Uses and Administration Adverse Effects, Treatment, and Precautions
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2006 Miotics activity, an enzyme likely to be involved in the metabolism of action similar to that of ecothiopate iodide (p. 2007.2). It Uses and Administration of cydopentolate. has been used as a 0.125 or 0.25% ophthalmic solution in Cyclopentolate hydrochloride is a tertiary amine antimusca l. Awan KJ. Adverse systemic reactions of topical cyclopentolate the treatment of open-angle glaucoma and in the diagnosis rinic with actions similar to those of atropine (p. 1310.3). It hydrochloride. Ann Ophthalmol l976; 8: 695-8. and management of accommodative convergent strabismus. is used to produce mydriasis and cycloplegia (p. 2000.2) for 2. Bauer CR. et al. Systemic cyclopentolate (Cyclogyl) toxicity in the Pediatr 92: ophthalmic diagnostic procedures and also in the treatment newborn infant. 1 1973; 501�5. 3. Fitzgerald DA, et al. Seizures associated with 1% cyclopentolate i of uveitis and iritis (p. 1615.1). It acts more quickly than eyedrops. J Paediatr Child Health 1990; 26: 106-7. Preparat ons atropine and has a shorter duration of action; the maximum 4. Demayo AP, Reidenberg MM. Grand mal seizure in a child 30 minutes mydriatic effect is produced 30 to 60 minutes after after Cyclogyl (cyclopentolate hydrochloride) and 10% Neo-Synephrine Pharmacopoeial Preparations (phenylephrine hydrochloride) eye drops were instilled. Abstract: USP 36: instillation, and may persist for up to 24 hours or longer in Demecarium Bromide Ophthalmic Solution. Pediatrics 2004; 113: 1390-1. Full version: http:f/pcdiatrics. some patients; the maximum cycloplegic effect is produced aappublications.org/cgi/reprim/ll3/5/e499 (accessed 24111/05) within 25 to 75 minutes and accommodation recovers within 6 to 24 hours. For diagnostic procedures, instillation of a 0.5% Interactions ophthalmic solution of cydopentolate hydrochloride, As for antimuscarinics in general (see Atropine Sulfate, repeated after about 5 to 15 minutes if necessary, is usually p. 1312.3). sufficient. Higher strengths have been used. In the treatment of uveitis and iritis, a 0.5% ophthalmic solution of cyclopentolate hydrochloride is instilled into the ProprietaryPreparations (details are given in Volume B) eye up to four times daily. Deeply pigmented eyes are more resistant to pupillary Single-ingredient Preparations, Arg. : Ciclopenal; Austral.: Cyclo dilatation and may require the use of a 1% solution. gyl; Belg.: Cyclogyl; Braz. : Ciclolato; Cicloplegico; Canad.: Ak Chile: China: For details of doses in children, see below. Pentolate; Cyclogyl; Diopentolate; Cyclogyl; Cyclogyl ('1\''i.it); Denm.: Cyclogyl; Fin.: Oftan Syklo; Fr.: Skiacol; Ger.: Zykolat-EDO; Gr.: Cyclogyl; Hong Kong: Cyclo Administration in children, For diagnostic procedures in gyl; Hung. : Humapent; India: Bell Pentolatet; Cyclate; Cyclo children, instillation of a I% ophthalmic solution of cyclo gik; Cyclogyl; Cyclopent; Dilate; Irl.: Mydrilate; Ital. : Ciclolux; pentolate hydrochloride, repeated after about 5 to 15 min Malaysia: Colircusi Cicloplejico; Cyclogyl; Mex. : Refractyl; Diclofenamide is an inhibitor of carbonic anhydrase with utes if necessary, is usually sufficient. Higher strengths Neth.: Cyclogyl; NZ: Cyclogyl; Port. : Cicloplegicedol; Midrioda properties similar to those of acetazolamide (p. 200 l.l). have been used. However, some recommend that vi; Rus.: Cyclomed (UHKJIOMM); Cycloptic (UHKJIOITTHK); S.Afr. : When given orally its effect begins within hour and lasts strengths greater than 0.5% should not be used in infants Cyclogyl; Singapore: Cyclogylt; Spain: Ciclopegic; Cicloplejico; I and that cyclopentolate should not be used at all during Swed. : Cyclogyl; Switz.: Cyclogyl; Thai.: Cyclogyl; Turk. : Siklo for 6 to 12 hours. Diclofenamide is used to reduce intra-ocular pressure in the first 3 months of life. mid; Sikloplejin; UK: Mydrilate; Ukr. : Cyclomed (l.(HKJIOMe.IJ;); In the treatment of uveitis, the BNFC suggests that a USA: Ak-Pentolate; Cyclogyl; Ocu-Pentolate; Pentolairt; glaucoma (p. 1999.1). The usual initial oral dose is I 00 mg every 6 to 12 hours until the desired response is obtained, 0.5% ophthalmic solution of cyclopentolate hydrochloride Venez. : Cyclogyl. followed by a maintenance dose of 50 mg every 8 hours. may be instilled into the eye 2 to 4 times daily; a 1% India: Cycdex; Cyclogyl-D; Cyclo Multi·ingredient Preparations. Didofenamide sodium has been given by injection. solution should be used for deeply pigmented eyes. pent Plus; Cyclopent-DM; Malaysia: Cyclomydril; S.Afr. : Cyclo mydril; Singapore: Cyclomydrilt; USA: Cyclomydril. Diclofenamide may be of benefit in hyper- and hypokalaemic periodic paralysis. Adverse Effects, Treatment, and Precautions Pharmacopoeial Preparations BP 2014: Cyclopentolate Eye Drops; As for Atropine Sulfate, p. 1312.1. USP 36: Cyclopentolate Hydrochloride Ophthalmic Solution. Preparations Eye drops of cyclopentolate hydrochloride may cause ....... .................... (details are given in Volume B) temporary irritation. ProprietaryPreparations Dapipra:z:ole Hydrochloride (USAN, r/NNM) Single-ingredient Preparations. Gr.: Oratrol; Ital.: Antidrasit; Abuse, Cyclopentolate eye drops have been abused. 