Homatropine

 
     
 

DESCRIPTION

Homatropine is a sterile solution containing homatropine hydrobromide (2%) and benzalkonium chloride as preservative. It is moderately long-acting mydriatic and cycloplegic used for refraction and in the treatment of inflammatory conditions of the uveal tract.

Homatropine hydrobromide is (1R, 3r, 5S)-3-([RS]-2-hydroxy-2-phenylacetoxy)-8-methyl-8-azabicyclo[3.2.1]octane hydrobromide. It is a white crystalline powder with a molecular weight of 356.3. It is freely soluble in water, sparingly soluble in alcohol very slightly soluble n ether. Its empirical formula is C16H21NO3·HBr.

 

ACTIONS/CLINICAL PHARMACOLOGY

Homatropine is an antimuscarinic agent with effects similar to, but weaker than, those of atropine; when applied to eyes its cycloplegic and mydriatic actions are more rapid and of shorter duration.
For this reason it may be preferred to atropine for these purposes. However, it is not a reliable cycloplegic in very young people because of their strong accommodative reserve.
 

INDICATIONS AND USAGE

Homatropin 2% is used for the determination of refraction and in the treatment of uveitis.
 

CONTRAINDICATIONS

Homatropin is contraindicated in persons with primary glaucoma or a tendency towards glaucoma and in persons showing hypersensitivity to homatropine.
 

WARNINGS

As for Ethiatropin
 

ADVERSE REACTIONS

As for Ethiatropin
 

DOSAGE AND ADMINISTRATION

Refraction
Instill one or two drops, repeat if necessary 5 or 10 min later.

Uveitis
One or two drops usually 2 or 3 times daily.
 

HOW SUPPLIED

In 15mL and plastic dropper bottles.