Allergy to Aspirin or Other NSAIDs
Tell your healthcare provider if you have ever had asthma, nasal polyps, hives, or another allergic reaction after taking aspirin or another NSAID.
Acuvail contains ketorolac, which is also an NSAID. People with this type of sensitivity may have a higher risk of an allergic reaction.
Seek medical attention right away if you develop swelling, wheezing, rash, or trouble breathing.
Increased Bleeding Risk
Acuvail may affect platelet function and can increase the risk of bleeding.
Tell your healthcare provider if you:
- Have a bleeding disorder
- Bruise easily
- Take blood thinners
- Take medications that increase bleeding risk
Your eye-care professional may monitor you more closely around the time of surgery.
Delayed Healing
Like other topical NSAIDs, Acuvail may slow or delay healing after eye surgery.
The risk may be higher if you are also using corticosteroid eye drops.
Use Acuvail only for the length of time prescribed.
Corneal Problems
Rarely, topical NSAIDs can cause serious problems with the cornea, the clear surface at the front of the eye.
These problems may include:
- Corneal thinning
- Erosion
- Ulceration
- Perforation
The risk may be higher in people who already have corneal disease, dry eye, diabetes, rheumatoid arthritis, or complicated eye surgery.
Contact your eye-care professional right away if you develop worsening eye pain, severe redness, or vision changes.
Using Acuvail for Too Long
Do not continue Acuvail longer than prescribed.
Using topical NSAIDs for longer than recommended may increase the risk of serious corneal side effects.
For cataract surgery, Acuvail is typically used from 1 day before surgery through 2 weeks after surgery.
Using Other Eye Drops
If you use more than one eye medication, wait at least 5 minutes between different eye drops.
This helps prevent one medication from washing the other out of your eye.
Blood Thinners and Other NSAIDs
Tell your healthcare provider about all medications you use, including:
- Blood thinners
- Aspirin
- Other NSAIDs
- Corticosteroid eye drops
- Other prescription or nonprescription eye medications
Some combinations may increase the risk of bleeding or delayed healing.
Blurred Vision
Your vision may be temporarily blurred after you use Acuvail.
Wait until your vision is clear before driving, operating machinery, or doing anything that requires clear eyesight.
Kidney Problems
Only a small amount of ketorolac is absorbed into the bloodstream when Acuvail is used in the eye.
Even so, tell your healthcare provider if you have kidney disease or other serious medical conditions so they can decide whether Acuvail is appropriate for you.
Stomach Ulcers or Gastrointestinal Bleeding
Because very little ketorolac reaches the bloodstream from eye drops, stomach-related NSAID effects are less common than with oral NSAIDs.
Still, tell your healthcare provider if you have a history of stomach ulcers, gastrointestinal bleeding, or serious reactions to NSAIDs.
When to Contact Your Healthcare Provider
Contact your eye-care professional if you develop worsening pain, redness, swelling, bleeding, discharge, or changes in vision while using Acuvail.
Do not use Acuvail for longer than prescribed without having your eye re-evaluated.
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