Atropin-Care

Name: Atropin-Care

Uses of Atropin-Care

  • It is used to widen the pupil before an eye exam or eye surgery.
  • It is used to treat eye swelling.
  • It is used to treat lazy eye (amblyopia).

What are some things I need to know or do while I take Atropin-Care?

  • Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for clear eyesight while your pupils are dilated.
  • Bright lights may bother you for some time after using Atropin-Care. Wear sunglass for as long as you were told by your doctor.
  • This medicine may cause harm if swallowed. If this medicine is swallowed, call a doctor or poison control center right away.
  • If you are 65 or older, use Atropin-Care with care. You could have more side effects.
  • Use with care in children. Talk with the doctor.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
  • Do not give Atropin-Care to a child younger than 3 months of age.

How is this medicine (Atropin-Care) best taken?

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • For the eye only.
  • Wash your hands before and after use.
  • Do not touch the container tip to the eye, lid, or other skin.
  • Tilt your head back and drop drug into the eye.
  • After use, keep your eyes closed. Put pressure on the inside corner of the eye. Do this for 1 to 2 minutes. This keeps the drug in your eye.
  • Take out contact lenses before using Atropin-Care. Talk with your doctor to see when lenses may be put back in after this medicine is given. Do not put contacts back in if your eyes are irritated or infected.

What do I do if I miss a dose?

  • Use a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not use 2 doses at the same time or extra doses.

Consumer Information Use and Disclaimer

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Atropin-Care (atropine eye drops), please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. 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 Atropin-Care. 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 the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using Atropin-Care.

Review Date: October 4, 2017

For Healthcare Professionals

Applies to atropine ophthalmic: ophthalmic ointment, ophthalmic solution

General

The most commonly occurring side effects include blurred vision, photophobia, eye pain and stinging, decreased lacrimation. Systemic effects are more common in infants and elderly.[Ref]

Cardiovascular

Severe reaction to the ointment may include hypotension.[Ref]

Frequency not reported: Transient bradycardia followed by tachycardia, palpitations, and arrhythmia[Ref]

Nervous system

Frequency not reported: Ataxia, restlessness, excitement, irritability, hyperactivity, somnolence, confusion, delirium, hallucinations[Ref]

Ocular

Common (1% to 10%): Eye pain, stinging, blurred vision, photophobia, decreased lacrimation
Frequency not reported: Superficial keratitis (with prolonged use), conjunctivitis, hyperemia, edema[Ref]

Gastrointestinal

Frequency not reported: Dry mouth, thirst, dysphagia, nausea, vomiting, constipation[Ref]

Hypersensitivity

Frequency not reported: Contact dermatitis, allergic conjunctivitis, eyelid edema[Ref]

Respiratory

Severe reaction to the ointment may include hypotension with progressive respiratory depression. Coma and death have been reported in very young children.[Ref]

Frequency not reported: Decreased bronchial secretions with dry throat and difficulty talking[Ref]

Dermatologic

Frequency not reported: Dry skin, flushing, rash[Ref]

Genitourinary

Frequency not reported: Urinary retention, urinary urgency

Local

Frequency not reported: Local irritation (with prolonged use)

Psychiatric

Frequency not reported: Confusion, delirium, hallucinations

Some side effects of Atropine-Care may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

No adjustment recommended

Other Comments

Administration advice:
-For ophthalmic use only; not for injection
-Contact lenses should be removed before use.
-Instill drops into the eye at the cul-de-sac of the conjunctiva; systemic absorption may be minimized by applying pressure to the lacrimal duct for 1 minute during and after instillation
-Apply ointment into conjunctiva sac; systemic absorption may be minimized by applying pressure to the lacrimal duct for up to 3 minutes during and after instillation
-Wash hands after administration to avoid accidental oral ingestion.

Storage requirements:
-Store at 20C to 25C (68F to 77F); keep container tightly closed.

General:
-Complete recovery from mydriasis may take up to 1 week or longer.

Patient advice:
-Patients should be advised to apply pressure to the lacrimal sac for 1 minute (eye drop) to 3 minutes (ointment) during and after instillation, to minimize systemic absorption (especially in children).
-Patients should be warned about oral toxicity, and advised to wash their hands after use and avoid getting the product in the mouth.
-Patients should be instructed not to touch the dropper or tube tip to any surface as this may contaminate the solution or ointment.
-Patients should be informed that complete recovery from dilation may take up to 1 week or longer; patients should be advised to protect eyes from bright light during dilation and not to drive or perform potentially hazardous activities while pupils are dilated.

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