Generic Name: atropine ophthalmic (A troe peen)Brand names: Atropine-1, Atropine-Care, Atropisol, Isopto Atropine, Ocu-tropine, Ocu-Tropine, Atrosulf-1
Atropine ophthalmic causes the muscles in your eye to become relaxed. This widens your pupil. Your pupil will remain wide and will not respond to light.Atropine ophthalmic is used to dilate (widen) your pupil when you have an inflammatory condition or in postsurgery situations in which this effect may be helpful.
Atropine ophthalmic may also be used for purposes other than those listed in this medication guide.
Apply light pressure to the inside corner of your eye (near your nose) for 1 to 3 minutes after each drop or ointment application to prevent the medicine from draining down your tear duct.Use caution when driving, operating machinery, or performing other hazardous activities. Atropine ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities. The effects of even one drop of this medication can last for up to 2 weeks. Be sure that your vision is clear before attempting any activity that could be dangerous. Atropine ophthalmic may make your eyes more sensitive to light. Protect your eyes when you are going to be in bright light.
Do not use atropine ophthalmic if you have glaucoma that is not being treated.
Atropine ophthalmic eye drops contain a preservative (benzalkonium chloride), so do not wear soft contact lenses when the eye drops are being inserted.Atropine ophthalmic is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not use atropine ophthalmic without first talking to your doctor if you are pregnant. Atropine ophthalmic passes into breast milk in small quantities. Its effects on a nursing baby are unknown. Do not use atropine ophthalmic without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age, there is a greater chance that you have increased pressure in your eyes. Atropine ophthalmic may worsen this condition. Your doctor will need to monitor this. Atropine ophthalmic may cause unusual reactions in children and infants since they may be more susceptible to the side effects. Use extra caution when atropine ophthalmic is being used on a child.
Use atropine ophthalmic eye drops or ointment exactly as directed by your doctor. If you do not understand these instructions, ask your doctor, pharmacist, or nurse to explain them to you.Wash your hands before and after using your eye drops or ointment.
To apply the eye drops:
Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for 1 to 3 minutes to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye or drops in both eyes, repeat the process with about 5 minutes between drops.
To apply the ointment:
Hold the tube in your hand for a few minutes to warm it up so that the ointment comes out easily. Tilt your head back slightly and pull down gently on your lower eyelid. Apply a thin film of the ointment into your lower eyelid. Apply gentle pressure to the inside corner of your eye near your nose for 1 to 3 minutes to prevent the ointment from draining down your tear duct. Close your eye and roll your eyeball around in all directions for 1 to 2 minutes. If you are applying another eye medication, allow at least 10 minutes before your next application.
Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.
Symptoms of an atropine ophthalmic overdose include headache, fast heartbeat, dry mouth and skin, unusual drowsiness, flushing, coma, and death.
Atropine ophthalmic eye drops contain a preservative (benzalkonium chloride), so do not wear soft contact lenses when the eye drops are being inserted.
an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
an irregular or fast heart rate;
hallucinations or unusual behavior (especially in children); or
a swollen or distended stomach (in infants).
Other, less serious side effects may be more likely to occur. Continue to use atropine ophthalmic and talk to your doctor if you experience
sensitivity to sunlight,
stinging and burning, or
swelling of the eyelids.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Uveitis:
Solution: 1 to 2 drops to the affected eye(s) up to 4 times a dayOintment: 0.3 to 0.5 cm in the conjunctival sac of the affected eye(s) 1 to 3 times a day
Usual Adult Dose for Refraction:
1 to 2 drops (1% solution) to the affected eye(s) one time, 1 hour before the anticipated examination.
Usual Pediatric Dose for Pupillary Dilation:
As an alternative to occlusion for amblyopia:3 to 7 years: Instill 1 drop (1% solution) in the affected eye once daily. Frequency may be reduced to twice weekly if adequate improvement in visual acuity.
Usual Pediatric Dose for Refraction:
1 to 18 years: Ointment: 0.3 cm in the conjunctival sac of the affected eye(s) up to 3 times a day for 1 to 3 days before the procedure. Solution: 1 to 2 drops (0.5% solution) to the affected eye(s) twice daily for 1 to 3 days before the procedure.
Usual Pediatric Dose for Uveitis:
1 to 18 years: Ointment: 0.3 to 0.5 cm in the conjunctival sac of the affected eye(s) 1 to 3 times a day.Solution: 1 to 2 drops (0.5% solution) to the affected eye(s) 1 to 3 times a day.
Avoid other eye medications unless they are approved by your doctor.
Drugs other than those listed here may also interact with atropine ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.