Prescription Drug Information: Mydriacyl

MYDRIACYL — tropicamide solution/ drops
Alcon Laboratories, Inc.

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DESCRIPTION

MYDRIACYL™ (tropicamide ophthalmic solution, USP) is an anticholinergic prepared as a sterile topical ophthalmic solution in two strengths. The active ingredient is represented by the chemical structure:


chemical
(click image for full-size original)

Each mL of MYDRIACYL™ (tropicamide ophthalmic solution, USP) contains: Active: tropicamide 1%.
Preservative: benzalkonium chloride 0.01%. Inactives: sodium chloride, edetate disodium, hydrochloric acid and/or sodium hydroxide (to adjust pH), purified water. pH range 4.0 — 5.8.

CLINICAL PHARMACOLOGY

This anticholinergic preparation blocks the responses of the sphincter muscle of the iris and the ciliary muscle to cholinergic stimulation, dilating the pupil (mydriasis). The stronger preparation (1%) also paralyzes accommodation. This preparation acts in 15-30 minutes, and the duration of activity is approximately 3-8 hours. Complete recovery from mydriasis in some individuals may require 24 hours. The weaker strength may be useful in producing mydriasis with only slight cycloplegia. Heavily pigmented irides may require more doses than lightly pigmented irides.

INDICATIONS AND USAGE

For mydriasis and cycloplegia for diagnostic procedures.

CONTRAINDICATIONS

Contraindicated in persons showing hypersensitivity to any component of this preparation.

WARNINGS

FOR TOPICAL OPHTHALMIC USE ONLY. NOT FOR INJECTION.

This preparation may cause CNS disturbances which may be dangerous in pediatric patients. The possibility of psychotic reactions and behavioral disturbances due to hypersensitivity to anticholinergic drugs should be considered.

Mydriatics may produce a transient elevation of intraocular pressure.

Remove contact lenses before using.

PRECAUTIONS

General

The lacrimal sac should be compressed by digital pressure for two to three minutes after instillation to reduce excessive systemic absorption.

Information for Patients

Do not touch dropper tip to any surface, as this may contaminate the solution. Patient should be advised not to drive or engage in potentially hazardous activities while pupils are dilated. Patient may experience sensitivity to light and should protect eyes in bright illumination during dilation. Parents should be warned not to get this preparation in their child’s mouth and to wash their own hands and the child’s hands following administration.

Drug Interactions

Tropicamide may interfere with the antihypertensive action of carbachol, pilocarpine, or ophthalmic cholinesterase inhibitors.

Carcinogenesis, Mutagenesis, Impairment of Fertility

There have been no long-term studies done using tropicamide in animals to evaluate carcinogenic potential.

Pregnancy

Animal reproduction studies have not been conducted with tropicamide. It is also not known whether tropicamide can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Tropicamide should be given to a pregnant woman only if clearly needed.

Nursing Mothers

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when tropicamide is administered to a nursing woman.

Pediatric Use

Tropicamide may rarely cause CNS disturbances which may be dangerous in pediatric patients. Psychotic reactions, behavioral disturbances, and vasomotor or cardiorespiratory collapse in children have been reported with the use of anticholinergic drugs (See WARNINGS). Keep this and all medications out of the reach of children.

Geriatric Use

No overall differences in safety or effectiveness have been observed between elderly and younger patients.

ADVERSE REACTIONS

Ocular: Transient stinging, blurred vision, photophobia and superficial punctuate keratitis have been reported with the use of tropicamide. Increased intraocular pressure has been reported following the use of mydriatics.

Non-Ocular: Dryness of the mouth, tachycardia, headache, allergic reactions, nausea, vomiting, pallor, central nervous system disturbances and muscle rigidity have been reported with the use of tropicamide. Psychotic reactions, behavioral disturbances, and vasomotor or cardiorespiratory collapse in children have been reported with the use of anticholinergic drugs.

