Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose Pharmacology

Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose

About Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Mechanism of Action of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Pharmacokinets of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Onset of Action for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Duration of Action for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Half Life of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Side Effects of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Contra-indications of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Special Precautions while taking Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Contraindicated in children younger than 3 years old
Indications for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
1.Seasonal Allergic Conjunctivitis .
2.To prevent ocular itching.
3.Post operative ocular inflammation and pain.
4.To reduce Bacterial Keratitis
Interactions for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Typical Dosage for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
One drop of ophthalmic solution should be applied to the affected eye(s) four times daily beginning 24 hours after cataract surgery and continuing through the first 2 weeks of the post-operative period.

Schedule of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Storage Requirements for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Effects of Missed Dosage of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Effects of Overdose of Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose
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Ketorolac

About Ketorolac
NSAID, heterocyclic acetic acid derivative, Analgesic,antipyretic,antiinflammatory.
Mechanism of Action of Ketorolac
This Non Steroidal Anti Inflammatory Drug`s peripheral analgesics action is by the reduction of the prostaglandin synthesis which mediates many of the inflammatory changes and fever at that time. Prostaglandin synthesis is reduced due to its cyclo oxygenase inhibition. At higher concentration it reduce production of super oxide radicals, induce apoptosis, inhibit the expression of adhesion molecules, decrease nitric oxide synthase , reduce pro inflammatory cytokines, modify lymphocyte activity, and alter cellular membrane functions.
Pharmacokinets of Ketorolac
Absorption-Absorbed rapidly after oral, i.v. and i.m. administration.
Distribution- Widely distributed in the body. 99% bound to the plasma proteins.
Metabolism- It is metabolized in liver by glucucoronidation.
Excretion-90% is excreted through urine and rest in feces. The rate of elimination is reduced in the elderly and in patients with renal failure.
Onset of Action for Ketorolac
For I.V. there is rapid onset of action
In the case of I.M. it takes 10 minutes
After oral administration it takes ? to 1 hr
Duration of Action for Ketorolac
6 to 8 hrs
Half Life of Ketorolac
5 - 7 hrs
Side Effects of Ketorolac
1. Nausea
2. Drowsiness
3. Dizziness
4. Headache
5. Syncope
6. Transient scalp tingling
7. Orthostatic hypotension
8. Ventricular arrhythmias
9. Nasal stuffiness
10. Broncho spasm
11. Vomiting
12. Diarrhea
13. Muscle spasm
14. Toxic myopathy
15. Dry mouth
16. Ulcer
17. Gastric irritation
18. Oedema
19. Dry mouth
Contra-indications of Ketorolac
1. Hypersensitivity to this drug
2. Peptic ulcer
3. As a prophylactic analgesic before surgery; pregnancy and lactation
5. In elderly patient there is usually hepatic or renal dysfunction
6. Coagulation disorder
Special Precautions while taking Ketorolac
1. Hepatic dysfunction
2. Renal dysfunction and in to be used with caution
3. GI disease
4. Bleeding disorders
5. Patients with hypersensitivity to other Non Steroidal Anti Inflammatory Drugs
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
Indications for Ketorolac
1. It is used to severe and moderate pain frequently in post operative and acute musculoskeletal pain
2. For routine obstetrics analgesia
3. For renal colic, migraine and pain due to bony metastasis
4. Migraine
5. Acute gout
Interactions for Ketorolac
Anticoagulants: May prolong prothrombin time.
Beta blockers: Antihypertensive effect may be impaired.
Cyclosporine: Nephrotoxicity of both agents may be increased.
Lithium: Serum lithium levels may be increased resulting in toxicity.
Hydantoins: Serum hydantoins levels resulting in increased efficacy and toxic effects.
Methotrexate: Risk of methotrexate toxicity (stomatitis, bone marrow suppression, nephrotoxicity) increased.
Aspirin: Plasma concentration of ketorolac may be decreased and may increase the incidence of GI effects.
Typical Dosage for Ketorolac
For Injection-
Adults-Initially 60mg i.m. or 30mg i.v. as a single dose, or 30 mg i.m or i.v. every 6 hrs. In the case of renal impaired patient, initially 30mg i.m .or 15mg i.v. as a single doses or multiple doses of 15mg i.m. or i.v.every 6 hrs.
For oral-
Adults- 20mg as a single dose followed by 10mg every 4 to 6 hrs. In the case of renal impaired patients 10mg as a single dose, followed by 10mg every 4 to 6 hrs.
Schedule of Ketorolac
H
Storage Requirements for Ketorolac
Store at controlled room temperature.
Effects of Missed Dosage of Ketorolac
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Ketorolac
Take more fluids to dilute the over dosage. Give symptomatic and supportive treatment.

