Tropicamide

Tropicamide is a prescription medication used to treat the symptoms of Refraction (Mydriasis) and Funduscopic Exam (Cyclopegia).

• Tropicamide is available under the following different brand names: Mydriacyl, Tropicacyl.

Adult and pediatric dosage

Ophthalmic solution

• 0.5%
• 1%

Refraction (Mydriasis)

Adult and pediatric dosage

• 1-2 drops of 1% solution in the eye(s), repeat in 5 min, perform exam within 30 minutes of the second instillation

Funduscopic Exam (Cycloplegia)

Adult and pediatric dosage

• 1-2 drops of 0.5% solution in eyes 15-20 min before the exam, may repeat every 30 minutes when necessary.

Dosage Considerations – Should be Given as Follows: 

• See “Dosages”

Common side effects of Tropicamide include:

• blurred vision,
• mild stinging or the eyes,
• increased sensitivity to light,
• dry mouth, and
• headache

Serious side effects of Tropicamide include:

• hives,
• difficulty breathing,
• swelling of the face, lips, tongue, or throat,
• unusual changes in mood or behavior,
• fast, slow, or uneven heart rate,
• shortness of breath, and
• light-headedness

Rare side effects of Tropicamide include:

• none 

This is not a complete list of side effects and other serious side effects or health problems that may occur as a result of the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may report side effects or health problems to FDA at 1-800-FDA-1088.

If your medical doctor is using this medicine to treat your pain, 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 your doctor, health care provider, or pharmacist first.

• Tropicamide has no noted severe interactions with any other drugs
• Tropicamide has no noted serious interactions with any other drugs
• Tropicamide has no noted moderate interactions with any other drugs
• Tropicamide has no noted minor interactions with any other drugs

This information does not contain all possible interactions or adverse effects. Visit the RxList Drug Interaction Checker for any drug interactions. Therefore, before using this product, tell your doctor or pharmacist about all your products. Keep a list of all your medications with you and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions or concerns.

Contraindications

• Hypersensitivity 
• Known or suspected angle-closure glaucoma, presence of a shallow anterior chamber unless gonioscopic observation of the chamber angle is possible

Effects of drug abuse

• None

Short-Term Effects

• See “What Are Side Effects Associated with Using Tropicamide?”

Long-Term Effects

• See “What Are Side Effects Associated with Using Tropicamide?”

Cautions

• Hypertension, hyperthyroidism, diabetes mellitus, cardiac disorders
• Remove contact lenses before instilling drops
• The possibility of undiagnosed glaucoma should be considered
• Risk of potentially dangerous Central nervous system disturbances in Peds
• May cause increased Intraocular pressure
• 0.5% solution incapable of producing satisfactory cycloplegia

Pregnancy & Lactation

• Use with caution if the benefits outweigh the risks during pregnancy

Lactation

• Not known if distributed in milk