Dilate Plus(Tropicamide & Phenylephrine Hydrochloride )

Therapeutic Group: Ophthalmic

Presentation

Each ml contains Tropicamide BP 8 mg and Phenylephrine Hydrochloride BP 50 mg.

Description

Dilate Plus sterile eye drops is a combination of Tropicamide and Phenylephrine Hydrochloride. Tropicamide is an anticholinergic agent which paralyses the sphincter muscle of the iris resulting in pupillary dilatation. The ciliary muscle is also paralyzed leading to loss of accommodation.

Phenylephrine Hydrochloride is an alpha receptor sympathetic agonist used in local ocular disorder because of its vasoconstrictor and mydriatic action without cycloplegia.

Indications

Dilate Plus can be used both for diagnostic and therapeutic purpose:

• Therapeutic purpose: Inflammatory conditions of the uveal tract

• Diagnostic purpose: Retinal photography, Refractive errors, Funduscopy, Slit lamp examination

• Pre-operative use : In order to undergo surgical procedure that requires the visualization of structures behind the iris, such as cataract extraction, vitrectomy and retinal detachment surgery, the pupil must be adequately dilated before surgery.

Dosage & Administration

Therapeutic purpose:
Uveitis: 1-2 drops bid-qid or as required.

Diagnostic purpose/Pre-operative purpose: Instill 1-2 drops in the eye(s) 15-20 minutes before examination. If examination is not conducted within 20–30 minutes, an additional drop may be placed in the eye(s) to prolong the effect.

Side Effects

Elevated IOP (occasionally), stinging, blurred vision, tachycardia, photophobia, headache, parasympathetic stimulation and allergic reactions. Systemic effects include arrhythmias, hypertension and coronary artery spasm.

Precautions


  • Caution should be taken when administered with, or upto 21days after administration of monoamine oxidase (MAO) inhibitors as exaggerated adrenergic effects may result.

  • The possibility of psychotic reactions and behavioral disturbances should be considered in patients who are hypersensitive to anticholinergic drugs.

  • Use with extreme caution in infants.

Use in Pregnancy & Lactation

The safety of this medication during pregnancy or lactation has not been established.