Dosing & Uses
Dosage Forms & Strengths
ophthalmic solution
- 0.5%
- 1%
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%
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
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
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
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.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
Images
BRAND | FORM. | UNIT PRICE | PILL IMAGE |
---|---|---|---|
Mydriacyl ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 0.5 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 0.5 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 0.5 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() | |
tropicamide ophthalmic (eye) - | 1 % drops | ![]() |
Copyright © 2010 First DataBank, Inc.
Patient Handout
tropicamide ophthalmic (eye)
TROPICAMIDE - OPHTHALMIC
(tro-PICK-uh-mide)
COMMON BRAND NAME(S): Mydriacyl
USES: This medication is used to widen (dilate) the pupil of the eye in preparation for certain eye examinations. It belongs to a class of drugs known as anticholinergics. Tropicamide works by relaxing certain eye muscles.
HOW TO USE: To apply eye drops, wash your hands first. To avoid contamination, do not touch the dropper tip or let it touch your eye or any other surface.If you are wearing contact lenses, remove them before using this medication. Ask your doctor when you may replace your contact lenses.Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over your eye and place 1 or 2 drops into the pouch, usually 15 to 20 minutes before an eye examination or as directed by your doctor. Look downward and gently close your eyes for 1 to 2 minutes. Place one finger at the corner of your eye (near the nose) and apply gentle pressure for 2 to 3 minutes. This will prevent the medication from draining out and being absorbed by your body. Try not to blink and do not rub your eye. Repeat these steps for your other eye if so directed.Do not rinse the dropper. Replace the dropper cap after each use.If you are using another kind of eye medication (such as drops or ointments), wait at least 5 to 10 minutes before applying other medications. Use eye drops before eye ointments to allow the drops to enter the eye.Wash your hands after using this medication. If giving this medication to a child, do not let the medication get into the child's mouth. Also wash the child's hands after giving this medication.
SIDE EFFECTS: Eye stinging, temporary blurred vision, dry mouth, or eye sensitivity to light may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: feeling as if something is in the eye, fast heartbeat, muscle stiffness, mental/mood changes.Get medical help right away if you have any very serious side effects, including: eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before using tropicamide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of glaucoma (angle-closure type), high blood pressure, overactive thyroid (hyperthyroidism), diabetes, heart disease (such as irregular heart rhythm, coronary artery disease), Down syndrome, brain damage or spastic paralysis (in children).After you apply this drug, your vision may become temporarily blurred. Do not drive, use machinery, or do any activity that requires clear vision until you can do it safely.This medication may make your eyes more sensitive to light. Protect your eyes in bright light. Use dark sunglasses when outdoors.Older adults may be more sensitive to the side effects of this drug, especially mental/mood changes (such as agitation).Children may be more sensitive to the side effects of this drug, especially mental/mood changes (such as agitation).During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is unknown if this drug passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES: Do not share this medication with others.
MISSED DOSE: Not applicable.
STORAGE: Store at room temperature away from light. Do not refrigerate. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised May 2023. Copyright(c) 2023 First Databank, Inc.
IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
Formulary
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