Drug Detail:Tropicacyl (Tropicamide ophthalmic [ troe-pik-a-mide-off-thal-mik ])
Drug Class: Mydriatics
Usual Adult Dose for Refraction
Cycloplegic Refraction:
- Instill 1 or 2 drops of the 1% solution into eye(s); repeat in 5 minutes.
Comment:
- An additional drop may be given if the examination is not done within 20 to 30 minutes.
Use: To produce mydriasis and cycloplegia for diagnostic procedures.
Usual Adult Dose for Pupillary Dilation
Fundoscopy:
- Instill 1 or 2 drops of 0.5% solution into eye(s) 15 or 20 minutes prior to examination.
Comments:
- Heavily pigmented irides may require higher strength or more doses.
Use: To produce mydriasis and cycloplegia for diagnostic procedures.
Usual Pediatric Dose for Refraction
Cycloplegic Refraction:
- Instill 1 or 2 drops of the 1% solution into eye(s); repeat in 5 minutes.
Comment:
- An additional drop may be given if the examination is not done within 20 to 30 minutes.
Use: To produce mydriasis and cycloplegia for diagnostic procedures.
Usual Pediatric Dose for Pupillary Dilation
Fundoscopy:
- Instill 1 or 2 drops of 0.5% solution into eye(s) 15 or 20 minutes prior to examination.
Comments:
- Heavily pigmented irides may require higher strength or more doses.
Use: To produce mydriasis and cycloplegia for diagnostic procedures.
Renal Dose Adjustments
No dosage adjustment is recommended.
Liver Dose Adjustments
No dosage adjustment is recommended.
Dose Adjustments
Use caution in inflamed eyes as hyperemia greatly increases the rate of systemic absorption through the conjunctiva.
Heavily pigmented irides may require higher strength or more doses.
Systemic absorption can be minimized by applying pressure to the lacrimal duct for 1 to 2 minutes after instillation.
Precautions
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- For topical use only, not for injection
- Contact lenses should be removed before use.
- Wash hands after administration to avoid accidental ingestion.
- Systemic absorption may be minimized by applying pressure to the lacrimal duct for 1 minute after instillation.
Storage requirements:
Store at 8C to 27C (46F to 80F); do not refrigerate; protect from light; keep container tightly closed.
General:
- Patients with heavily pigmented irides may require higher strength or more doses.
- Complete recovery from mydriasis may take up to 24 hours.
Patient advice:
- Patients should be advised to apply pressure to the lacrimal sac for 1 to 3 minutes after instillation, to minimize systemic absorption (especially in children).
- Parents should be warned about oral toxicity with accidental ingestion, and advised to wash their hands and the child's hands after use.
- Patients should be advised to protect eyes from bright light during dilation.
- Patients should be advised not to drive or perform potentially hazardous activities while pupils are dilated.
