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Ketotifen

ZADITOR

What it isH1 antagonist with mast-cell stabilization; allergic conjunctivitis.

Why this oneIts inexpensive over-the-counter eye drops combine immediate antihistamine relief with prevention of further mediator release.

What limits itLocal burning or irritation can stop use; oral ketotifen, used outside the US, is sedating.

FDA-approved for

FDA label

FDA dosingPopulationStartTargetMax
Eye itch due to allergyadults & children ≥3 yr1 drop in affected eye(s) BID (q8-12h)no more than twice per day

Renal Undefined

Hepatic Undefined

Instructions

Pregnancy Undefined

Lactation Undefined

NO BOXED WARNINGS

Principal riskLocal irritation

Cost, est. cash$10–$30/month

Generic entry2012

Classes and tags

Clinical profile

Therapeutic safety burden0 / 4
Overdose danger0 / 4
Weight-gain liability0 / 4
Sedation liability0 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk0 / 4

Legacy pregnancy categoryNot assigned — OTC/monograph

Defining liabilityLocal irritation, sensitization or administration-site injury; negligible systemic toxicity at usual use.

Mechanism of action: Ketotifen ballicule

Ketotifen ballicule: receptor binding, kinetics and half-life diagram

Open Ketotifen in the interactive console ↗