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Tropicamide

    Brands

    DEA Class;  Rx

    Common Brand Names; Mydriacyl, Tropicacyl

    • Cycloplegics/Mydriatics
     

    Ophthalmic cycloplegic and mydriatic agent
    Used for cycloplegic refraction and for dilating the pupil for diagnostic purposes
    Contraindicated for use in glaucoma

    Indicated for cycloplegia induction for refraction.

    For mydriasis induction for examination of the fundus.

    Hypersensitivity

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

    • Increased IOP
    • Transient stinging
    • Dry mouth
    • Blurred vision
    • Photophobia with or without corneal staining
    • Tachycardia
    • Headache
    • Parasympathetic stimulation
    • Allergic reactions

    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 Category: C

    Lactation: not known if distributed in milk

    Adults

    1% solution: 5 drops/day/eye.
    0.5% solution: 2 drops/day/eye

    Geriatric

    1% solution: 5 drops/day/eye.
    0.5% solution: 2 drops/day/eye

    Adolescents

    1% solution: 5 drops/day/eye.
    0.5% solution: 2 drops/day/eye

    Children

    1% solution: 5 drops/day/eye.
    0.5% solution: 2 drops/day/eye

    Infants

    Safety and efficacy have not been established.

    Neonates

    Safety and efficacy have not been established.

    Tropicamide

    ophthalmic solution

    • 0.5%
    • 1%