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KETISAL 0.25 mg/ml EYE DROPS SOLUTION

KETISAL 0.25 mg/ml EYE DROPS SOLUTION

Ask a doctor about a prescription for KETISAL 0.25 mg/ml EYE DROPS SOLUTION

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use KETISAL 0.25 mg/ml EYE DROPS SOLUTION

Introduction

Package Leaflet: Information for the User

Ketisal 0.25 mg/ml Eye Drops Solution

Ketotifen

Read this package leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this package leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Ketisal 0.25 mg/ml Eye Drops Solution and what is it used for
  2. What you need to know before you start using Ketisal 0.25 mg/ml Eye Drops Solution
  3. How to use Ketisal 0.25 mg/ml Eye Drops Solution
  4. Possible side effects
  5. Storage of Ketisal 0.25 mg/ml Eye Drops Solution
  6. Package Contents and Additional Information

1. What is Ketisal and what is it used for

This medicine contains the active substance ketotifen, which is an antiallergic molecule.

This medicine is used to treat the ocular symptoms of hay fever.

2. What you need to know before you start using Ketisal

Do not use Ketisal

  • If you are allergic (hypersensitive) to ketotifen or any of the other ingredients of this medicine (listed in section 6).

Warnings and Precautions

Talk to your doctor or pharmacist before you start using this medicine.

Children

Ketisal is not recommended for use in children under 3 years of age.

Other Medicines and Ketisal

If you need to apply any other eye medicine with this medicine, wait at least 5 minutes between applying each product.

Tell your doctor or pharmacist if you are using or have recently used or might use any other medicines, including those obtained without a prescription. This is especially important with medicines used to treat:

  • depression, anxiety, and sleep disorders
  • allergies (e.g., antihistamines)

Ketisal with Food, Drink, and Alcohol

Using this medicine may increase the effects of alcohol.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

This medicine can be used during breastfeeding.

Driving and Using Machines

This medicine may cause blurred vision or drowsiness. If this happens, wait until these effects have gone before driving or using machines.

3. How to Use Ketisal

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

The recommended dose in adults, elderly patients, and children (from 3 years of age), is one drop in the affected eye(s) twice a day (morning and evening).

Instructions for Use

1a

Sterile needle with transparent protector and white cylindrical body with marked rings

Hand holding a vial and a filter tip connecting to it with an arrow indicating direction of insertion1b

  • Take the plastic bottle (image 1a)out of the cardboard box and write the opening date of the bottle on the cardboard box in the space provided.
  • Wash your hands carefully before opening the bottle.
  • Remove the cap (image 1b).

Hand holding a white inhaler with the nozzle facing down and a black arrow indicating direction2

  • Hold the bottle upside down with your thumb on the shoulder of the bottle and your other fingers on the bottom of the bottle.
  • Before the first use, pump the bottle repeatedly, about 20 times, to get a consistent flow of product (image 2).

Hand holding a contact lens over the open eye with the index and thumb fingers3

  • Tilt your head or your child's head back. Pull the lower eyelid down with a clean finger until there is a "space" between the eyelid and the eye. The drop will go into this space (image 3).
  • Bring the tip of the bottle close to the eye. Use a mirror if it helps.

Hand holding a bottle with dropper applying drops directly into the open eye of a person4

5

Index finger gently pressing the lower eyelid of the open eye, showing the technique of applying eye drops

  • Do not touch the eye or eyelid, the surrounding areas, or other surfaces with the dropper tip.The drops could become infected.
  • Press the lower part of the bottle gently to release one drop into the eye (image 4).
  • If a drop does not fall into the eye, try again.
  • After using the medicine, press the corner of your eye near your nose (image 5)with your finger. This prevents the medicine from coming into contact with other parts of your body.

1-5

  • If you need to treat both eyes, repeat these same steps (1 to 5) for the other eye.
  • Close the bottle with the cap immediately after use.
  • Use only one bottle at a time. Do not open the cap until you need to use the medicine.
  • You must discard the bottle 3 months after the first opening (checking the opening date written on the cardboard box),and use a new bottle.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

If you use more Ketisal than you should

There is no danger if you have used more than one drop in the eye or if you have accidentally ingested this medicine. If in doubt, consult your doctor or pharmacist.

In case of overdose or accidental ingestion, consult your doctor or pharmacist or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to use Ketisal

If you forget to use this medicine, you should apply the treatment as soon as you remember, and at the recommended dose (one drop per eye, twice a day). Do not use a double dose to make up for forgotten doses.

