GENERIC
Tropicamide + Phenylephrine + Lidocaine
Indications
This is indicated for cataract surgery to obtain mydriasis (dilation of the pupil) and intraocular anesthesia during the surgical procedure.
Dosage and administration
Used only in the elderly and adults undergoing cataract surgery. The injection has to be administered by an ophthalmic surgeon, under local anesthesia, at the beginning of cataract surgery. The recommended dose is 0.2 ml of solution, in only one injection. The following procedure should be followed:
Five minutes before performing the preoperative antiseptic procedure and the first incision, one to two drops of anesthetic eye drops should be instilled in the eye.
At the beginning of surgery, 0.2 ml of the drop is slowly injected in only one injection via intracameral route, through the side port or principal port.
Side effects
Most serious well-known complications occurring during or after cataract surgery: Uncommon: may affect up to 1 in 100 people
Injury to the lens (posterior capsule rupture)
Swelling of the retina (cystoid macular edema)
Please seek urgent medical advice in this case. Other side effects: Uncommon: may affect up to 1 in 100 people
Nervous system disorder: Headache
Eye Disorder: Swelling of the cornea (keratitis), increased pressure in the eye, redness of the eye (ocular hyperaemia)
Vascular disorder: High blood pressure (hypertension)
Pregnancy and lactation
This medicine should not be used during pregnancy and lactation.
Precautions and warnings
Do not use if the blister is damaged or broken. Open under aseptic conditions only. The product should be used immediately after opening of the ampoule and not be reused for the other eye or any other patient. This is not recommended:
In combined cataract surgery with a certain type of eye surgery (vitrectomy)
If the ocular anterior chamber is shallow
If the patient has a history of acute narrow angle glaucoma
The doctor should consider the patient’s medical condition if he is suffering from hypertension, atherosclerosis or any kind of heart disease, hyperthyroidism, prostate gland disorders, epilepsy, any liver disease or kidney problem, breathing problem or myasthenia gravis.
Storage
Do not store above 30⁰C. Does not require refrigeration. Keep away from light and out of the reach of children. For single eye use only. This medicine should be used immediately after first opening of the ampoule. After use, discard the remaining solution appropriately. Do not keep it for subsequent use.
Clinical information is taken from the most complete brand listing (Midoria); it applies to the active ingredient.
Brands of Tropicamide + Phenylephrine + Lidocaine
| # | Brand | Company | Form | Strength | Price |
|---|---|---|---|---|---|
| 1 | Midoria | Incepta Pharmaceuticals Ltd. | Intracameral Injection | 0.02%+0.31%+1% | Not listed |
| 2 | Mydran | General Pharmaceuticals Ltd. | Intracameral Injection | 0.02%+0.31%+1% | Not listed |
This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.