Ketolac-LD Eye/Ear Drops: Comprehensive 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
- Severe eye pain or sudden vision loss
- Persistent redness or swelling of the eye
- Signs of allergic reaction such as rash, itching, swelling of face, lips, or throat
- Difficulty breathing or wheezing
- Eye discharge or pus
- No improvement after completing the prescribed course
If experiencing severe symptoms, call emergency services immediately.
What is ketolac-ld eye/ear drops used for?
This medicine is a topical NSAID eye/ear drop used to treat pain and inflammation after eye surgery and to relieve allergic eye itching. It works by blocking prostaglandins. Use as prescribed, usually one drop four times daily.
- Generic Name: Ketorolac (NA)
- Manufacturer: Nri Vision Care India Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ketolac-ld eye/ear drops के बारे में (Hindi Summary)
उपयोग: यह दवा कीटोरोलैक ट्रोमेथामाइन युक्त आई/ईयर ड्रॉप्स है, जिसका उपयोग आंख की सर्जरी के बाद दर्द और सूजन कम करने तथा एलर्जी से होने वाली आंख की खुजली में राहत के लिए किया जाता है। यह आंख या कान में डालने के लिए है और इसे मुँह से नहीं लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में डालते समय जलन, आंखों में लालिमा, धुंधली दृष्टि शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन कॉर्निया में अल्सर, सांस लेने में कठिनाई या एलर्जी प्रतिक्रिया हो सकती है। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: उपयोग से पहले और बाद में हाथ धोएं। ड्रॉपर की नोक को आंख या कान या किसी सतह को न छुएं। कॉन्टैक्ट लेंस पहनते हैं तो दवा डालने से पहले निकाल दें और 15 मिनट बाद ही पहनें। दवा डालने के बाद धुंधली दृष्टि हो सकती है, इसलिए वाहन न चलाएं। डॉक्टर की सलाह के बिना दवा का उपयोग लंबे समय तक न करें।
💊 ketolac-ld eye/ear drops Uses & Benefits
[{"condition":"Postoperative ocular inflammation","description":"Reduces pain and inflammation after cataract surgery or other ocular procedures.","evidence":"Well-established"},{"condition":"Allergic conjunctivitis","description":"Relieves itching and redness associated with seasonal allergic conjunctivitis.","evidence":"Well-established"},{"condition":"Otic inflammation","description":"May be used to reduce inflammation in certain ear conditions, though less common.","evidence":"Limited"}]
Off-label uses: [{"condition":"Cystoid macular edema prophylaxis","description":"Sometimes used off-label to prevent cystoid macular edema after cataract surgery.","evidence":"Limited"}]
Primary treatment for: Postoperative ocular inflammation
Also treats: Allergic conjunctivitis, Otic inflammation
📋 Drug Information
| Generic Name(s) | Ketorolac (NA) |
| Brand Name | ketolac-ld eye/ear drops |
| Manufacturer | Nri Vision Care India Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | OPHTHAL |
| Action Class | NSAID's- Non-Selective COX 1&2 Inhibitors (acetic acid) |
| Route of Administration | Ophthalmic and otic (topical) |
| Storage | Store at room temperature (15-30°C). Protect from light and freezing. Keep the bottle tightly closed when not in use. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
Ketorolac tromethamine is a nonsteroidal anti-inflammatory drug that reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), leading to decreased synthesis of prostaglandins, prostacyclin, and thromboxane. In the eye, this reduces prostaglandin-mediated inflammatory responses such as vasodilation, increased vascular permeability, and leukocyte migration, thereby decreasing pain and swelling.
