Tropicamide

Generic Name: tropicamide (TROP-ik-ah-mide)
Brand Name: Examples include Mydral and Mydriacyl

Tropicamide is used for:

Dilating the pupil and paralyzing certain muscles in the eye for diagnostic tests. It may also be used for other conditions as determined by your doctor.

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

Do NOT use tropicamide if:

  • you are allergic to any ingredient in tropicamide
  • you have angle-closure glaucoma

Contact your doctor or health care provider right away if any of these apply to you.

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Before using tropicamide:

Some medical conditions may interact with tropicamide. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have glaucoma or you are at risk for glaucoma

Some MEDICINES MAY INTERACT with tropicamide. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • Carbachol, ophthalmic cholinesterase inhibitors (eg, echothiophate), or pilocarpine because their effectiveness may be decreased by tropicamide

This may not be a complete list of all interactions that may occur. Ask your health care provider if tropicamide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use tropicamide:

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

  • 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.
  • If you miss a dose of tropicamide, contact your doctor for instructions.

Ask your health care provider any questions you may have about how to use tropicamide.

Important safety information:

  • 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.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using tropicamide during pregnancy. It is unknown if tropicamide is excreted in breast milk. If you are or will be breast-feeding while you are using tropicamide, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of 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:

Severe allergic reactions (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.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of tropicamide:

Store tropicamide at room temperature, between 46 and 80 degrees F (8 and 27 degrees C). Store away from heat, moisture, and light. Do not refrigerate. Do not store in the bathroom. Keep tropicamide out of the reach of children and away from pets.

General information:

  • If you have any questions about tropicamide, please talk with your doctor, pharmacist, or other health care provider.
  • Tropicamide is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take tropicamide or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about tropicamide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to tropicamide. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using tropicamide.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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