Cyclomed eye drops is a drug that is used for various ophthalmic manipulations. Drops dilate the pupil, allowing you to examine the fundus and carry out a number of other procedures that are much more effective with a dilated pupil.

The medicine is also prescribed for a number of eye diseases associated with impaired accommodation, increased intraocular pressure and improper circulation. intraocular fluid... The drug has a number of negative effects directly related to the main effect on the body, therefore it is dispensed from pharmacies only with a prescription. Also, the drug is supplied to ophthalmological hospitals.

Pharmacological action and group

Cyclomed belongs to the group of mydriatics and anticholinergics. Its main action is pupil dilation and accommodation paralysis. The effect is achieved by blocking cholinergic receptors - nerve structures that are responsible for the constriction of the pupil. With a decrease in the effect of acetylcholine, the activity of the adrenergic system increases, which dilates the pupil.

Active active substance causes a number of effects associated with pupil dilation. There is an increase in the outflow of intraocular fluid into the anterior chamber of the eye, where it is absorbed into the blood, and intraocular pressure decreases. A number of other effects are associated with this, due to which the drug is considered a prescription drug - photophobia, blurred vision.

The medicine is not an antibiotic, but is prescribed to reduce the activity of the inflammatory process in the eye, as well as in preparation for cataract surgery. Combination with antibacterial drugs permissible only if prescribed by a doctor.

Release form and composition

The main active ingredient medicinal product- cyclopentolate hydrochloride. Additional substances were introduced to facilitate the administration of Cyclomed, reduce the effects of local irritation, and increase the shelf life. The drug has a local effect, but it can be absorbed into the bloodstream, and with regular use, systemic adverse reactions.

Cyclomed is produced in dosage form eye drops... It is a clear, colorless liquid packaged in 10 ml dropper vials. Each bottle is packed in a cardboard box, which contains detailed instructions on the use of the drug.

The product is dispensed from pharmacies by prescription, delivered to ophthalmological offices and hospitals.

Indications for use

The tool has two main areas of application - treatment of eye diseases and preparation for various manipulations. Most often, the drug is instilled before examining the fundus. The procedure requires a wide pupil, which will not contract and complicate the manipulation. If the patient is examined for the first time, the doctor describes in detail the subtleties of the process, and also warns that it is advisable to come accompanied by someone who can take the patient home.

Regular use of the drug is necessary in the treatment of diseases of the anterior chamber of the eye and the auxiliary apparatus - conjunctivitis, keratitis, uveitis. In this case, Cyclomed helps to relieve edema, reduce the severity of the inflammatory process. Despite the fact that Cyclomed improves the outflow of intraocular fluid, it is contraindicated in glaucoma due to the fact that the effect cannot be accurately calculated.

Instructions for use

Drops are applied topically, 1-2 drops in each eye. If an ophthalmoscopy is performed, then the medicine is administered 10 minutes before the procedure. To accelerate and enhance the effect, the patient is advised to close his eyes - then accommodation paralysis sets in faster. The effect of the drug lasts up to 11 hours, residual effects are possible during the day, therefore, after an ophthalmoscopy, it is advisable for the patient to return home accompanied by someone close to him.

In case of eye diseases, when regular instillations of the solution are necessary, they are carried out three times a day, the duration of the course of treatment is until the end of the inflammatory process. In children, it is permissible to use the medicine twice a day for safety reasons. If used regularly, it is important to be aware of the potential for systemic side effects.

Side effects and contraindications

Pupil dilation and accommodation paralysis by themselves cause a number of side effects - the patient develops photophobia, blurred vision, slowing down of reaction, especially in bright daylight or electric light, dizziness and headaches. With increased sensitivity to the drug, local allergic reactions are possible.

Cyclomed is contraindicated in glaucoma, as it can cause a sharp increase or decrease intraocular pressure... It is also prohibited to use it for eye injuries that violate the integrity of the muscle that constricts the pupil. In case of an overdose of the drug, dry skin occurs, the heart rate increases, and blood pressure appears hyperexcitability and other mental reactions.

