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Tropicamide - instructions for use, reviews, analogs and formulations (eye drops 0.5% and 1%) of the drug for the treatment of inflammatory eye diseases and diagnosis in adults, children and pregnancy

Tropicamide - instructions for use, reviews, analogs and formulations (eye drops 0.5% and 1%) of the drug for the treatment of inflammatory eye diseases and diagnosis in adults, children and pregnancy

In this article, you can read the instructions for using the drug Tropicamide. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Tropicamide in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Tropicamide in the presence of existing structural analogs. Use for the treatment of inflammatory eye diseases and diagnosis in adults, children, as well as during pregnancy and lactation.

 

Tropicamide - mydriatic.It blocks m-holinoretseptora sphincter of the iris and ciliary muscle, quickly and for a short time dilates the pupil and paralyzes the accommodation. The dilatation of the pupil begins in 5-10 minutes from the moment of a single instillation of the drug into the conjunctival sac, reaches a maximum after 15-20 minutes and persists for 1 hour with instillation of 0.5% drops and 2 hours - with instillation of 1% drops. Complete restoration of pupil sizes occurs in 3-5 hours.

 

The maximum paralysis of accommodation after instillation of 1% of Tropicamide drops 2 times with an interval of 5 minutes occurs after 25 minutes and lasts about 30 minutes. Complete recovery occurs in about 3 hours.

 

Pharmacokinetics

 

After instillation of the drug into the conjunctival sac, tropicamide is slightly insensitive to systemic absorption (especially in children and the elderly).

 

Indications

 

With diagnostic purposes:

  • if necessary mydriasis in the study of the fundus and evaluation of the lens condition;
  • if necessary paralysis of accommodation in the study of refraction.

 

Before performing surgical operations:

  • lens surgery;
  • retinal laser therapy;
  • surgery of the retina and vitreous.

 

With therapeutic purposes:

  • as a component of the complex therapy of inflammatory eye diseases and in the postoperative period for the prevention of the development of synechia.

 

Forms of release

 

Eye drops 0.5% and 1%.

 

Instructions for use and how to use them

 

The drug is buried in the conjunctival sac.

 

To dilate the pupil, drop 1 drop of 1% or 2 drops of 0.5% solution (with a 5-minute interval). After 10 minutes, you can carry out ophthalmoscopy. If the effect is insufficient (very high intensity of light, use for rupture of the posterior synechia) can be used together with phenylephrine.

 

To achieve paralysis of accommodation (in the study of refraction), drop 1 drop of 1% solution of Tropicamide 6 times with an interval of 6-12 minutes. The test is preferably performed within 25-50 minutes from the time of the last instillation of the preparation.

 

In infants and children under 6 years of age, only 0.5% eye drops should be used.

 

In preterm infants, in some cases, systemic anticholinergic effects of tropicamide have been observed, increasing with repeated application. These undesirable phenomena can be prevented without reducing the effectiveness due to prescription dilution of the preparation with isotonic sodium chloride solution (1: 1).

 

During instillation of the drug, you should lightly press the tear ducts to limit excessive absorption of tropicamide and prevent systemic anticholinergic action of the drug.

 

The dosage regimen for therapeutic purposes is set individually (depending on the patient's condition).

 

Side effect

  • increased intraocular pressure;
  • violation of visual acuity;
  • photophobia;
  • psychotic symptoms;
  • impaired behavior (especially in children and adolescents);
  • headaches (in adults);
  • symptoms of circulatory and respiratory failure (especially in children and adolescents);
  • tachycardia (in adults);
  • dry mouth;
  • allergic reactions.

 

Contraindications

  • glaucoma (especially closed-angle and mixed primary);
  • hypersensitivity to the components of the drug.

 

Application in pregnancy and lactation

 

The use of Tropicamide during pregnancy is only possible if the intended benefit to the mother exceeds the potential risk to the fetus.

 

It should be used with caution in the period of lactation (breastfeeding).

 

Use in children

 

In infants and children under 6 years of age, only 0.5% eye drops should be used.

 

Before using Tropicamide for diagnostic purposes, the accompanying person should be warned about temporary visual disturbance and photophobia.

 

The use of the drug in infants and young children can cause frustration on the part of the central nervous system

 

special instructions

 

Before applying Tropicamide for the dilatation of the pupil before the examination of the fundus, it is necessary to conduct a patient examination to identify possible closed-angle glaucoma (to clarify the anamnesis, to assess the depth of the anterior chamber, gonioscopy), because possible acute attacks of glaucoma after application of the drug.

 

Before using Tropicamide for diagnostic purposes, the patient or an accompanying person should be warned about temporary visual disturbance and photophobia.

 

Do not touch the tip of the dropper; this can cause contamination of the contents of the vial.

 

Before applying Tropicamide, remove soft contact lenses. Set them again can not be earlier than 30 minutes after instillation of the drug.

 

The drug is released on prescription because of the possible systemic (narcotic) effect on the central nervous system.

 

Impact on the ability to drive vehicles and manage mechanisms

 

When using Tropicamide, do not drive vehicles and work with machinery.

 

Drug Interactions

 

Simultaneous use of anticholinergics and blockers of histamine H1 receptors, phenothiazines, tricyclic antidepressants, procainamide, quinidine, MAO inhibitors, benzodiazepines and antipsychotics mutually reinforces each other.

 

The paralysis of accommodation caused by tropicamide is enhanced by its simultaneous use with sympathomimetic agents and is weakened when applied simultaneously with parasympathomimetic agents.

 

With the simultaneous use of Tropicamide and nitrates, nitrites, alkalizing drugs, disopyramide, GCS and haloperidol, an increase in intraocular pressure with concomitant angle-closure glaucoma is possible.

 

Analogues of the drug Tropicamide

 

Structural analogs for the active substance:

  • Middriikum Stoln;
  • Midratsil;
  • Midrum.

Similar medicines:

Other medicines:

Reviews (1):
Guests
Sergei
Burying in the eyes after the operation. I'll tell you a shitty thing. Although this tropicamide can be normal, but when everything hurts and dries to the bandages, it's tin. I do not want anyone to be in my place. And so the eye healed normally.

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