Isopto Atropine (Ophthalmic)

Atropine sulfate eye drops are used to widen the pupil before eye exams. They are also used to treat an eye condition known as amblyopia (lazy eyes) and other eye conditions (for example, cycloplegia). This medicine works by blocking the chemical acetylcholine, which relaxes the ciliary muscle of the eye and causes the pupil to widen.

This medicine is available only with your doctor's prescription.

Your eye doctor will check your or your child's eyes during regular visits to ensure it is working properly and not causing any unwanted effects.

This medicine may cause drowsiness, blurred vision, or make your eyes sensitive to light. Wear sunglasses while using this medicine. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Do not drive until your pupils are no longer dilated.

You should not give this medicine to a child unless your doctor tells you to.

Do not use other medicines unless your doctor has discussed them with you. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

In deciding to use a medicine, it is important to consider the risks of taking it against the benefits it may provide. This is a choice you will make with your doctor. For this medicine, consider the following:

Allergies

Inform your doctor if you have ever had any unusual or allergic reactions to this medicine or other medicines. Also, let your healthcare professional know about any other allergies you have, such as to foods, dyes, preservatives, or animals. For non-prescription products, carefully read the label or package ingredients.

Pediatric

Atropine sulfate eye drops are not recommended for children younger than 3 months old.

Geriatric

Current studies have not shown any geriatric-specific issues that would limit the effectiveness of atropine sulfate eye drops in older adults.

Breast Feeding

There are no sufficient studies in women to determine the risk to infants when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before using this medication while breastfeeding.

Interactions with Medicines

Some medicines should never be used together, while in other cases, two different medicines may be used together even if an interaction might happen. In these situations, your doctor may want to adjust the dose or take other precautions. When using this medicine, it is especially important for your healthcare professional to know if you are taking any of the medicines listed below. The following interactions have been chosen based on their potential significance and may not include all possible interactions.

Using this medicine with any of the following medicines is not recommended. Your doctor may choose not to treat you with this medication or change some of your other medicines.

• Ambenonium
• Potassium Citrate

Using this medicine with any of the following medicines is usually not recommended, but may be necessary in some cases. If both medicines are prescribed together, your doctor may adjust the dose or how often you use one or both medicines.

• Amantadine
• Amifampridine
• Buprenorphine
• Bupropion
• Clozapine
• Codeine
• Donepezil
• Glucagon
• Glycopyrrolate
• Glycopyrronium Tosylate
• Macimorelin
• Methacholine
• Oxycodone
• Quetiapine
• Revefenacin
• Scopolamine
• Secretin Human
• Tapentadol
• Tiotropium

Using this medicine with any of the following medicines may increase the risk of certain side effects, but using both medications may be necessary for your treatment. If both medicines are prescribed together, your doctor may adjust the dose or how often you use one or both medicines.

• Arbutamine

Interactions with Food/Tobacco/Alcohol

Some medicines should not be used around mealtime or with certain foods due to possible interactions. Using alcohol or tobacco with certain medicines may also cause interactions. Talk to your healthcare professional about using your medicine with food, alcohol, or tobacco.

Other Medical Problems

Having other medical issues may influence the use of this medicine. Make sure to tell your doctor if you have any other medical conditions, especially:

• Brain damage or
• Down syndrome or
• Hypertension (high blood pressure) or
• Spastic paralysis (nerve problems)—Use with caution. May increase risk for more serious side effects.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do, they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

• Blurred vision
• change in color vision
• difficulty seeing at night
• eye pain or stinging
• fast, pounding, or irregular heartbeat or pulse
• increased sensitivity of the eyes to sunlight

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

• Confusion as to time, place, or person
• decreased tearing of the eyes
• drowsiness
• dry skin, mouth, or throat
• feeling of warmth
• hallucinations
• holding false beliefs that cannot be changed by fact
• irritability
• redness of the clear part of the eye
• redness of the face, neck, arms, and occasionally, upper chest
• unusual excitement, nervousness, or restlessness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Atropine Care
• Isopto Atropine
• Ocu-Tropine

In Canada

• Atropine
• Atropine-Ak
• Atropine Eye Ointment
• Atropine Ointment
• Atropisol

Available Dosage Forms:

• Solution
• Ointment

Therapeutic Class: Mydriatic-Cycloplegic

Pharmacologic Class: Atropine

Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine is not for long-term use.

To use the eye drops:

• First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to be absorbed by the eye.
• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.
• If you think you did not get the drop of medicine into your eye properly, use another drop.
• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, always keep the container tightly closed.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For ophthalmic dosage form (eye drops):For mydriasis, cycloplegia, and amblyopia: Adults and children 3 months of age and older—Use one drop 40 minutes before the intended maximal dilation time. Children up to 3 months old—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

You may also store this medicine at the refrigerator.