Interaction with other drugs

Cyclomed should be used carefully together with other drugs acting on the cholinergic and adrenergic system. Anticholinergics (drugs that interfere with the transmission nerve impulses with the help of acetylcholine) and adrenomimetics (enhancing the effect of adrenaline) enhance the effect of Cyclomed, drugs with the opposite effect weaken. This applies to both general and local drugs.

Use in children

Allowed in preparation for manipulations, in this case, the exposure should not be 10, but 15 minutes. It can also be used for treatment inflammatory processes, but the frequency of the introduction of drops is 2, not 3 times a day.

Use in pregnancy

Storage conditions and shelf life

No special storage conditions are required - room temperature and the absence of direct sunlight are enough. Shelf life - 2 years, the opened bottle is stored for a month.

Analogs

The drug is quite expensive, so the question of finding cheap drug substitutes often arises. Such substitutes can be Atropine sulfate, Midrimax, Tropicamide.

If you find yourself with a decrease in vision and turn to an ophthalmologist, then, undoubtedly, the first diagnostic tool for causes there will be a so-called ophthalmoscopy. Medical terminology aside, this procedure is an examination of the back wall of the eye through the pupil at high magnification (using a device with a lens system). This study does not cause pain at all and allows you to accurately determine most of the causes of decreased vision.

The fact is that the back wall of the eye (ophthalmologists use the term "fundus") is a universal indicator of eye health. On close inspection, gaps may be visible on the surface. blood vessels, changes in optic nerve, signs of eye cataracts and even the presence of neoplasms in the structures of the eye. As with any disease, in a timely manner prescribed treatment will save the patient from many serious complications.

The most important property of the eye is the ability to regulate the amount of light that enters the eye, which is achieved by changing the size of the pupil. This circumstance significantly complicates the conduct of ophthalmoscopy, therefore ophthalmologists use drugs before the procedure that fix the size of the pupil for a short time. A group of such drugs is called mydriatics, which, in turn, are divided into anticholinergics and sympathomimetics. One of the most effective drugs the group of anticholinergics is Cyclomed (CYCLOMEDI).

By acting on the muscles that regulate pupil size, Cyclomed has established itself as a reliable preparation to diagnostic procedures and during surgical interventions. Combination quick action and the absence of serious side effects makes this drug very popular in ophthalmic practice.

Cyclomed eye drops: characteristics

Composition and form of release

Cyclopentolate g / c (in terms of content - 10 mg / ml) is the active ingredient in the preparation Cyclomed. Composition of auxiliary components for one bottle:

• Benzalkonium chloride (antiseptic).
• Disodium salt of ethylenediaminetetraacetic acid (Trilon B).
• Sodium chloride.
• Water for injection (pyrogen-free).

The medicine comes in the form of topical eye drops. Appearance- colorless (transparent) liquid without sediment and impurities. For primary packaging, dark glass vials are used, complete with plastic dropper dispensers. Secondary packaging is made in cardboard boxes with instructions for use.

Manufacturer - PROMED EXPORTS Pvt. LTD. (India).

Pharmacology and features of pharmacokinetics

This drug belongs to the pharmacotherapeutic group of m-anticholinergics.

Cyclomed, when applied topically, rapidly accumulates in the tissues of the mucous membrane of the eye. The maximum concentration in the nerve endings of the eye accumulates in 30-60 minutes. With blood plasma proteins communicates moderately... Excretion is carried out by the kidneys, the half-life is 120 minutes.

The drug acts in a targeted manner, blocking the cholinergic receptors localized in the pupillary sphincter, as a result of which the tone of the ciliary muscle decreases and, under the influence of the prevailing muscle tone, which dilates the pupil, it expands. It causes temporary paralysis of accommodation, in which a person cannot clearly see objects up close.

