Atropine Care Ophthalmic

Name: Atropine Care Ophthalmic

Uses For Atropine Care

Atropine sulfate eye drops is used to dilate the pupil before eye exams. It is also used to treat an eye condition called amblyopia (lazy eyes) and other eye conditions (eg, cycloplegia). This medicine works by blocking the chemical acetylcholine, which relaxes the ciliary muscle of the eye and causes the pupil to dilate.

This medicine is available only with your doctor's prescription.

Proper Use of atropine sulfate

This section provides information on the proper use of a number of products that contain atropine sulfate. It may not be specific to Atropine Care. Please read with care.

Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine is not for long-term use.

To use the eye drops:

  • First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to be absorbed by the eye.
  • Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.
  • If you think you did not get the drop of medicine into your eye properly, use another drop.
  • To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, always keep the container tightly closed.

Dosing

The dose of this medicine 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 this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For ophthalmic dosage form (eye drops):
    • For mydriasis, cycloplegia, and amblyopia:
      • Adults and children 3 months of age and older—Use one drop 40 minutes before the intended maximal dilation time.
      • Children up to 3 months old—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

You may also store this medicine at the refrigerator.

Uses

This medication is used before eye examinations (e.g., refraction) and to treat certain eye conditions (e.g., uveitis). It belongs to a class of drugs known as anticholinergics. Atropine works by widening (dilating) the pupil of the eye.

How to use Atropine Care Ointment

To apply eye ointments, wash hands first. To avoid contamination, be careful not to touch the tube tip or let it touch your eye. Tilt your head back, look upward, and gently pull down the lower eyelid to make a pouch. Place a 1/4 inch (0.5 centimeter) strip of ointment into the pouch. Gently close the eye and roll the eyeball in all directions to spread the medication. Try not to blink and do not rub the eye.

Repeat these steps for your other eye if so directed. If you are using this medication on a regular schedule, apply as often as directed by your doctor, usually 3 times daily.

Do not use the ointment if it has changed color.

Wipe the tip of the ointment tube with a clean tissue to remove extra medication before recapping it.

If you are using another kind of eye medication (e.g., drops or ointments), wait at least 5-10 minutes before applying other medications. Use eye drops before eye ointments to allow the drops to enter the eye.

If you are using this medication on a regular schedule, you can get the most benefit from it by not missing any doses. To help you remember, use it at the same times each day. Continue using it for the full time prescribed.

Inform your doctor if your condition does not improve or if it worsens.

Precautions

Before using atropine, tell your doctor or pharmacist if you are allergic to it; or to belladonna alkaloids (such as hyoscyamine, scopolamine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: personal or family history of glaucoma (angle-closure type).

Before using this medication, tell your doctor or pharmacist your medical history, especially of: other eye conditions, Down's syndrome, brain damage or spastic paralysis (in children).

After you apply this drug, your vision may become temporarily blurred. Do not drive, use machinery, or do any activity that requires clear vision until you are sure you can perform such activities safely.

This medication may make your eyes more sensitive to light. Protect your eyes in bright light. Use dark sunglasses when outdoors.

Caution is advised when using this drug in infants or small children because they may be more sensitive to the effects of the drug. Do not allow this medication to get into the child's mouth. Remember to wash your hands after each use.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: certain antiarrhythmic drugs (e.g., quinidine), antihistamines (e.g., diphenhydramine, meclizine), antispasmodics (e.g., dicyclomine), certain drugs for Parkinson's disease (e.g., anticholinergics such as benztropine, trihexyphenidyl), MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine), other eye medications, tricyclic antidepressants (e.g., amitriptyline).

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Side Effects

Burning/stinging/redness of the eye, eye irritation, or temporary blurred vision may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: dizziness, fainting, new or increased eye pressure/pain/swelling/discharge.

Tell your doctor right away if any of these rare but very serious side effects occur: slow/shallow breathing, mental/mood changes (e.g., confusion, agitation), fast/irregular heartbeat.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

List ATROPINE CARE Drops side effects by likelihood and severity.
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