nax-mox kt eye drop - Ketorolac (0.5% w/v) + Moxifloxacin (0.5% w/w) medicine

Nax-mox Kt Eye Drop: Complete Medicine Guide

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🏭 Torainse Life Care Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 31, 2026
🤰 Pregnancy Category Not established from the available information. Consult your doctor if you are pregnant or planning to become pregnant. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 31, 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 go away
  • Sudden vision loss or severe blurred vision
  • Swelling of face, lips, or throat
  • Difficulty breathing or swallowing
  • Signs of eye infection worsening (increased redness, discharge, pain)
  • Eye injury or foreign body in the eye
  • Severe headache with nausea and vomiting

If experiencing severe symptoms, call emergency services immediately.

What is nax-mox kt eye drop used for?

This medicine is a combination eye drop containing ketorolac (an anti-inflammatory) and moxifloxacin (an antibiotic). It is used to treat eye inflammation and bacterial infection after surgery or injury. It is for ophthalmic use only.

  • Generic Name: Ketorolac (0.5% w/v) + Moxifloxacin (0.5% w/w)
  • Manufacturer: Torainse Life Care Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nax-mox kt eye drop के बारे में (Hindi Summary)

उपयोग: यह दवा आंखों की सूजन और बैक्टीरियल संक्रमण के इलाज के लिए इस्तेमाल की जाती है। इसमें कीटोरोलैक और मॉक्सीफ्लोक्सासिन दो दवाएं होती हैं। कीटोरोलैक दर्द और सूजन कम करता है, जबकि मॉक्सीफ्लोक्सासिन बैक्टीरिया को मारता है। यह आंखों की सर्जरी के बाद, आंख में चोट लगने पर, या बैक्टीरियल कंजंक्टिवाइटिस में दी जाती है। इसका इस्तेमाल डॉक्टर के बताए अनुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में आंख में जलन, लालिमा, धुंधला दिखना और आंख में कुछ महसूस होना शामिल है। ये आमतौर पर कुछ मिनटों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आंख में तेज दर्द, सूजन, या एलर्जी के लक्षण जैसे चकत्ते, खुजली, सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर के निर्देशानुसार ही करें। ड्रॉप डालने से पहले और बाद में हाथ धोएं। ड्रॉपर की नोक को आंख या किसी सतह से न छुएं। अगर आप कॉन्टैक्ट लेंस पहनते हैं, तो ड्रॉप डालने से पहले उन्हें निकाल लें और 10 मिनट बाद ही वापस लगाएं। धुंधला दिखने पर वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 nax-mox kt eye drop Uses & Benefits

[{"condition":"Post-operative ocular inflammation and infection prophylaxis","description":"Used after cataract surgery, LASIK, or other eye surgeries to reduce inflammation and prevent bacterial infection.","evidence":"Well-established"},{"condition":"Corneal abrasion with suspected bacterial infection","description":"Helps relieve pain and inflammation from corneal scratches while preventing or treating bacterial infection.","evidence":"Well-established"},{"condition":"Bacterial conjunctivitis with significant inflammation","description":"Treats bacterial pink eye and reduces associated pain and swelling.","evidence":"Well-established"},{"condition":"Traumatic eye injury with inflammation","description":"Reduces pain and swelling after minor eye trauma and prevents infection.","evidence":"Limited"}]

Off-label uses: [{"condition":"Allergic conjunctivitis with secondary infection","description":"Sometimes used when allergic inflammation is complicated by bacterial infection.","evidence":"Limited"},{"condition":"Blepharitis with inflammation","description":"May be used to reduce eyelid inflammation and treat bacterial involvement.","evidence":"Limited"}]

Primary treatment for: Ocular inflammation and bacterial infection

Also treats: Post-operative eye inflammation, Bacterial conjunctivitis, Corneal abrasion

