Generic Name: Tropicamide Brand Name(s): Generics only. No brands available.

Uses

What is tropicamide used for?

Tropicamide is an anticholinergic. It works by relaxing the muscles of the eye to cause the pupil to dilate or widen (mydriasis) for diagnostic tests.

It may also be used for other conditions; ask your doctor for more information.

How should I take tropicamide?

Use tropicamide as directed by your doctor. Check the label on the medicine for exact dosing instructions.

To remove contact lenses before using tropicamide.

First, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Immediately use your finger to apply pressure to the inside corner of the eye for 2 or 3 minutes after using the medicine. Do not blink. Keep your eyes closed for 2 or 3 minutes. Remove excess medicine around your eye with a clean tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.

To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including your eye. Keep the container tightly closed.

Use tropicamide only in the eye. Do not get tropicamide in your mouth or nose.

Wash your hands after using tropicamide. If the patient is a child, wash the child’s hands as well.

How do I store tropicamide?

Tropicamide is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store tropicamide in the bathroom or the freezer. There may be different brands of tropicamide that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush tropicamide down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using tropicamide?

Before using tropicamide, tell your doctor if you:

  • Are allergic to any ingredient in tropicamide.
  • Have angle-closure glaucoma.
  • Using any prescription or nonprescription medicine, herbal preparation, or dietary supplement.
  • Have allergies to medicines, foods, or other substances.

Also, there are some important safe information that you may notice:

  • Tropicamide may cause blurred vision or sensitivity to sunlight. Wear sunglasses if you are outside in the bright sunlight. Do not drive, operate machinery, or do anything else that could be dangerous unless you can see clearly.
  • If you have an appointment for an eye examination and your doctor has told you that you will receive tropicamide, be sure to make arrangements to have someone drive you home in case your vision is blurry.
  • Tropicamide may be harmful if swallowed. If you may have taken tropicamide by mouth, contact your local poison control center or emergency room immediately.
  • Pupil dilation usually reverses within 4 to 8 hours after use, but may last as long as 24 hours.
  • Caution is advised when using tropicamide in children because they may be more sensitive to its effects, especially mental or mood changes.

Is it safe during pregnancy or breastfeeding?

Pregnancy

If you become pregnant, discuss with your doctor the benefits and risks of using tropicamide during pregnancy.

Breastfeeding:

It is unknown if tropicamide is excreted in breast milk. If you are or will be breastfeeding while you are using tropicamide, check with your doctor or pharmacist to discuss the risks to your baby.

Side effects

What side effects can occur from tropicamide?

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most common side effects persist or become bothersome:

  • Blurred vision
  • Burning
  • Dry mouth
  • Headache
  • Nausea
  • Sensitivity to sunlight
  • Temporary stinging

Seek medical attention right away if any of these severe side effects occur:

  • Rash
  • Hives
  • Itching
  • Difficulty breathing
  • Tightness in the chest
  • Swelling of the mouth, face, lips, or tongue
  • Behavioral changes, especially in children
  • Eye pain
  • Irregular or rapid heartbeat
  • Mental or mood changes, especially in children
  • Paleness or flushing of the skin
  • Rigid muscles
  • Shortness of breath
  • Vomiting

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with tropicamide?

Tropicamide may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products may interact with this drug, including carbachol, ophthalmic cholinesterase inhibitors (e.g., echothiophate), or pilocarpine because their effectiveness may be decreased by tropicamide.

Does food or alcohol interact with tropicamide?

Tropicamide may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with tropicamide?

Tropicamide may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using tropicamide.

What is the dose of tropicamide for an adult?

Refraction (Mydriasis)

The recommended dose is 1-2 gtt of 1% solution in eye(s), repeat in 5 min, perform exam within 30 min of second instillation.

Funduscopic exam (Cycloplegia)

The recommended dose is 1-2 gtt of 0.5% solution in eyes 15-20 min before exam, may repeat q30minutes PRN.

What is the dose of tropicamide for a child?

Refraction (Mydriasis)

The recommended dose is 1-2 gtt of 1% solution in eye(s), repeat in 5 min, perform exam within 30 min of second instillation.

Funduscopic exam (Cycloplegia)

The recommended dose is 1-2 gtt of 0.5% solution in eyes 15-20 min before exam, may repeat q30minutes PRN.

How is tropicamide available?

Tropicamide is available in the following dosage forms and strengths:

  • Tropicamide ophthalmic solution 0.5%
  • Tropicamide ophthalmic solution 1%

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of tropicamide, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 11, 2017 | Last Modified: March 11, 2017

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