"condition":"Ocular rosacea with bacterial involvement","description":"May be used off-label to control bacterial infection and inflammation in ocular rosacea, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Bacterial eye infections with inflammation
Also treats: Bacterial conjunctivitis, Blepharitis, Bacterial keratitis, Postoperative eye inflammation
📋 Drug Information
| Generic Name(s) | Gatifloxacin (0.3% w/v) + Ketorolac (0.4% w/v) |
| Brand Name | ketogate eye drop bak free |
| Manufacturer | Ajanta Pharma Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | OPHTHAL |
| Action Class | |
| Route of Administration | Ophthalmic |
| Storage | Store at room temperature between 15°C and 30°C. Protect from light and moisture. Keep the bottle tightly closed when not in use. Do not freeze. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. After opening, use within 4 weeks unless otherwise directed by the manufacturer. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Gatifloxacin, a fluoroquinolone antibiotic, inhibits bacterial DNA gyrase and topoisomerase IV, enzymes that are essential for bacterial DNA replication, repair, and transcription. This leads to bacterial cell death. Ketorolac, a nonsteroidal anti-inflammatory drug, reversibly inhibits cyclooxygenase enzymes COX-1 and COX-2, which reduces the production of prostaglandins. Prostaglandins are chemicals that cause pain, redness, and swelling in the eye. By blocking prostaglandin synthesis, ketorolac provides rapid relief from ocular pain and inflammation. Together, the two ingredients treat both the bacterial infection and the inflammatory response that often accompanies it.
Mechanism Steps
💡 How to Take ketogate eye drop bak free
Strength: Ophthalmic solution containing gatifloxacin 0.3% w/v and ketorolac 0.4% w/v.
Dosage Information
| Adult Dosage | The usual adult dose is one drop in the affected eye four times a day for 7 to 10 days, or as prescribed by your eye doctor. For severe infections, your doctor may recommend one drop every 2 hours for the first 1 to 2 days, then four times a day. The exact dose and duration depend on the type and severity of the infection, your response to treatment, and your overall health. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not use more or less than prescribed. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician or eye specialist for children. |
| Elderly Dosage | Elderly patients can usually use the same adult dose. However, because older adults may have more eye dryness or other eye conditions, your doctor may adjust the frequency or duration. Close monitoring is advised. |
| Renal Impairment | No dose adjustment is usually needed for ophthalmic use because systemic absorption is very low. If you have severe kidney disease, inform your doctor before using this medicine. |
| Hepatic Impairment | No dose adjustment is usually needed for ophthalmic use because systemic absorption is very low. If you have severe liver disease, inform your doctor before using this medicine. |
| Maximum Daily Dose | The maximum recommended daily dose is one drop in the affected eye four times a day, unless your doctor prescribes a different schedule. Do not exceed the prescribed frequency. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ketogate eye drop bak free
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Other NSAIDs | Major | |
| Corticosteroid eye drops | Major | |
| Other antibiotic eye drops | Moderate | |
| Contact lens solutions | Moderate | |
| Antiglaucoma eye drops | Moderate | |
| Artificial tears | Minor | |
| Herbal eye preparations | Minor |
🚨 Major Interactions
- Other NSAIDs (oral or topical)
- Oral anticoagulants (e.g., warfarin)
- Corticosteroids (ophthalmic)
⚡ Moderate Interactions
- Other antibiotic eye drops
- Contact lens solutions
- Antiglaucoma eye drops
🍷 Alcohol Interaction
Alcohol does not directly interact with this eye drop because systemic absorption is very low. However, alcohol can cause dehydration and may worsen eye dryness or irritation. It is best to avoid excessive alcohol while you have an eye infection.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Allergy to gatifloxacin, ketorolac, other fluoroquinolones, or other NSAIDs","History of asthma, nasal polyps, or aspirin sensitivity","Viral, fungal, or mycobacterial eye infections","Use in children below one year of age","Use during pregnancy unless clearly needed","Use while wearing contact lenses unless approved by your doctor"]
⚠️ Warnings & Precautions
["For ophthalmic use only. Do not inject or swallow.","Do not touch the dropper tip to any surface to avoid contamination.","Prolonged use may lead to antibiotic resistance and secondary infections.","Stop use and consult a doctor if you develop a rash, itching, or swelling of the face, lips, or throat.","Do not use this medicine for more than the prescribed duration.","Remove contact lenses before use and wait 15 minutes before reinserting.","If you have a history of glaucoma, inform your doctor before use.","Do not drive or operate machinery if your vision is blurred after using the drops."]
🤱 Lactation Safety
It is not known whether gatifloxacin or ketorolac pass into breast milk in significant amounts after ophthalmic use. Because systemic absorption is very low, the risk to a nursing infant is likely to be small. However, consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with this eye drop is unlikely because it is applied topically. If you accidentally swallow the solution, rinse your mouth with water and drink plenty of fluids. Contact a poison control center or go to the nearest emergency room if you feel unwell. If you apply too many drops in the eye, rinse the eye with clean water and contact your doctor if you notice any unusual symptoms.
⏰ 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 make up for a missed one.
