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Acuvail (Ketorolac Tromethamine) and/or alternatives

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  1. Buy Acuvail

    Acuvail 0.45%

    Manufactured by: Allergan Inc.

    Product of Canada. Shipped from Canada

    RxPrescription Required

Generic OptionsWhat is a Generic?

No Generic Alternative.

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General Information On Acuvail

Acuvail is an ophthalmic solution used for reducing swelling, burning, and pain in the eyes after a cataract surgery. Ketorolac tromethamine is a non-steroidal anti-inflammatory drug or NSAID, which works by inhibiting the hormones that are responsible for causing inflammation in the body. You can buy Acuvail in the form of a single use vial. The drug has to be applied directly in the affected eye's.

Side Effects for Acuvail

Some common side effects associated with Acuvail include mild burning, itching, or stinging in the eyes, puffy or swollen eyelids, and headache. Most of these symptoms get better on their own, but if any of them persist or worsen, you need to stop using the medicine and contact your doctor. If you experience severe and uncontrollable burning, itching or stinging in the eyes, or notice severe redness in the eyes, white patches on the eyes, vision changes, watering or drainage from the eyes, or increased sensitivity to light, your doctor will recommend you to stop using the medicine or reduce its frequency or dosage.


Before your doctor recommends you to buy Acuvail, you will need to tell him or her if you are allergic to ketorolac, aspirin, or NSAIDs like celecoxib or ibuprofen. You should also consult your doctor if you have a history of asthma, bleeding problems, other eye related problems like cornea problems or dry eye syndrome, diabetes, nasal polyps, rheumatoid arthritis, or have recently undergone an eye surgery. As your vision can get unstable for a few minutes after using Acuvail, you should not drive a vehicle, operate a machine, or do any such activity that requires you to have clear vision. If you have developed a new eye injury or infection, then you should consult your doctor about whether you should continue using Acuvail or not. The medicine can be safely used during the first 2 trimesters of pregnancy, but avoid using it during the last trimester, as it may cause harm to the unborn baby.

Acuvail Dosage

Acuvail contains ketorolac tromethamine solution and 4.5mg per ml of the drug and has to be applied twice a day in the affected eye. You will need to start using the medicine one day before the cataract surgery, use it on the day of surgery too, and use it again for 2 weeks after your surgery. Keep the vials in a protective pouch and store them at 15º to 30º C. The pouch should be closed with the ends folded and must be kept away from light.


Do not use Acuvail with blood thinners like warfarin or coumadin, NSAIDs like ibuprofen, and anti-platelet drugs like clopidogrel. When used in combination with Acuvail, these drugs may cause unwanted bruising and bleeding. Aspirin can also increase risks of bleeding, but your doctor may recommend you to take low-dose aspirin to prevent strokes or heart attacks. If your doctor has advised you to do so, then you can continue using both the medicines together, but only as prescribed by him or her. Apart from that, you should not use Acuvail with any other eye medications, including eye drops, ointments, or gels.

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