Mechanism Steps
💡 How to Take ketolac-ld eye/ear drops
Strength: Ketorolac tromethamine 0.5% ophthalmic/otic solution
Dosage Information
| Adult Dosage | The usual adult dose is one drop instilled into the affected eye or ear up to four times daily, depending on the condition being treated. For postoperative inflammation, it is typically used four times daily for up to two weeks. For allergic conjunctivitis, one drop four times daily as needed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dosage adjustments are required for elderly patients, but they should be monitored for corneal side effects. |
| Renal Impairment | No dosage adjustment is required for topical ophthalmic use, as systemic absorption is minimal. |
| Hepatic Impairment | No dosage adjustment is required for topical ophthalmic use, as systemic absorption is minimal. |
| Maximum Daily Dose | Not established from the available information. Use as prescribed by your doctor. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ketolac-ld eye/ear drops
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other topical NSAIDs | Major | |
| Topical corticosteroids | Moderate |
🚨 Major Interactions
- Other topical NSAIDs
⚡ Moderate Interactions
- Corticosteroids (topical ocular)
🍷 Alcohol Interaction
No known interaction with alcohol when used topically as directed.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to ketorolac or other NSAIDs","Active corneal epithelial herpes simplex infection","Fungal diseases of the eye","Untreated ocular infections","Use in children under 3 years of age"]
⚠️ Warnings & Precautions
["For topical ophthalmic and otic use only; not for injection or oral use.","Do not use if the solution is cloudy or discolored.","Prolonged use may increase the risk of corneal adverse effects.","Patients with aspirin-sensitive asthma should use with caution.","Remove contact lenses before application and wait 15 minutes before reinserting.","Do not touch the dropper tip to any surface to avoid contamination."]
🤱 Lactation Safety
It is not known whether ketorolac is excreted in human milk after topical ocular use. Systemically, ketorolac is excreted in breast milk. Caution is advised when used by breastfeeding mothers.
💊 Overdose Management
Overdose is unlikely due to the topical route. If accidental ingestion occurs, seek medical attention. Symptoms of systemic NSAID overdose may include nausea, vomiting, and abdominal pain.
⏰ 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.
Additional Safety Advice
Wash your hands thoroughly before and after applying this medicine. Do not touch the dropper tip to your eye, ear, or any surface to avoid contamination. If you wear contact lenses, remove them before application and wait at least 15 minutes before reinserting. Do not use this medicine for longer than prescribed, as prolonged use may increase the risk of corneal problems. Avoid driving or operating machinery if your vision is temporarily blurred after application. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine if the solution changes color or contains particles.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to corneal side effects. Use with caution and monitor for any signs of eye irritation or vision changes.
🤰 Pregnancy Planning (TTC)
Consult your doctor before using this medicine if you are pregnant or planning to become pregnant. Topical use is generally considered low risk, but systemic absorption may occur.
🏥 Post-Surgery Considerations
This medicine is often prescribed after eye surgery to reduce inflammation and pain. Use exactly as directed by your surgeon and attend all follow-up appointments.
🦷 Dental Procedures
No specific precautions for dental procedures. Inform your dentist if you are using this medicine.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may increase eye pressure immediately after eye surgery. Consult your doctor before resuming exercise routines.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause temporary blurred vision after application. Avoid driving or operating heavy machinery until your vision is clear. Most people can resume normal activities shortly after instillation.
🛑 When to Stop This Medicine
Stop using this medicine if you experience severe eye pain, persistent redness, or any signs of allergic reaction. Do not stop abruptly without consulting your doctor if you are using it for postoperative care.
📅 Long-Term Use Effects
Prolonged use of this medicine may increase the risk of corneal epithelial defects, corneal ulceration, and delayed healing. It is generally recommended for short-term use only. Regular ophthalmologic monitoring is advised if extended use is necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help reduce eye swelling and discomfort.
Evidence: Well-establishedMay soothe eye irritation but do not treat inflammation.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. Continue routine vaccinations as scheduled.
📦 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
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case of customs checks. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, continue your regular dosing schedule as prescribed; no adjustment is needed for topical eye drops. Keep the bottle upright to prevent leakage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Relief from pain and inflammation typically begins within 30 minutes after application.
A: It may be prescribed for certain ear conditions, but only under medical supervision. Do not self-medicate.
A: Yes, but wait at least 5 minutes between different eye drops to prevent washing out the previous medicine.
🤔 Common Patient Concerns
🔄 Substitutes for ketolac-ld eye/ear drops
View AllAlternative brands with exact same active ingredient:
-
oculac eye dropManeesh Pharmaceuticals Ltd ₹29.06 51.6% CHEAPER
-
ket eye dropRisen Pharmaceuticals ₹34.78 42% CHEAPER
-
ket plus eye dropRisen Pharmaceuticals ₹55.56 7.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for any eye redness.
Fact: It is specifically for inflammation and allergic conjunctivitis, not for all types of red eye. - Myth: It is safe to use for months.
Fact: Prolonged use can cause corneal problems; it is usually prescribed for short-term use.
🔄 Alternative Options
Generic Alternatives
- Ketorolac tromethamine ophthalmic solution