CYCLOPEGIC, MYDRIATIC (Ophthalmic)

Brand & Generic Names

AK Homatropine	Isopto
Atropair	Isopto Atropine
ATROPINE	Isopto Homatropine
Atropine Care Eye Drops	Isopto Hyoscine
& Ointment	I-Tropine
Atropine Sul	Minims
Atropisol	Minims Atropine
Dispersa	Ocu-Tropine
Homatrine	S.M.P. Atropine
HOMATROPINE	SCOPOLAMINE
I-Homatropine	Spectro-Homatropine

Basic Information

• Habit forming? No
• Prescription needed? Yes
• Available as generic? Yes, some
• Drug class: Cyclopegic, mydriatic

Uses

• Dilates pupil of the eye.
• Used before some eye examinations, before and after some eye surgical procedures and, rarely, to treat some eye problems such as glaucoma.

Dosage & Usage Information

How to use:
Eye drops
Wash hands.
Apply pressure to inside corner of eye with middle finger.
Continue pressure for 1 minute after placing medicine in eye.
Tilt head backward. Pull lower lid away from eye with index finger of the same hand.
Drop eye drops into pouch and close eye. Don't blink.
Keep eyes closed for 1 to 2 minutes. Eye ointment
Wash hands.
Pull lower lid down from eye to form a pouch.
Squeeze tube to apply thin strip of ointment into pouch.
Close eye for 1 to 2 minutes.
Don't touch applicator tip to any surface (including the eye). If you accidentally touch tip, clean with warm soap and water.
Keep container tightly closed.
Keep cool, but don't freeze.
Wash hands immediately after using.

When to use:
As directed on label.

If you forget a dose:
Use as soon as you remember.

What drug does:
Blocks normal response to sphincter muscle of the iris of the eye and the accommodative muscle of the ciliary body.

Time lapse before drug works:
Begins within 1 minute. Residual effects may last up to 14 days.

Don't use with:
Other eye medicines such as carbachol, demecarium, echothiopate, isoflurophate, physostigmine, pilocarpine.

Overdose

SYMPTOMS:
None expected.

WHAT TO DO:

Not intended for internal use. If child accidentally swallows, call poison-control center.

Possible Adverse Reactions or Side Effects

Life-threatening:

None expected.

Common:

• Increased sensitivity to light.
• Burning eyes.

Infrequent:

None expected.

Rare (extremely):

Symptoms of excess medicine absorbed by the body--Clumsiness, confusion, fever, flushed face, hallucinations, rash, slurred speech, swollen stomach (children), drowsiness, fast heartbeat.

Warnings & Precautions

Don't use if:
You are allergic to cyclopentolate.

Before you start, consult your doctor:

• If medicine is for a brain-damaged child or child with Down's syndrome.
• If prescribed for a child with spastic paralysis.

Over age 60:
No problems expected.

Pregnancy:
Safety to unborn child unestablished. Avoid if possible.

Breast-feeding:
Safety unestablished. Avoid if possible.

Infants & children:
Use only under close medical supervision.

Prolonged use:
Avoid. May increase absorption into body.

Skin & sunlight:
Wear sunglasses to protect from sunlight and bright light.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
Effects may last up to 14 days later.

Others:
Keep cool, but don't freeze.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Clinically significant intera	ctions with oral or injected

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	None expected.
Beverages:	None expected.
Cocaine:	None expected.
Foods:	None expected.
Marijuana:	None expected.
Tobacco:	None expected.