Additional Safety Advice
Use this medicine exactly as your eye doctor prescribes. Do not use it for longer than the recommended period because unnecessary use can cause antibiotic resistance and may harm the eye surface. Wash your hands thoroughly before and after each dose. Do not let the dropper tip touch your eye, eyelid, or any other surface, as this can contaminate the solution. If you wear contact lenses, remove them before using this medicine and wait at least 15 minutes before putting them back, unless your doctor tells you otherwise. Do not use this medicine if you are allergic to gatifloxacin, ketorolac, other fluoroquinolones, or other NSAIDs. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not drive or operate heavy machinery if your vision is blurred after using the drops. Keep this medicine out of the reach of children. Do not share your eye drops with anyone else, even if they have the same symptoms. If your symptoms do not improve within a few days or if they get worse, contact your doctor right away.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more prone to eye dryness and corneal problems. Use this medicine with caution and report any new eye symptoms to your doctor promptly. The usual adult dose is generally appropriate, but your doctor may adjust the frequency based on your eye condition and overall health.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. Ketorolac may affect pregnancy, especially in the later stages. Your doctor will weigh the benefits and risks and may recommend an alternative treatment if needed.
🏥 Post-Surgery Considerations
This medicine is often prescribed after eye surgery to prevent bacterial infection and reduce postoperative inflammation. Use it exactly as directed by your surgeon. Do not stop early, and attend all follow-up appointments. If you notice increased pain, redness, or vision changes after surgery, contact your surgeon immediately.
🦷 Dental Procedures
There are no specific restrictions for dental procedures while using this medicine. However, inform your dentist about all medicines you are taking. If you are scheduled for dental surgery, your dentist may ask you to continue or temporarily stop the drops based on your overall health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue light exercise while using this medicine, but avoid swimming or water sports until the infection clears to prevent spreading the infection and exposing your eyes to chlorine or bacteria. If your vision is blurred after using the drops, avoid activities that require clear vision, such as cycling or lifting heavy weights. Always wash your hands before and after exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause temporary blurred vision right after application. Wait until your vision clears before driving, operating machinery, or doing tasks that require clear sight. You can continue most daily activities, but avoid touching your eyes and sharing personal items. If you work in a dusty or dirty environment, wear protective eyewear to prevent further irritation. Inform your employer if you need to take breaks to apply the drops.
🛑 When to Stop This Medicine
Stop using this medicine only after completing the full course prescribed by your doctor, even if your symptoms improve. If you experience a serious allergic reaction, severe eye pain, or sudden vision changes, stop the drops immediately and seek medical help. Do not stop the medicine early without consulting your doctor, as this can lead to recurrence of infection and antibiotic resistance.
📅 Long-Term Use Effects
Long-term use of this medicine beyond the prescribed duration can lead to antibiotic resistance, secondary fungal or viral eye infections, and corneal problems such as thinning or delayed healing. It may also increase the risk of eye irritation and allergic reactions. Regular eye examinations are recommended if prolonged use is necessary. Always follow your doctor's instructions and do not use this medicine for longer than prescribed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Applying a clean, warm compress to the affected eye can help relieve discomfort and loosen crusts in blepharitis or conjunctivitis.
Evidence: Well-establishedGentle cleaning of the eyelids with a mild shampoo or commercial lid scrub can help control blepharitis.
Evidence: Well-establishedLubricating eye drops can help relieve dryness and irritation, but they do not treat infection.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations while using this eye drop, but inform your doctor about all medicines you are taking.
📦 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
Keep the bottle tightly closed when not in use
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Keep a copy of your prescription with you in case you need to show it at customs or to a doctor. Store the bottle at room temperature and protect it from extreme heat or cold. If you are flying, keep it in your carry-on bag so it is easily accessible. Do not leave it in a hot car or in direct sunlight. If you are crossing time zones, continue using the drops at the same intervals as prescribed, but you may adjust the timing gradually to fit your new schedule. Always wash your hands before using the drops, even while traveling.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling relief from pain and swelling within 30 minutes to a few hours after using the drops. However, the infection itself may take 24 to 48 hours to show noticeable improvement. Complete the full course as prescribed.
A: No. This medicine contains an antibiotic and an anti-inflammatory drug. It should only be used for bacterial eye infections with inflammation, as prescribed by your doctor. Using it for other types of red eyes can be harmful.
A: This medicine is generally not recommended for children below one year of age. For older children, consult a pediatrician or eye specialist for proper dosing and safety.
A: You should remove contact lenses before using this medicine and wait at least 15 minutes before putting them back, unless your doctor advises otherwise. Contact lenses can trap the medicine and may worsen irritation.
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.
🤔 Common Patient Concerns
🔄 Substitutes for ketogate eye drop bak free
View AllAlternative brands with exact same active ingredient:
-
gatilox plus eye dropSun Pharmaceutical Industries Ltd ₹100.31 44% CHEAPER
-
ketogate eye dropAjanta Pharma Ltd ₹153.00 14.6% CHEAPER
-
ketomar ophthalmic solutionAllergan India Pvt Ltd ₹207.07 15.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for any red eye.
Fact: This medicine is only for bacterial eye infections with inflammation. Using it for viral or allergic red eyes can be harmful and may cause resistance. - Myth: I can stop using the drops as soon as my eye feels better.
Fact: You must complete the full course prescribed by your doctor to fully clear the infection and prevent it from coming back. - Myth: More drops will make my eye heal faster.
Fact: Using more drops than prescribed can increase side effects and does not speed up healing. Follow your doctor's instructions exactly. - Myth: This medicine is safe to share with family members.
Fact: Never share eye drops. This can spread infection and cause serious eye problems.
🔄 Alternative Options
Generic Alternatives
- Gatifloxacin 0.3% w/v and ketorolac 0.4% w/v ophthalmic solution (generic versions may be available)
Brand Alternatives
- Gatilox Plus Eye Drop