tropicamide (Rx)

Brand and Other Names:Mydriacyl, Tropicacyl
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Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

ophthalmic solution

  • 0.5%
  • 1%
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Refraction (Mydriasis)

1-2 gtt of 1% solution in eye(s), repeat in 5 min, perform exam within 30 min of second instillation

Funduscopic Exam (Cycloplegia)

1-2 gtt of 0.5% solution in eyes 15-20 min before exam, may repeat q30minutes PRN

Dosage Forms & Strengths

ophthalmic solution

  • 0.5%
  • 1%
more...

Refraction (Mydriasis)

As adult; 1-2 gtt of 1% solution in eye(s), repeat in 5 min, perform exam within 30 min of second instillation

Funduscopic Exam (Cycloplegia)

As adult; 1-2 gtt of 0.5% solution in eyes 15-20 min before exam, may repeat q30minutes PRN

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Adverse Effects

Frequency Not Ddefined

Increased IOP

Transient stinging

Dry mouth

Blurred vision

Photophobia with or without corneal staining

Tachycardia

Headache

Parasympathetic stimulation

Allergic reactions

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Warnings

Contraindications

Hypersensitivity

Known or suspected angle-closure glaucoma, presence of a shallow anterior chamber unless gonioscopic observation of the chamber angle is possible

Cautions

Hypertension, hyperthyroidism, diabetes mellitus, cardiac disorders

Remove contact lenses before instilling drops

Possibility of undiagnosed glaucoma should be considered

Risk of potentially dangerous CNS disturbances in Peds

May cause increased IOP

0.5% solution incapable of producing satisfactory cycloplegia

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: not known if distributed in milk

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Peak: 20-40 min (mydriasis), 20-35 min (cycloplegia)

Recovery: 6 hr

Mechanism of Action

Blocks acetylcholine resulting in relaxation of cholinergically innervated iris sphincter muscle

Adrenergic innervation to radial muscle is therefore unopposed and pupil becomes dilated

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Images

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Formulary

FormularyPatient Discounts

Adding plans allows you to compare formulary status to other drugs in the same class.

To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.

Adding plans allows you to:

  • View the formulary and any restrictions for each plan.
  • Manage and view all your plans together – even plans in different states.
  • Compare formulary status to other drugs in the same class.
  • Access your plan list on any device – mobile or desktop.

The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

Tier Description
1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2 This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC NOT COVERED – Drugs that are not covered by the plan.
Code Definition
PA Prior Authorization
Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL Quantity Limits
Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST Step Therapy
Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR Other Restrictions
Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
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