📋 Drug Information

Generic Name(s)Ketorolac (0.5% w/v) + Moxifloxacin (0.5% w/w)
Brand Namenax-mox kt eye drop
ManufacturerTorainse Life Care Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOPHTHAL
Action Class
Route of AdministrationOphthalmic
StorageStore at room temperature (15-30°C). Protect from light and moisture. Keep the bottle tightly closed when not in use. Do not freeze.
Shelf Life24 months from the date of manufacture. Discard 4 weeks after opening the bottle.
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 the eye drops.
2
Do not touch the dropper tip to your eye or any surface to avoid contamination.
3
If you use other eye drops, wait at least 5-10 minutes between applications.
4
Remove contact lenses before use and wait 10 minutes before reinserting them.
5
Do not use this medicine for longer than prescribed to prevent antibiotic resistance.
6
If symptoms do not improve within 3-5 days, consult your eye doctor.
7
Report any severe eye pain, vision loss, or allergic reaction immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Eye pain and redness
This medicine is commonly prescribed for these symptoms.
Likely Use
✅
Blurred vision
May be due to inflammation or infection; this medicine can help.
Likely Use
❌
Dry eyes
This medicine is not a lubricant and is not for dry eyes.
Not Primary
❌
Itchy eyes without infection
This medicine is not for allergic itching alone.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionKetorolac and moxifloxacin are absorbed into the eye tissues after topical application. Systemic absorption is minimal but can occur, especially if the tear ducts are not compressed after instillation.
DistributionBoth drugs distribute into the cornea, aqueous humor, and other eye tissues. Moxifloxacin has good penetration into the anterior chamber. Systemic distribution is limited.
Protein BindingKetorolac is highly protein-bound (approximately 99%). Moxifloxacin is about 30-50% protein-bound.
MetabolismKetorolac is metabolized in the liver primarily by conjugation. Moxifloxacin is metabolized in the liver via glucuronide and sulfate conjugation.
Half-LifeThe elimination half-life of ketorolac is about 5-6 hours. Moxifloxacin has a half-life of about 12 hours.
ExcretionKetorolac is excreted mainly in urine (about 90%) and feces. Moxifloxacin is excreted in urine and feces, partly unchanged.
BioavailabilitySystemic bioavailability after topical eye application is low but not zero. Ocular bioavailability depends on corneal penetration.
Onset of ActionPain relief from ketorolac may begin within 30 minutes. Antibacterial action of moxifloxacin starts within hours.
Peak Plasma TimePeak plasma concentrations after eye drop administration are typically low and reached within 1-2 hours.
Duration of ActionAnti-inflammatory effects last 4-6 hours, so dosing is usually 4 times daily. Antibacterial effect persists between doses.

How It Works

This medicine works through two complementary mechanisms. Ketorolac blocks cyclooxygenase enzymes, which are needed to make prostaglandins that cause pain and inflammation. By blocking these enzymes, ketorolac reduces pain, swelling, and redness in the eye. Moxifloxacin stops bacteria from copying their DNA by blocking two essential enzymes called DNA gyrase and topoisomerase IV. Without these enzymes, bacteria cannot survive or multiply, so the infection is cleared. Together, they provide rapid symptom relief and antibacterial action.

Mechanism Steps

1
Ketorolac inhibits cyclooxygenase: Ketorolac binds to and blocks cyclooxygenase enzymes in the eye, preventing the formation of prostaglandins that cause pain and inflammation.
2
Reduced prostaglandin synthesis: With less prostaglandin production, blood vessels in the eye do not dilate as much, and pain nerve endings are less sensitized, leading to less redness and discomfort.
3
Moxifloxacin enters bacteria: Moxifloxacin penetrates bacterial cells and binds to DNA gyrase and topoisomerase IV, enzymes that are essential for bacterial DNA replication and repair.
4
Bacterial DNA replication stops: When these enzymes are blocked, bacteria cannot copy their DNA or divide, which stops the infection from spreading.
5
Bacterial cell death: The inability to replicate DNA leads to bacterial cell death, clearing the infection and allowing the eye to heal.

💡 How to Take nax-mox kt eye drop

Strength: Ketorolac 0.5% w/v + Moxifloxacin 0.5% w/w ophthalmic solution

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 small pocket.
4Look up and squeeze one drop into the pocket. Avoid touching the dropper tip to your eye.
5Close your eye gently and press the inner corner of your eye with your finger for 1-2 minutes to prevent the drop from draining into your throat.
6Repeat in the other eye if prescribed.
7Replace the cap tightly and wash your hands again.

