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Homatropine hydrobromide (AK-Homatropine, Homatrine, Isopto Homatropine)

Category:

  • Nervous system

Description:

  • Mydriatic, cycloplegic

Indications:

  • Uveitis

  • Iritis

  • Mydriatic

  • Cycloplegic for refraction

Contraindications:

  • Adhesions between the iris and lens

  • Primary glaucoma, narrow anterior chamber angle

Precautions:

  • Pregnancy category C; compatible with breastfeeding

  • Elderly, small children, and infants

Adverse Reactions (Side Effects):

  • CNS: confusion fever, headache, somnolence, visual hallucinations

  • CV: tachycardia, vasodilation

  • EENT: blurred vision, edema, increased intraocular pressure, photophobia

  • GI: abdominal distension in infants, decreased GI motility, dry mouth

  • GU: urinary retention

  • SKIN: dry skin, rash

Dosage:

Administered as an ophthalmic solution

  • Adult and Child: 

    • INSTILL 1 drop; repeat in 5-10 minutes for refraction or every 3-4 hours for uveitis

    • patients with heavily pigmented irides may require larger doses

    • use only 2% strength in children and compress the lacrimal sac for several minutes following administration

 

 

 


The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks

Source: Operational Medicine 2001,  Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300

This information is provided by The Brookside Associates.  The Brookside Associates, LLC. is a private organization, not affiliated with any governmental agency. The opinions presented here are those of the author and do not necessarily represent the opinions of the Brookside Associates or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. All material presented here is unclassified.

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