DOSAGE AND ADMINISTRATION

For refraction, instill one or two drops of 1% solution in the eye(s), repeated in five minutes. If patient is not seen within 20 to 30 minutes, an additional drop may be instilled to prolong mydriatic effect. For examination of fundus, instill one or two drops of 0.5% solution 15 or 20 minutes prior to examination. Individuals with heavily pigmented irides may require higher strength or more doses. Mydriasis will reverse spontaneously with time, typically in 4 to 8 hours. However, in some cases, complete recovery may take up to 24 hours.

HOW SUPPLIED

3 mL and 15 mL in plastic DROP-TAINER® dispensers.

1% 3 mL: NDC 0065-0355-03

15 mL: NDC 0998-0355-15

STORAGE: Store at 8° to 27°C (46° to 80°F). Do not refrigerate or store at high temperatures. Keep container tightly closed.

© 2021 Alcon Inc.
Distributed by:
ALCON LABORATORIES, INC.
Fort Worth, Texas 76134
T2018-39
Revised: November 2021
W300051445-1121 Alcon

PRINCIPAL DISPLAY PANEL

NDC 0998-0355-15
Alcon®
Mydriacyl® 1%
(tropicamide ophthalmic solution, USP)
15 mL Sterile
Rx Only
A Sterile Anticholinergic Agent.
USUAL DOSAGE: One or two drops topically in the eye(s). Read enclosed insert.
PRECAUTION: Do not touch dropper tip to any surface, as this may contaminate the solution.
INGREDIENTS: Each mL Contains:
Active: tropicamide 1%.
Preservative: benzalkonium chloride 0.01%.
Inactives: sodium chloride, edetate disodium, hydrochloric acid and/or sodium hydroxide (to adjust pH), purified water. pH range 4.0-5.8.
©2002, 2010 Alcon, Inc.
Alcon®
ALCON LABORATORIES, INC.
Fort Worth, Texas. 76134 USA
Product of Japan
9016373 US

STORAGE: Store at 8º-27ºC (46º-80ºF). Do not refrigerate or store at high temperatures. Keep container tightly closed.
FOR TOPICAL OPHTHALMIC USE ONLY.
SN:
LOT:
EXP.:GTIN: 00309980355156

Carton Label
(click image for full-size original)

NDC 0998-0355-15
Alcon®
Mydriacyl® 1%
(tropicamide ophthalmic solution, USP)
Sterile 15 mL
Rx Only FOR TOPICAL OPHTHALMIC USE ONLY
A Sterile Anticholinergic Agent.
INGREDIENTS: Each mL Contains:
Active: tropicamide 1%. Preservative: benzalkonium
chloride 0.01%. Inactives: sodium chloride, edetate
disodium, hydrochloric acid and/or sodium hydroxide
(to adjust pH), purified water. pH range 4.0-5.8.
USUAL DOSAGE: One or two drops topically
in the eye(s). Read enclosed insert.
PRECAUTION: Do not touch dropper tip to any surface,
as this may contaminate the solution.
STORAGE: Store at 8º-27ºC (46º-80ºF).
Do not refrigerate or store at high temperatures.
Keep container tightly closed.
ALCON LABORATORIES, INC.
Fort Worth, Texas. 76134 USA Printed in USA
©2002, 2004 Alcon Laboratories, Inc.
H15341 US LOT: EXP.:

Label
(click image for full-size original)
MYDRIACYL tropicamide solution/ drops
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:0998-0355
Route of Administration OPHTHALMIC DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TROPICAMIDE (TROPICAMIDE) TROPICAMIDE 10 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
BENZALKONIUM CHLORIDE
SODIUM CHLORIDE
EDETATE DISODIUM
HYDROCHLORIC ACID
SODIUM HYDROXIDE
WATER
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:0998-0355-15 1 BOTTLE in 1 CARTON contains a BOTTLE
1 15 mL in 1 BOTTLE This package is contained within the CARTON (0998-0355-15)
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA084306 04/01/1959
Labeler — Alcon Laboratories, Inc. (008018525)
Registrant — Alcon Laboratories, Inc. (008018525)
Establishment
Name Address ID/FEI Operations
Alcon Research, LLC 007672236 manufacture (0998-0355)

Revised: 02/2023 Alcon Laboratories, Inc.

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