Dosage Information

Adult DosageThe usual adult dose is one drop in the affected eye(s) four times daily, or as directed by your eye doctor. The frequency and duration depend on the condition being treated. For post-operative use, it is typically started before surgery and continued for 1-2 weeks after. 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 or eye specialist.
Elderly DosageNo specific dose adjustment is required for elderly patients. However, they may be more susceptible to side effects. Use with caution and monitor closely.
Renal ImpairmentNo dose adjustment is typically needed for ophthalmic use. However, if you have severe kidney disease, consult your doctor before use.
Hepatic ImpairmentNo dose adjustment is typically needed for ophthalmic use. However, if you have severe liver disease, consult your doctor before use.
Maximum Daily DoseThe maximum recommended 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 nax-mox kt eye drop

✅ Common Side Effects

Transient stinging or burning (Common (5-10%))
This usually goes away within a few minutes. If it persists, consult your eye doctor.
Eye redness (Common (5-10%))
May be due to the medicine or the underlying condition. If it worsens, seek medical advice.
Blurred vision (Common (5-10%))
Wait until vision clears before driving or operating machinery. If blurred vision persists, contact your doctor.
Foreign body sensation (Common (5-10%))
Usually temporary. If it continues, consult your eye doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or difficulty breathing.
Corneal damage or ulceration (Rare (<0.1%))
Stop using the drops and see an eye doctor immediately if you have severe eye pain, tearing, or vision loss.
Secondary eye infection (Rare (<0.1%))
If symptoms worsen or new symptoms appear, consult your eye doctor. Prolonged antibiotic use can lead to fungal or resistant bacterial infections.

⚠️ Rare Side Effects

Corneal perforation
Seek immediate ophthalmologic care.
Tendon rupture
Report any tendon pain or swelling to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Other eye drops Moderate
Corticosteroid eye drops Moderate

🚨 Major Interactions

  • Other NSAIDs (oral or topical)
  • Oral anticoagulants (e.g., warfarin)

⚡ Moderate Interactions

  • Other eye drops
  • Corticosteroid eye drops

🍷 Alcohol Interaction

No specific interaction is established between this eye drop and alcohol. However, alcohol may worsen inflammation and delay healing. It is advisable to limit alcohol while recovering from an eye condition.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to ketorolac, moxifloxacin, or any component of the formulation","History of allergic reaction to quinolone antibiotics","Active viral, fungal, or mycobacterial eye infection","Use in children under 2 years of age (safety not established)"]

⚠️ Warnings & Precautions

["For ophthalmic use only. Do not inject or swallow.","Do not touch dropper tip to any surface to avoid contamination.","Remove contact lenses before use and wait 10 minutes before reinserting.","Prolonged use may lead to bacterial or fungal overgrowth.","May cause temporary blurred vision; avoid driving until vision clears.","Consult doctor if symptoms worsen or do not improve within a few days.","Use with caution in patients with kidney disease, liver disease, or bleeding disorders."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose with this eye drop is unlikely due to low systemic absorption. If accidentally swallowed, drink plenty of water and contact a poison control center or doctor. If excessive eye exposure occurs, rinse eyes with warm water and seek medical advice if irritation persists.

⏰ 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 eye doctor. Wash your hands before and after putting in the drops. Do not touch the dropper tip to your eye or any surface to avoid contamination. If you wear contact lenses, remove them before using the drops and wait at least 10 minutes before putting them back in, unless your doctor says otherwise. Do not use this medicine for longer than prescribed, as prolonged use can increase the risk of side effects and antibiotic resistance. Avoid driving or operating machinery if your vision is blurred after using the drops. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Keep this medicine out of reach of children. Do not share this medicine with anyone else, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine. Use with caution and monitor for side effects. Ensure proper technique for administering eye drops, as arthritis or vision problems may make it difficult.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this combination in pregnancy is not well established.