The effect of instilling Cyclomed occurs on average after 20-30 minutes and lasts up to 12 hours (depending on individual sensitivity to the drug). And also an antispasmodic effect is manifested and the activity of sweat, bronchial, salivary and gastric glands decreases.

The effect of the drug is enhanced when joint application with sympathomimetics and, on the contrary, weakened when taken with m-cholinomimetics.

Indications, contraindications and side effects

Indications for use of the drug, as a rule, there are cases associated with diagnosis and surgery:

• When conducting a study of the fundus (ophthalmoscopy) and the study of refraction.
• In preparation for surgery (for example, for the treatment of cataracts).
• In combination with other drugs for the treatment of inflammatory diseases of the eye.

Instructions for the use of Cyclomed eye drops contain the following list of contraindications:

• Dysfunction of the muscle constricting the pupil (Latin m. Sphincter pupillae).
• Constant or episodic increase in intraocular pressure (including glaucoma).
• Individual specific sensitivity to drug components.

Caution should be given drug in the following cases:

• Early childhood (up to 4 years).
• Elderly age.
• Symptoms of intestinal obstruction.
• Adenoma prostate.

Cyclomed is capable of causing the following unwanted effects when applied topically:

Method of administration and dosage

The drug is necessary ( local application). The ophthalmologist performs choice of frequency and dosage depending on the diagnosis and history:

The following undesirable effects from the use of the drug were noted: dysfunction of glands of various localization (dry skin, mucous membranes, etc.), painful heart palpitations, psychosomatic disorders (increased fatigue, speech disorders, disorientation in space, depression). If the therapeutic dose of the drug is significantly exceeded, respiratory arrest and coma are possible.

If an overdose is detected, the drug is produced intravenous administration physostigmine.

It is forbidden to administer after use of the drug vehicles, as well as the operation of mechanisms of increased danger.

Terms of sale and storage

Cyclomed eye drops are prescription drug and are sold only as directed by a doctor. After purchase, store the drug without access to light, under conditions temperature regime up to 24 degrees.

The shelf life of the drug is 24 months from the date of issue.

Use in children and during pregnancy

The instructions for use of Cyclomed do not indicate any restrictions for use in children and newborns. However, it is recommended for children under the age of 1 year to carry out drug therapy only under the supervision of a physician.

Until now, the effect of the drug on the body of pregnant women and on lactation processes during breastfeeding has not been studied. Before using the drug, you should consult your doctor.

Analogs and generics

Known cheap analog drugs are Atropine (atropine sulfate), Midrimax (phenylephrine and tropicamide), Midriacil (tropicamide), Tropicamide (as tropicamide hydrochloride).

Preparations with the same active ingredient (cyclopentolate) are Cycloptic (Romania), Cyclopentolat-SOLOpharm (Russia). The average cost of one bottle of Cyclomed eye drops is between 380 and 500 rubles per package.

Indicated at the end of this article. It also provides information on whether this medication has analogues, whether it can be used in the treatment of children, what properties it has, what it includes, etc.

Composition, form, description and packaging of the drug

In what form is Cyclomed medication produced? The instructions for use inform that this drug is on sale in the form of eye drops. Active ingredient this agent is cyclopentolate hydrochloride. Also, the preparation contains additional ingredients in the form of disodium edetate, water, benzalkonium chloride and sodium chloride.

Cyclomed eye drops, analogs of which are described below, are a colorless and transparent solution. You can buy it in a 5 ml dropper bottle, which is contained in a cardboard box.

Pharmacological properties of the local remedy

What are the properties of the local drug Cyclomed? The instructions for use inform that the main effects of this agent are anticholinergic and mydriatic.

This medication is able to block M-cholinergic receptors, resulting in pupil dilation and relaxation of the eye muscles.

Pupil enlargement is observed approximately 18-22 minutes after instillation of the drug and lasts for 8-11 hours (sometimes longer). By the way, residual effects can be observed in a patient even after a day.

