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ATROPINE, HOMATROPINE, AND SCOPOLAMINE (Ophthalmic)
Some commonly used brand names are:
In the U.S.—
Another commonly used name for scopolamine is hyoscine .
Ophthalmic atropine, homatropine, and scopolamine are used to dilate (enlarge) the pupil of the eye. They are used before eye examinations, before and after eye surgery, and to treat certain eye conditions, such as uveitis or posterior synechiae.
These medicines are available only with your doctor"s prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For ophthalmic atropine, homatropine, and scopolamine, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to atropine, homatropine, or scopolamine. Also tell your health care professional if you are allergic to any other substances, such as certain preservatives.
Pregnancy—Studies on effects in pregnancy have not been done in either humans or animals. However, these medicines may be absorbed into the body.
Breast-feeding—These medicines may be absorbed into the body. Atropine passes into the breast milk in very small amounts and may cause side effects, such as fast pulse, fever, or dry skin, in babies of nursing mothers using ophthalmic atropine. It is not known whether homatropine or scopolamine passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are using one of these medicines and who wish to breast-feed should discuss this with their doctor.
Children—Infants and young children and children with blond hair or blue eyes may be especially sensitive to the effects of atropine, homatropine, or scopolamine. This may increase the chance of side effects during treatment . Children should use a lower strength of this medicine.
Older adults—Elderly people are especially sensitive to the effects of atropine, homatropine, or scopolamine. This may increase the chance of side effects during treatment.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are using any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Other medical problems—The presence of other medical problems may affect the use of ophthalmic atropine, homatropine, or scopolamine. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
To use the ophthalmic solution (eye drops) form of this medicine:
To use the ointment form of this medicine:
Use this medicine only as directed . Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of too much medicine being absorbed into the body and the chance of side effects. This is especially important when this medicine is used in infants and children, since overdose is very dangerous in infants and children .
Dosing—The doses of these medicines will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
The number of doses you use each day, the time allowed between doses, and the length of time you use the medicine depend on the medical problem for which you are using atropine, homatropine, or scopolamine.
Missed dose—If you miss a dose of this medicine and your dosing schedule is:
Storage—To store this medicine:
Precautions While Using This Medicine
After you apply this medicine to your eyes:
These effects may continue for several days after you stop using this medicine. However, check with your doctor if they continue longer than:
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Symptoms of too much medicine being absorbed into the body
Clumsiness or unsteadiness; confusion or unusual behavior; dryness of skin; fast or irregular heartbeat; fever; flushing or redness of face; seeing, hearing, or feeling things that are not there; skin rash; slurred speech; swollen stomach in infants; thirst or unusual dryness of mouth; unusual drowsiness, tiredness, or weakness
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
Blurred vision; brief burning or stinging of the eyes; eye irritation not present before use of this medicine; increased sensitivity of eyes to light; swelling of the eyelids
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
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