Ofloxacin

About Ofloxacin
A second generation fluoroquinolone(quinolones), Antibiotic.
Mechanism of Action of Ofloxacin
Ofloxacin is a bactericidal drug. It act by inhibiting the enzyme DNA gyrase (Topoisomerase 2) and Topoisomerase 4.DNA gyrase helps in the formation of a highly condensed three dimensional structure of the DNA by its nicking and closing activity and also by introducing negative supercoil in to the DNA double helix. Ofloxacin inhibits DNA gyrase which results in abnormal linkage between opened DNA and gyrase and negative supercoiling is also impaired. This will inhibits transcription of DNA in to RNA and subsequent protein synthesis.
Pharmacokinets of Ofloxacin
Absorption: Ofloxacin is rapidly and completely absorbed after oral administration.
Distribution: It is widely distributed in the body.
Metabolism: It undergoes insignificant metabolism.
Excretion: Drug is excreted mainly through urine.
Onset of Action for Ofloxacin
With in 0.5 hour
Duration of Action for Ofloxacin
12 - 16 hours
Half Life of Ofloxacin
5 - 8 hours
Side Effects of Ofloxacin
1. Nausea
2. Vomiting
3. Diarrhoea
4. Abdominal discomfort
5. Constipation
6. Dry mouth
7. Dizziness
8. Headache
9. Rash
10. Pruritis
11. Pseudomembranous colitis
12. Visual disturbances
13. Insomnia
Contra-indications of Ofloxacin
1. Hypersensitivity to Ofloxacin and other Fluoroquinolones
Special Precautions while taking Ofloxacin
1. Hepatic impairment
2. Renal impairment
3. Cerebral arteriosclerosis
4. Epilepsy
5. CNS disease
6. Avoid exposure to sunlight
7. Caution while driving the vehicle or operating machine or involved in any hazardous activities.

Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Contraindicated
NEONATES : Contraindicated

Indications for Ofloxacin
1. Bronchitis
2. Pneumonia
3. Urinary tract infection
4. Bone and joint infections
5. Intra-abdominal infections
6. Gonorrhoea
7. ENT infections
8. Skin and soft tissue infections
9. Typhoid fever
10. Prostatis
11. Otitis
12. Gynaecological infections
13. Conjunctivitis
14. Keratitis
15. Urethritis
16. Cervicitis
Interactions for Ofloxacin
Oral Anticoagulants: The effects of oral anticoagulants, may be increased.
Theophylline: Increased plasma levels of theophylline resulting in toxicity.
NSAID`s: CNS excitation may occur.
Typical Dosage for Ofloxacin
Adults: 200 - 400 mg / day depending on the severity and type of infection
Bronchitis, Pneumonia, Skin and soft tissue infections: 800 mg / day in 2 divided doses for 10 days
Gonorrhoea: 400 mg as a single dose.
Prostatis, Cervicitis & Urethritis: 600 mg / day in 2 divided doses for 1 week.
UTI: 200 - 800 mg / day in single or divided doses
Typhoid fever: 400 - 800 mg / day in 2 divided doses

Schedule of Ofloxacin
H
Storage Requirements for Ofloxacin
Store at 15 - 30 degree C in a tightly closed container.
Effects of Missed Dosage of Ofloxacin
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.
Effects of Overdose of Ofloxacin
Give supportive measures and symptomatic treatment. Gastric lavage has to be done.