How does Cyclomed medication work? The instructions for use state that this drug may have a slight antispasmodic effect... It reduces the tone and increases (slightly) intraocular pressure, and also leads to an increase in the number of heartbeats.

Against the background of the use of this remedy, the secretory work of the salivary, gastric, pancreas and bronchial glands worsens. The drug penetrates through. In usual dosages, it stimulates the brain, activating the respiratory center.

This medication is often used as a drug by instilling eye drops into the nose.

Local pharmacokinetics

Can the local drug Cyclomed (eye drops) be absorbed? Experts say that this medication is quite well absorbed through the conjunctiva. The highest concentration of the main substance of the drug in the central nervous system is observed after 40-60 minutes.

Plasma protein binding of this drug is moderate, and the half-life is 110 minutes.

Indications for use

Cyclomed eye drops, the price of which is quite high, can be used in the following cases:

• for diagnostic activities when determining refraction and ophthalmoscopy;
• v complex treatment diseases of the anterior part of the eye, which are of an inflammatory nature (for example, scleritis, episcleritis, iridocyclitis, keratitis and uveitis);
• in ophthalmic surgery (to prepare for surgery to enlarge the pupil during cataract extraction).

Contraindications for use

The drug "Cyclomed" is prohibited for children under three years of age. Also, it is not prescribed for:

• glaucoma, as well as if it is suspected;
• hypersensitivity of the patient to cyclopentolate and other components of the drug
• post-traumatic paresis of the iris.

With extreme caution, this medication is recommended for people with prostatic hyperplasia and intestinal obstruction, as well as for the elderly.

The drug "Cyclomed": instructions for use

According to the attached instructions, the eye drops in question should only be applied topically. They must be instilled into the eyelid, 1-2 drops per day.

To carry out diagnostic measures to identify lesions, use 3 drops per day with a break of 10 minutes.

In the process of examining refraction in children, 2 drops of the drug are used with an exposure of 15 minutes (up to three times a day).

In inflammatory diseases of the eyes, one drop of the drug is usually prescribed three times a day.

Side effects

According to expert reviews, this medication rarely causes side effects... The most common eye reactions are: decreased visual acuity (transient), conjunctival hyperemia, discomfort after using drops, increased intraocular pressure, especially in patients with primary glaucoma.

Common adverse reactions include nausea, weakness, dizziness, and tachycardia.

Signs of overdose

Cyclomed eye drops should be used only in dosages recommended by a doctor. This is due to the fact that a large amount of the drug can cause such undesirable symptoms as tachycardia, dry skin and mucous membranes, mental reactions (disorientation, fatigue, changes in emotional status, incoherent speech), as well as coma and respiratory arrest.

As a treatment for such conditions, intravenous injections with physostigmine are used (for children - 500 mcg, and for adults - 2 mg).

Interaction with other medicines

The effect of the agent in question can be enhanced by sympathomimetics (for example, "Mezaton"), and weakened by m-cholinomimetics (for example, "Pilocarpine").

The combination of "Cyclomed" with drugs that have m-anticholinergic properties can enhance side effects first.

Cyclomed's action is most effective in patients with dark pigment of the iris. In such people, when using medication, residual accommodation can reach 2.0-4.0 D.

In the process of using eye drops in the elderly, careful monitoring of intraocular pressure is required.

Pregnancy and breastfeeding

To date, data on the safety of the use of Cyclomed eye drops in pregnant women, as well as mothers during breastfeeding is not enough. In this regard, the drug in question can be used only in cases where the expected benefit from therapy for the patient significantly exceeds the risk of developing pathologies in the fetus or infant.

Terms and conditions of storage

According to the instructions, Cyclomed eye drops must be stored out of the reach of babies and protected from light at a temperature of no more than +25 degrees (do not freeze). The shelf life of this drug is 2 years. However, after opening the dropper bottle, this period is reduced to one month.

Cyclomed eye drops: analogues and cost

Price of this drug pretty high. You can buy it at the pharmacy for 380-400 rubles. As for analogs, their cost can be either higher or lower.

