Tropikamid, blocking the M-cholinergic receptors of the sphincter of the iris and ciliary muscles, causes the development of mydriasis and paralysis of accommodation. Dianabol cycle and cycloplegic effect of the drug is significantly shorter compared to atropine. Tropikamid has less influence on the state of IOP, but may increase intraocular pressure when using the drug. Develops within 5-10 minutes after the installation, and reaches a maximum of 15-20 minutes. Mydriasis maintained for 1.2 hours. To develop paralysis of accommodation requires multiple installation (see. Dosage). Maximum accommodation paralysis after 2 multiple installations of 1% solution in the average occurs after 25 minutes and lasts for 30 minutes. Relief of paralysis of accommodation occurs on average 3 hours. Relief effects of tropicamide achieved after an average of 6 hours.
Indications
for diagnostic purposes during ophthalmoscopy and determining the refraction;- mydriasis before surgery (cataract extraction, surgery on the retina and vitreous body) and laser surgery (laser photocoagulation of the retina);
- as a component of complex therapy of inflammatory diseases of the eye and in the postoperative period for prevention of adhesions development.
Contraindications
- glaucoma, especially the closure and mixed primary glaucoma;
- hypersensitivity to the drug.
- 1% solution is contraindicated in children younger than 6 years (to use 0.5% solution)
Precautions
When the intraocular pressure, shallow anterior chamber of the eye.
Inflammation of the eye, as hyperemia significantly increases the level of systemic absorption through the conjunctiva.
Pregnancy and lactation
Data on the use of the drug during pregnancy, lactation not. Application for the treatment of pregnant women and nursing mothers may only prescribed by a doctor, if the expected therapeutic effect is greater than the risk of possible side effects.
Paediatric use
only 0.5% can be used in children under 6 years of the solution!
Dosing and Administration
Locally.
For diagnostic mydriasis instilled 1-2 drops of 0.5% solution for 15-20 minutes before the examination.
In order to determine the refraction 1-2 drops of 1% solution is instilled 2 times a day with an interval of 5 minutes. In order to prolong the effect can be added to another landfill.
Side effects Local : photophobia and reduced visual acuity due to the dilation of the pupil and accommodation disturbances, increased intraocular pressure, allergic reactions, dianabol cycle transient stinging upon instillation, redness and swelling of the conjunctiva. System : dry mouth, dry skin, tachycardia, palpitations and arrhythmia, dysuria, reduction of tone and motility of the gastrointestinal tract, resulting in constipation, dizziness, headache. Psychotic reactions, bloating, rash, cardiopulmonary collapse in children dianabol side effects dianabol side effects. Systemic side effects may be observed, especially in children and the elderly.
Overdose
Overdose symptoms are dry skin (children may have a rash), blurred vision, tachycardia, irregular pulse, fever, abdominal distension in children, seizures, hallucinations, loss of neuromuscular coordination, at high doses – respiratory paralysis and coma.
Treatment is symptomatic. Young children should moisten the surface of the skin. In case of accidental ingestion, induce vomiting and gastric lavage.
Interaction with other drugs
Effect of m-anticholinergics may be enhanced by combined use of drugs with antimuscarinic properties – amantadine, some antihistamines, butyrophenones, phenothiazines, tricyclic antidepressants.
Special instructions:
The drug is not intended for injectable dianabol cycle administration.
To reduce the risk of systemic side effects of the drug is recommended after installation pinch tear ducts in the inner corner of the eye (1-2 minutes).
, May reduce the severity of the drug after due to changes in accommodation and the width of the pupil, so the use of the drug is not recommended for drivers of vehicles.
Patients who use contact lenses before applying the drug should remove the lenses and set them back no earlier than 15 minutes after instillation of the drug.
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