Hydroxypropyl Methyl Cellulose

About Hydroxypropyl Methyl Cellulose
A semisynthetic, inert, viscoelastic polymer, Ophthalmic lubricant ,Artificial tears.
Mechanism of Action of Hydroxypropyl Methyl Cellulose
Hydroxy Propyl methylcellulose belongs to the group of medicines known as artificial tears. Artificial tears are used to treat the keratoconjunctivitis sicca (dryness) and irritation in the eye. They are also used to moisten contact lenses and in eye examinations. These moisten lenses and remove particulate matter that causes irritation.
The surface active properties of the Hydroxy Propyl methyl cellulose (vehicles) found in artificial tears solutions act to stabilize the tear film and increase tear viscosity to prevent tear evaporation and retard tear drainage. The vehicles found in bland lubricant artificial tear ointments also enhance the tear film and additionally have a prolonged duration of action in the eye versus artificial tear solutions.
It is used to relieve dryness and irritation caused by reduced tear flow. It helps prevent damage to the eye in certain eye diseases. Hydroxy Propyl methylcellulose may also be used to moisten hard contact lenses and artificial eyes. In addition, it may be used in certain eye examinations
Pharmacokinets of Hydroxypropyl Methyl Cellulose
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Onset of Action for Hydroxypropyl Methyl Cellulose
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Duration of Action for Hydroxypropyl Methyl Cellulose
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Half Life of Hydroxypropyl Methyl Cellulose
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Side Effects of Hydroxypropyl Methyl Cellulose
1.Eye irritation
2.Stickiness of eyelashes
3.Blurred vision
4.Redness of eyes
Contra-indications of Hydroxypropyl Methyl Cellulose
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Special Precautions while taking Hydroxypropyl Methyl Cellulose
1.Eye pain
2.Changes in vision
3.Continued redness or irritation of the eye
4.Excessive tearing or if symptoms continue for more than 3 days or become worse consult doctor.
Pregnancy Related Information
May be used
Old Age Related Information
May be used
Breast Feeding Related Information
May be used
Children Related Information
May be used
NEONATES: may be used
Indications for Hydroxypropyl Methyl Cellulose
Aid in anterior surgical preparations:
1.Cataract surgery
2.Intraocular lens implantation
3.Diagnostic aid in Gonioscopy
4.In keratoplasty
5.Diagnostic aid in contact lens procedures
6.Artificial tear
7.Lubricant in ophthalmic preparations
8.Protectant in ophthalmic preparations
9.Moistening of daily wear soft lenses
Interactions for Hydroxypropyl Methyl Cellulose
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Typical Dosage for Hydroxypropyl Methyl Cellulose
DOSAGE: Hydroxy Propyl methylcellulose (HPMC) 0.3% is used
For dry eyes:
Adults and children-Instill 1 drop 3 -4 times a day. Dose is depending on the patient`s response
Schedule of Hydroxypropyl Methyl Cellulose
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Storage Requirements for Hydroxypropyl Methyl Cellulose
Store at room temperature. Keep in a tightly closed container. Keep out of the reach of children
Effects of Missed Dosage of Hydroxypropyl Methyl Cellulose
Instill the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Hydroxypropyl Methyl Cellulose
Give supportive measures and symptomatic treatment. The exposed eye should be irrigated with copious amounts of water for at least 15 minutes.

Home Delivery for Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose in Your City

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Please be aware that you should take ketorolac + ofloxacin + hydroxypropyl methyl cellulose only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for ketorolac + ofloxacin + hydroxypropyl methyl cellulose before they complete the sale. You can get this information while placing the order for ketorolac + ofloxacin + hydroxypropyl methyl cellulose with the pharmacy.

Ketorolac + Ofloxacin + Hydroxypropyl Methyl Cellulose is a generic medicine name and there are several brands available for it. Some of the brands for ketorolac + ofloxacin + hydroxypropyl methyl cellulose might be better known than ketorolac + ofloxacin + hydroxypropyl methyl cellulose itself. If the pharmacy that's willing to deliver medicines to your home doesn't have ketorolac + ofloxacin + hydroxypropyl methyl cellulose in stock, you can ask for one of the branded alternatives for ketorolac + ofloxacin + hydroxypropyl methyl cellulose.