To date, the most popular and effective substitutes for the drug in question are the following: "Midriacil", "Appamin Plus", "Tropicamide", "Atropine", "Irifrin".

Cyclomed can be replaced with other drugs only after consulting an ophthalmologist.

Cyclomed is a popular treatment for eye diseases... In this article, we will consider especially these drops, talk about the main active ingredients, indications and contraindications for use.

Why are eye drops needed?

Eye drops are a special isotonic solution that is instilled into the eyes. Depending on the composition and purpose of use, drops can be either a drug or an auxiliary one aimed at moisturizing the mucous membrane of the eye.

Dry eye treatment

Many patients, especially those who have to wear contact lenses or working at a computer, experience dry eyes. Drops aimed at solving this problem are artificial tears. In the pharmacy they can be found under the names "drops of comfort", "moisturizing drops", "artificial tear"

Treating eye infections

These drops usually contain steroids and antibiotics. Can be used as a prophylaxis after ophthalmic surgery. This is necessary so that the infection does not develop before our eyes. It is necessary to use drops during the entire period of treatment.

Glaucoma treatment

Eye drops that are designed to treat this disease are aimed at improving drainage and reducing the amount of fluid in the eyes. Thus, a decrease in ocular pressure is ensured.

Allergy relief

Some eye drops may contain antihistamines or non-steroidal anti-inflammatory drugs that suppress allergens, including airborne dust particles.

Eye redness or conjunctivitis

These drops contain an antibiotic that fights bacteria that cause eye redness. They also have a calming effect.

Drops for pupil dilation

Such drops are used by an ophthalmologist when examining a patient. If the expanding drops were applied in sunny weather, then this can cause an uncomfortable condition: blinding by light and temporary photophobia.

Features of Cyclomed drops

Cyclomed has several possible ways application. Firstly, the tool is used to diagnose eye diseases at the initial stages of their development. The drug dilates the pupil, which makes it easier for the specialist to examine the fundus.

Secondly, Cyclomed is used in medicinal purposes... The indication for its use is the appearance of inflammatory processes in the anterior part. eyeball... Also, the drug is prescribed for complex therapy definitions of false myopia.

NS When buying, specify the exact name of the drug, since there is a drug on sale with the consonant name Tsipromed. However, it is used to treat diseases associated with eye infections.

The drug helps to diagnose the patient's visual acuity in case of a violation of the pupil accommodation. By the same principle, Cyclomed works for the treatment of false myopia. Another use is to prepare the eyes for cataract surgery.

Composition

The main active ingredient in the drops is cyclopentolate hydrochloride, which is in a dosage of 0.01 grams. This substance relaxes the eye muscles, relieves spasm, and also dilates the pupil. It easily penetrates into the tissues of the eyeball, so the effect of using the product can be observed in a few minutes. Full restoration of the patient's visual function occurs within six to twelve hours; in case of special sensitivity, this period can be extended to two days.

Sodium chloride, which is one of the excipients in Cyclomed, moisturizes the mucous membrane of the eyeball, promotes accelerated regeneration.

Benzalkonium chloride belongs to the group of antiseptic agents used in eye drops solutions. It is used as a preservative, thereby prolonging the shelf life of the medicinal product. It enters into a chemical bond with pathogenic bacteria and causes their destruction.

Disodium edetate has antimicrobial and moisturizing effect, it is a part of artificial tears. Relieves eye irritation.

All auxiliary components are included in the drug at a concentration of 0.0001 grams.

