Product Elements:
Cyclopentolate hydrochloride cyclopentolate hydrochloride cyclopentolate hydrochloride cyclopentolate benzalkonium chloride boric acid edetate disodium hydrochloric acid potassium chloride water sodium carbonate
Drug Interactions:
Drug interactions: cyclopentolate may interfere with the ocular anti-hypertensive action of carbachol, pilocarpine, or ophthalmic cholinesterase inhibitors.
Indications and Usage:
Indications and usage cyclopentolate hydrochloride ophthalmic solution is used to produce mydriasis and cycloplegia.
Warnings:
Warnings for topical ophthalmic use. not for injection. this preparation may cause central nervous system (cns) disturbances. this is especially true in younger age groups, but may occur at any age, especially with the stronger cyclopentolate hydrochloride solutions. infants are especially prone to cns and cardiopulmonary side effects from cyclopentolate. to minimize absorption, use only 1 drop of a 1% cyclopentolate solution per eye, followed by pressure applied over the nasolacrimal sac for two to three minutes. observe infants closely for at least 30 minutes following instillation. mydriatics may produce a transient elevation of intraocular pressure.
General Precautions:
General: the lacrimal sac should be compressed by digital pressure for two to three minutes after instillation to reduce excessive systemic absorption. caution should be observed when considering use of this medication in the presence of downâs syndrome.
Dosage and Administration:
Dosage and administration adults: instill one or two drops of 1% solution in the eye which may be repeated in five to ten minutes if necessary. complete recovery usually occurs in 24 hours. complete recovery from mydriasis in some individuals may require several days. children: instill one or two drops of 1% solution in the eye, which may be repeated five to ten minutes later by a second application of 1% solution if necessary. individuals with heavily pigmented irides may require higher strengths.
Contraindications:
Contraindications hypersensitive to any component of this preparation.
Adverse Reactions:
Adverse reactions ocular: increased intraocular pressure, burning, photophobia, blurred vision, irritation, hyperemia, conjunctivitis, blepharoconjunctivitis, punctate keratitis, synechiae have been reported. non-ocular: use of cyclopentolate has been associated with psychotic reactions and behavioral disturbances, usually in children, especially with 2% concentration. these disturbances include ataxia, incoherent speech, restlessness, hallucinations, hyperactivity, seizures, disorientation as to time and place, and failure to recognize people. this drug produces reactions similar to those of other anticholinergic drugs, but the cns manifestations as noted above are more common. other toxic manifestations of anticholinergic drugs are skin rash, abdominal distention in infants, necrotizing enterocolitis (in preterm infants), unusual drowsiness, tachycardia, hyperpyrexia, vasodilation, urinary retention, diminished gastrointestinal motility and decreased secretion in salivary and sweat g
Read more...lands, pharynx, bronchi and nasal passages. severe manifestations of toxicity include coma, medullary paralysis and death. to report suspected adverse reactions, contact bausch & lomb incorporated at 1-800-553-5340 or fda at 1-800-fda-1088 or www.fda.gov/medwatch .
Drug Interactions:
Drug interactions: cyclopentolate may interfere with the ocular anti-hypertensive action of carbachol, pilocarpine, or ophthalmic cholinesterase inhibitors.
Use in Pregnancy:
Pregnancy: animal reproduction studies have not been conducted with cyclopentolate. it is also not known whether cyclopentolate can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. cyclopentolate should be administered to a pregnant woman only if clearly needed.
Pediatric Use:
Pediatric use: use of cyclopentolate has been associated with psychotic reactions and behavioral disturbances in pediatric patients. increased susceptibility to cyclopentolate has been reported in infants, young children, and in children with spastic paralysis or brain damage. these disturbances include ataxia, incoherent speech, restlessness, hallucinations, hyperactivity, seizures, disorientation as to time and place, and failure to recognize people. feeding intolerance and necrotizing enterocolitis (in preterm infants) may follow ophthalmic use of this product in infants. it is recommended that feeding be withheld for four (4) hours after examination. observe infants closely for at least 30 minutes (see warnings ).
Geriatric Use:
Geriatric use: no overall differences in safety or effectiveness have been observed between elderly and younger patients.
Overdosage:
Overdosage excessive dosage may produce behavioral disturbances, tachycardia, hyperpyrexia, hypertension, elevated intraocular pressure, vasodilation, urinary retention, diminished gastrointestinal motility and decreased secretion in salivary and sweat glands, pharynx, bronchi and nasal passages. patients exhibiting signs of overdosage should receive supportive care and monitoring.
Description:
Description cyclopentolate hydrochloride ophthalmic solution usp, 1% is an anticholinergic prepared as a sterile, borate buffered, solution for topical ocular use. the active ingredient is represented by the structural formula: molecular weight = 327.85 molecular formula: c 17 h 25 no 3 ⢠hcl established name: cyclopentolate hydrochloride chemical name: 2-(dimethylamino) ethyl 1-hydroxy-α-phenylcyclopentaneacetate hydrochloride each ml contains: active: cyclopentolate hydrochloride, 10 mg (1%) inactives: boric acid, edetate disodium, potassium chloride, purified water. sodium carbonate and/or hydrochloric acid (to adjust ph). the ph range is between 3.0 and 5.5. preservative: benzalkonium chloride 0.01%. chem
Clinical Pharmacology:
Clinical pharmacology this anticholinergic preparation blocks the responses of the sphincter muscle of the iris and the accommodative muscle of the ciliary body to cholinergic stimulation, producing pupillary dilation (mydriasis) and paralysis of accommodation (cycloplegia). it acts rapidly, but has a shorter duration than atropine. maximal cycloplegia occurs within 25 to 75 minutes after instillation. complete recovery of accommodation usually takes 6 to 24 hours. complete recovery from mydriasis in some individuals may require several days. heavily pigmented irides may require more doses than lightly pigmented irides.
Carcinogenesis and Mutagenesis and Impairment of Fertility:
Carcinogenesis, mutagenesis, impairment of fertility: studies in animals or humans have not been conducted to evaluate the carcinogenic potential of cyclopentolate hydrochloride ophthalmic solution, usp.
How Supplied:
How supplied cyclopentolate hydrochloride ophthalmic solution usp, 1% is available in multidose plastic squeeze bottles with a controlled drop tip and red cap in the following sizes: 2 ml bottle - ndc 24208-735-01 15 ml bottle - ndc 24208-735-06 storage: store between 15°c to 25°c (59°f to 77°f). keep out of reach of children. distributed by: bausch & lomb americas inc. bridgewater, nj 08807 usa manufactured by: bausch & lomb incorporated tampa, fl 33637 usa © 2022 bausch & lomb incorporated or its affiliates rev. 09/2022 9114607 (folded) 9114707 (flat) do not
Information for Patients:
Information for patients: do not touch dropper tip to any surface, as this may contaminate the solution. a transient burning sensation may occur upon instillation. patients should be advised not to drive or engage in other hazardous activities while pupils are dilated. patients may experience sensitivity to light and should protect eyes in bright illumination during dilation. parents should be warned not to get this preparation in their childâs mouth and to wash their own hands and the childâs hands following administration. feeding intolerance may follow ophthalmic use of this product in infants. it is recommended that feeding be withheld for four (4) hours after examination.
Package Label Principal Display Panel:
Package/label principal display panel ndc 24208-735-01 cyclopentolate hydrochloride ophthalmic solution usp 1% for topical ophthalmic use rx only 2 ml bausch + lomb 9532302 ab04903 carton