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Indications/Uses
Listed in Dosage.
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Dosage/Direction for Use
Adult: Ophth Production of mydriasis As 0.5% soln: Instill 1-2 drops 15-20 mins before examination. Production of cycloplegia As 1% soln: Instill 1-2 drops, repeated after 5 mins. May instill another drop after 20-30 mins for prolonged effect.
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Contraindications
Hypersensitivity. Narrow-angle glaucoma or shallow anterior chamber.
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Special Precautions
Elderly, children, pregnancy. Hypertension, hyperthyroidism, DM, cardiac disorders. To reduce systemic absorption, press on the lacrimal sac for 1-2 minutes following instillation. Do not drive or engage in hazardous activities and protect eyes from bright illumination when pupils are dilated. May fail to produce adequate cycloplegia in children.
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Adverse Reactions
Increased intraocular pressure, transient stinging, dry mouth, blurred vision, photophobia, tachycardia, headache, superficial punctate keratitis, systemic anticholinergic effects, severe CNS disturbances in children (rare).
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Drug Interactions
May antagonise effects of ophthalmic carbachol, pilocarpine, or cholinesterase inhibitors.
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CIMS Class
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ATC Classification
S01FA06 - tropicamide ; Belongs to the class of anticholinergics used as mydriatics and cycloplegics.
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