🏥 Post-Surgery Considerations

This medicine is commonly prescribed after eye surgery to reduce inflammation and prevent infection. Use exactly as directed by your surgeon. Do not stop early. Attend all follow-up appointments.

🦷 Dental Procedures

No specific precautions for dental procedures. However, inform your dentist if you are using this medicine, especially if you have a bleeding disorder.

💚 Lifestyle Tips for Better Results

🏃
Avoid rubbing your eyes to prevent irritation and infection.
🥗
Maintain good hand hygiene, especially before touching your eyes.
😴
Follow your doctor's advice for post-operative care if you had eye surgery.
💧
Avoid sharing towels or pillowcases if you have an eye infection.
🧘
Wear sunglasses to protect your eyes from bright light and irritants.
🌞
Get adequate rest to support healing.

🏋️ Exercise Considerations

Avoid swimming or contact sports while using this medicine, especially if you have an eye infection or after eye surgery. Consult your doctor before resuming exercise.

🥗 Diet Recommendations

Eat a balanced diet rich in vitamins A, C, and E to support eye health.
Stay hydrated to maintain good tear production.
Include omega-3 fatty acids from fish or flaxseed to reduce inflammation.
Limit processed foods and sugar, which can worsen inflammation.

💼 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. If you work in a dusty environment, wear protective eyewear. 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 prescribed course or as directed by your doctor. Do not stop early, as this may allow the infection to return. If you experience severe side effects, stop and consult your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended. Prolonged use of antibiotics can lead to antibiotic resistance and secondary infections. Long-term use of NSAIDs may increase the risk of corneal problems. Use only for the prescribed duration and follow up with your eye doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Warm compresses

Can help relieve eye discomfort and reduce swelling.

Evidence: Well-established
Artificial tears

Can provide symptomatic relief for dryness, but do not treat infection.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interaction with vaccines is established. However, if you have an active eye infection, consult your doctor before receiving any vaccine.

📦 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 after expiry date

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label. Keep a copy of your prescription with you. Store at room temperature and protect from light. If traveling by air, keep it in your carry-on luggage. For international travel, check customs regulations regarding prescription medicines. If you need to use it during travel, maintain your regular schedule as much as possible.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 60-year-old man after cataract surgery
He was prescribed this eye drop four times daily after cataract surgery. He noticed significant reduction in redness and pain within two days. He emphasized the importance of not touching the dropper tip and washing hands before use.
💡 Lesson: Proper technique and adherence to the prescribed frequency are key to preventing infection and reducing inflammation after surgery.
👤 A 35-year-old woman with bacterial conjunctivitis
She had severe eye redness, pain, and discharge. Her doctor prescribed this eye drop. She experienced mild stinging initially but it subsided. Her symptoms improved within three days, and she completed the full course as advised.
💡 Lesson: Completing the full course of antibiotic eye drops is essential to fully clear the infection and prevent recurrence.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may feel relief from pain and inflammation within 30 minutes. The antibacterial effect starts within hours. Full improvement may take a few days.

Q: Can I use this eye drop for dry eyes?

A: No, this medicine is not for dry eyes. It is for inflammation and bacterial 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: Is it safe during pregnancy?

A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this eye drop if I have glaucoma?
  • Is it safe to use with other eye drops?
  • Can I use this eye drop while wearing contact lenses?
  • What if I accidentally swallow the eye drop?
  • How long can I use this eye drop?
  • Does it cause blurred vision?

🛑 Myths vs. Facts

  • Myth: This eye drop can be used for any eye infection.
    Fact: It is only for bacterial infections and should not be used for viral or fungal eye infections.
  • Myth: It is safe to use for long periods.
    Fact: Prolonged use can lead to antibiotic resistance and secondary infections.

🔄 Alternative Options

Generic Alternatives

  • Ketorolac + Moxifloxacin ophthalmic solution (generic)

Brand Alternatives

  • Nax-Mox KT Eye Drop

📊 Comparison with Similar Medicines

[{"medicine":"Moxifloxacin alone","difference":"Lacks anti-inflammatory action."},{"medicine":"Ketorolac alone","difference":"Lacks antibacterial action."}]

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