4. Possible Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following side effects have been reported.

Common (may affect up to 1 in 10 people)

  • eye irritation or pain in the eye
  • inflammation in the eye

Uncommon (may affect up to 1 in 100 people)

  • blurred vision when applying the drops in the eye
  • dryness in the eye
  • alteration in the eyelid
  • conjunctivitis
  • increased sensitivity of the eyes to light
  • visible bleeding in the white part of the eye
  • headache
  • drowsiness
  • rash (which can also cause itching)
  • eczema (itching, redness, rash with itching)
  • dry mouth
  • allergic reaction (including swelling of the face and eyelids) and increased severity of an existing allergic condition such as asthma and eczema.

If you experience serious side effects, talk to your doctor or pharmacist, even if they are not listed in this package leaflet.

Reporting of Side Effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. You can also report side effects directly through the Spanish Medicines Monitoring System, https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ketisal

Keep this medicine out of the sight and reach of children.

Do not store above 25°C.

Once the bottle is opened, it can be stored for 3 months.

Do not use this medicine after the expiry date which is stated on the carton and the bottle after EXP. The expiry date is the last day of the month stated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Package Contents and Additional Information

Composition of Ketisal

  • The active substance is ketotifen (as hydrogen fumarate).

Each ml of solution contains 0.345 mg of hydrogen fumarate of ketotifen, equivalent to 0.25 mg of ketotifen.

  • The other ingredients (excipients) are sodium hyaluronate, glycerol (E 422), sodium hydroxide (E 524), and purified water.

Appearance and Package Contents

This medicine is a clear, colorless or slightly yellowish solution. The solution is filled in a 10 ml white plastic bottle with a dropper. Each plastic bottle contains 10 ml of solution.

Marketing Authorization Holder

HORUS PHARMA

22 Allé Camille Muffat

INEDI 5

06200 Nice

France

Manufacturer

PHARMASTER

Zone Industrielle de Krafft Erstein

FRANCE

This medicine is authorized in the Member States of the European Economic Area under the following names:

Germany: Ketazed 0.25 mg/ml, Augentropfen, Lösung

Belgium: Ketazed 0.25 mg/ml collyre en solution / Ketazed 0.25 mg/ml oogdruppels, oplossing / Ketazed 0.25 mg/ml Augentropfen, Lösung

Denmark: Ketazed, øjendråber, opløsning

Spain: Ketisal 0.25 mg/ml colirio en solución

Finland: Ketazed 0.25 mg/ml silmätipat, liuos

France: Ketazed 0.25 mg/mL, collyre en solution

Netherlands: Ketazed 0.25 mg/ml oogdruppels, oplossing

Italy: KETAZED 0.25 mg/ml, collirio, soluzione

Luxembourg: Ketazed 0.25 mg/ml collyre en solution

Norway: Ketazed 0.25 mg/ml øyedråper, oppløsning

Romania: Ketazed 0.25 mg/ml picaturi oftalmice, solu?ie

Sweden: Ketazed 0.25 mg/ml ögondroppar, lösning

You can request more information about this medicine by contacting the local representative of the marketing authorization holder:

Horus Pharma Ibérica, S.L.U.

Gran Vía Carlos III, 98, 6º

08028 Barcelona - Spain

Date of the Last Revision of this Package Leaflet: June 2025

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

About the medicine

How much does KETISAL 0.25 mg/ml EYE DROPS SOLUTION cost in Spain ( 2025)?

The average price of KETISAL 0.25 mg/ml EYE DROPS SOLUTION in November, 2025 is around 7.02 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to KETISAL 0.25 mg/ml EYE DROPS SOLUTION in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to KETISAL 0.25 mg/ml EYE DROPS SOLUTION in Poland

Dosage form: Drops, 0.25 mg/ml
Active substance: ketotifen
Importer: Pharma Stulln GmbH
Prescription required
Dosage form: Drops, 0.25 mg/ml
Active substance: ketotifen
Marketing authorisation holder (MAH): Laboratoires Thea
Prescription not required
Dosage form: Drops, 0.25 mg/ml
Active substance: ketotifen
Marketing authorisation holder (MAH): Laboratoires THEA, 12, rue Louis Blériot
Prescription not required
Dosage form: Drops, 0.25 mg/ml
Active substance: ketotifen
Marketing authorisation holder (MAH): Laboratoires Thea
Prescription not required
Dosage form: Drops, 0.25 mg/ml
Active substance: ketotifen

Alternative to KETISAL 0.25 mg/ml EYE DROPS SOLUTION in Ukraine

Dosage form: drops, 0.25 mg/ml, 0.4 ml in a dropper bottle
Active substance: ketotifen
Manufacturer: Farma Stul'n GmbH
Prescription required
Dosage form: drops, 0.25 mg/ml in 5 ml bottle
Active substance: ketotifen

Online doctors for KETISAL 0.25 mg/ml EYE DROPS SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for KETISAL 0.25 mg/ml EYE DROPS SOLUTION – subject to medical assessment and local rules.

5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
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Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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