Drug Interaction:
Cycloplegic mydriatic include-
Atropine sulphate, homatropine Hbr, Scoplolamine Hbr, Cyclopentolate,Tropicamide
Refer - Homotropine Hbr
Additive antocholinergic effects with quinidine, antidepressants and some antihistamines,
Dicylomine may affect absorption of digoxin, and antagonise effects of metocloprapamide.
Indication:
Cycloplegic mydriatic include-
Atropine sulphate, homatropine Hbr, Scoplolamine Hbr, Cyclopentolate,Tropicamide
Refer - Homotropine Hbr
Potent parasympatolytic for producing cyclopegia and mydriasis
FIXED DOSE COMBINATIONS APPROVED BY DCG(I)
FROM JANUARY 1961 TILL NOVEMBER 2014
Name of Drug Indication Date of Approval
Atropine sulphate 0.06mg+ Dec - 1969
Hyoscyamine sulphate 0.30mg +
Scopolamine hydrobromide 0.035mg +
Phenobarbatal 64.8mg capsule
Adverse Reaction:
Atrial arrhythmias,AV dissociation,multiple ventricular etopics.
Dry mouth, dysphagia, constipation, flushing and dryness of skin, tachycardia, palpitations, arrhythmias, Mydrasis, photophobia, Cycloplegia, raised intraocular pressure.
Toxic doses cause confusion, excitement,hallucinations, delerium, and may progress to circulatory failure and respiratory depression.
Eye drops: Systemic toxicity especially in children,prolonged use irritation,hyperaemia, oedema and conjuntivitis,increased intraocular pressure.
Inhaltion: Dryness of mouth, throat.
Contra-Indications:
Glaucoma,chronic respiratory diseases, sick sinus syndrome, thyrotoxicosis, cardiac failure.
Special precautions:
BHP, reflux oesophagitis,
elderly, infants and children.
Dosages/ Overdosage Etc:
Indications:
Potent parasympatolytic for producing cyclopegia and mydriasis
Dosage:
Adults- Instil 1 or 2 drops 4 times daily
Children- Instil 1 or 2 drops of 0.5% soln upto 3 times daily.
Other Information:
For Availability/supplies
Contact -
1.Indian Drug Manufacturers Association (IDMA)
Phone- 022- 24944624/ 24974308
Fax- 022- 24950723
Email- idma@vsnl.com
Website: www.idma-assn.org
2.Bulk Drug Manufacturers Association (India)(BDMA)
Phone - 040-23703910/ 23706718
Fax- 040-23704804
Email- info@bdmai.org
Website: www.info@bdmai.org
Glaucoma-
Common problem is one high pressure due to impediment of the ooutflow of the aqueous fluid . This is termed glaucoma. In 90% of the cases (of wide angle type ) the cause is unknown, in 5% the angle between the pupil and the lateral cornea is narrow and and blocked when the pupil is dilated and in the remaining 5% the condition is secondary to some disease process that blocks outflow channels
Drugs causing adverse reactions-
1. Mydriatics
2. Sympathomimetics
Patient Information:
Cycloplegic mydriatic include- Opthalmic
Atropine sulphate, homatropine Hbr, Scoplolamine Hbr, Cyclopentolate,Tropicamide
Refer - Homotropine Hbr
1. To avoid contamination, do not touch dropper tip to any surface. Replace cap after using.
2. May cause blurred vision. Do not drive or engange in any hazardous activites while pupils are dilated.
3. May cause sensitivity to light. Protect eyes in bright illumination during dilation.
4. Keep out of reach of children. These drugs should not be taken orally. Wash your hands and the childs following administration.
5. If eye pain occurs, discontinue use and consult physician immediately.
6.Allergies-
Tell your doctor if you have ever had any unusual or allergic reaction to atropine,
homatropine, or scopolamine. Also tell your doctor if you are allergic to any other
substances, such as certain preservatives.
7.Pregnancy-
Studies on effects in pregnancy have not been done in either humans or animals.
however, these medicines may be absorbed into the body.
8.Breast -feeding-
These medicines may be absorbed into the body. Atropine passes into the breast
milk in very small amounts and may cause side effects , such as fast pulse, fever,
or dry skin, in babies of nursing mothers using optlamic atropine. It is not known
whether homatropine, or scoplolamine passes into breast milk in small amounts,
many of them may be used safely while breast-feeding.
Mothers who are using one of these medicines and who wish to breast feed should
discuss with their doctor.
9.Children-
Infants and young children with blond hair or blue eyes may be especially sensitive
to the effects of atropine, hemotropine, or scopolamine. This may increase the
chance of side effects.
10.Elderly-
Elderly people are especially sensitive to the effects of atropine, homotropine,
scopolamine. This may increase the chance of side effects during treatment
11.Other medicines -
Although certain medicines should not be used together at all, in other cases two
different medicines may be used together even if an interaction might occur. in such
cases your doctor may want to change the dose, or other precautions may be necessary.
Tell your health care professional if you are taking any other prescription or
non-prescription ( over -the-counter ) OTC medicine
12.Other medical problems-
The presence of other medical problems may affect the use of ophthalmic atropine,
homotropine or scopolamine. Make sure that you tell your doctor if you have any
other medical problems especially-
Brain damage( in children) or
Downs syndrome(monogolism) in children and adults) or
Glaucoma or
Other eye diseases or problems or
Spastic paralysis( in children) - use of opthalmic atropine, homotropine,
or scopolamine may make the condition worse.
Pharmacology/ Pharmacokinetics:
Cycloplegic mydriatic include-
Atropine sulphate, homatropine Hbr, Scoplolamine Hbr, Cyclopentolate,Tropicamide
Refer - Homotropine Hbr
Interaction with Food:
Take with food or water
Pregnancy and lactation:
Cycloplegic mydriatic include-
Atropine sulphate, homatropine Hbr, Scoplolamine Hbr, Cyclopentolate,Tropicamide
Refer - Homotropine Hbr