1 One Spain: de, Da iprazole,. Chlorhy, Fenamide; Glauconidet. of 2 patients who did so had been instilling 200 to 400 AF-2139; Dapiprazol. hidrodoruro p drale d<:\ Dapiprazoli Hydrochlof!dum; Hidroc!oruro de drops of cyclopentolate into both eyes daily for about 4 . Pharmacopoeial Preparations months, presumably for its CNS effects, and had intense daplprazol; ,[lan\<1npa3olla f'14AP0><11opMA. USP 36: Dichlorphenamide Tablets. nausea, vomiting, weakness, and tremors on withdrawal. S,q,7,8·Tetril hydro-3-[2 -14·0'lolxh1-piper azinyilethyJJ··Hria l. Sato EH, et al. Abuse of cydopentolate hydrochloride (Cydogyl)· drops. N zolo[4,�-a]pyridine monohydrochioride 326: Engl 1 Med 1992; 1363---4. C:lfpN:,!-lCI:'361.9 . Dorzolamide Hydrochloride C45· ;_ . T}lf22 -!:PJ (di:rpiptazole;; 72822- 13.-0 (dapipraz;ole Hypersensitivity. Two children developed hypersensitivity hyctr��hJoride), (BANM, USAN, r/NNM) @ reactions shortly after the instillation of I% cyclopentolate ATC� S01EX02. Dorzolamid Hidrokloror: Dorzolamida, . tlidrodon.;ro de; hydrochloride eye drops into each eye.1 Both children . ATCVet -::-- QSQ iEX02, Dorzolamide, Chforhyd rate Dorzolamidhydro hlori�; initially had a facial rash but in one of them the rash later d�; · � iJJ\fil -· DS9U)Nl !(JX. Dorzolamidi hydrochloridu ; Hidroclorura de .dormlarr>ida; spread to include the arms and legs and was accompanied !11 (dorzolamide); by mild breathlessness. L-671152 MK-0507; i'vll<-'507; .Qop3onaMMAa I. Jones LWJ, Hodes DT. Possible allergic reactions to cydopentolate f11APQXf10PI11l. (45,65}-4,(Ethyiam!no)'5,6,dihydro-6-rrethyi-4H. thien (2,3'" hydrochloride: case reports with literature review of uses and adverse Dapiprazole hydrochloride is an alpha blocker given as eye ? reactions. Ophthalmic Physiol Opt 1991; II: 16-21. .blthiopyranc 2-S<Jiphonamide -dioxid� hyd ro;:hloride. drops to reverse mydriasis; it is also used in some countries 7/ .. CwH;0N,04S3;HCI'=360_9 in the management of glaucoma. Porphyria. The Drug Database for Acute Porphyria, com CA S-'- 120279-96- 1 (dorzotom ide); }30693-82-2 (dorto lamide piled by the Norwegian Porphyria Centre (NAPOS) and Preparations hyrjrochidride). the Porphyria Centre Sweden, classifies cyclopentolate as ......................... ATC --: SO! fC03 probably not porphyrinogenic; it may be used as a drug of ProprietaryPreparations (details are given in Volume B) ATC Ve t-- QSOI.ECOJ. first choice and no precautions are needed. 1 Single-ingredient Preparations. Austria: Benglaut; Gr.: Glamido UNit -- · QZ05366ElNl I. The Drug Database for Acute Porphyria. Available at: http:/lwww. lo; !tal.: Glamidolo; USA: Rev-Eyest. drugs-porphyria.org (accessed 25110/ll) Pharmacopoeias. In Bur. (see p. vii) and US. Ph. Eur. 8: (Dorzolamide Hydrochloride). A white or almost Systemic toxicity. Ten of 66 patients (29 males and 37 white, crystalline powder. Soluble in water; very slightly females) who received one drop of 2% cyclopentolate in soluble in anhydrous alcohol; slightly soluble in methyl each eye developed mild to moderate systemic toxicity; 9 alcohol. It exhibits polymorphism. of the I 0 were female.1 Toxic signs included physical USP 36: (Dorzolamide Hydrochloride). A white to off-white weakness, nausea, lightheadedness, changes in emotional crystalline powder. Soluble in water. Store at 15 degrees to attitude, unprovoked weeping, and loss of equilibrium; 30 degrees. Protect from light. tachycardia was always present but changes in blood pres sure were insignificant. Spontaneous recovery occurred within l hour to several days. Uses and Administration As with atropine, it has been recommended that Dorzolamide is a carbonic anhydrase inhibitor with actions cydopentolate eye drops should not be used during the first similar to those of acetazolamide (p. 2001.1). It is used in the 3 months of life because of the possible association with managen1ent of open-angle glaucoma, pseudo-exfoHative development of amblyopia. Systemic toxicity has also been glaucoma, and ocular hypertension (p. 1999.1 ), either alone reported in neonates given ocular cyclopentolate.2 or as an adjunct to a topical beta blocker. A 4-year-old boy with cerebral palsy and paraplegia Dorzolamide is given as eye drops containing dorzola suffered tonic-clonic seizures, facial flushing, and tachy mide hydrochloride equivalent to 2% of the base. For cardia 70 minutes after