Indications for use

Indications for the use of Cyclomed are:

• Keratitis. The disease manifests itself in inflammation of the cornea of ​​the eyeball. It is difficult to recognize in the early stages, as keratin is very similar in its symptoms to allergic conjunctivitis. If you do not take up treatment on time, it can cause serious complications, up to a complete loss of vision.
• Uveitis. Ophthalmic disease affecting vascular system eye. If untreated, it can provoke a decrease in visual acuity, as well as its complete loss.
• Iridocyclitis. It is an inflammation of the outer shell of the eyeball. Symptoms are swelling and painful sensations the patient. Changes in the color of the iris and constriction of the pupils are also observed. It is treated with drugs with mydriatics, which include Cyclomed.
• Sclerites. Acute eye disease characteristic feature which is an inflammation of the deep layers of the sclera of the eye.
• Diagnostic procedures. Cyclomed is used during the initial examination of the patient for a deeper diagnosis of the condition of the fundus of the eyeball.
• Preparation before ophthalmic surgery.

Contraindications

Cyclomed is not recommended for use by people with glaucoma or suspected glaucoma. Also, the drug should not be used if the work of the muscles responsible for mydriatic function is impaired. In case of individual intolerance or allergic reaction the drug is immediately discontinued.

Cyclomed is contraindicated in people with a disease associated with intestinal obstruction, as well as prostatic hyperplasia.

Side effects and overdose

TO side effects from taking this drug include redness of the eyes, dizziness, headaches, temporary decrease in visual acuity, nausea.

If the drug was taken orally (which in no case should be allowed), then it can be observed:

• Loss of a person in space and time;
• Absent-mindedness;
• Nervousness, frequent mood swings;
• Lack of moisture in the mucous membranes;
• Deterioration in the quality of vision, up to temporary blindness;
• Decreased concentration and general weakness.

Instructions for the use of Cyclomed

Depending on the purposes of Cyclomed's use, there are several of its instillations:

• When carrying out a diagnostic procedure, it is necessary to instill in the eyes once or twice with a ten-minute interval.
• Before carrying out an ophthalmic operation, it is enough to carry out just one instillation in the amount of one or two drops in each eye. Try to get into the conjunctival sac immediately.
• For treatment, drops according to the standard scheme are used three times a day at a dosage of one drop in each eye. In case of complications, the medicine can be used every three hours.

After each instillation, press your fingers to the corners of your closed eyes. This will prevent the drug from entering the nasopharynx.

Interaction with other medicinal products

If you use Cyclomed at the same time with drugs that have an anticholinergic, then the effect of atropine may increase.

Be careful, as atropine has a complex effect on the central nervous system person. This can lead to an increased heart rate and the likelihood of arrhythmias.

Cyclomed during pregnancy

Pregnancy is not a contraindication for this drug. However, you should consult your doctor before using it.

Use of Cyclomed for the treatment of children

Cyclomed is not used for children under the age of three. At this age, an overdose can cause dangerous consequences... Plus, the medicine can get into the baby's throat or nose, which can cause side effects.

Storage conditions and periods

Cyclomed can be stored for two years in a sealed form, or for a month if the product has already been opened.

The storage temperature should not exceed twenty-five degrees Celsius. In no case should you freeze the drops, since when exposed to low temperatures, the active ingredients in the preparation are destroyed.

Where to buy and how much does it cost

You can buy the drug at a regular or online pharmacy with a doctor's prescription. The cost of the drug is from four hundred to five hundred rubles.

Drug analogs

Cyclomed has many analogues. Below we will take a look at the most popular ones.

Cyclopticus

These drops are used for the prevention and diagnosis of eye diseases affecting the anterior region of the eyeball. It is prescribed in case of the appearance of keratitis of various origins, as well as with iridocyclitis and uveitis. Effective treatment possible only in combination with other drugs, with the exception of preparatory actions for ophthalmic operations.

Atropine sulfate

A pupil-dilating agent whose task is to reduce the activity of the eye muscles. It should be used with caution for those who suffer from increased eye pressure, since Atropine sulfate can increase it.

Tropicamide-Farmak

Analogue of Cyclomed, produced in Ukraine. Quickly has a dilating effect on the pupils, which makes the drug convenient for diagnostic practice. The consequences of using it, for example, photophobia disappears within a few hours.

Midriacial

The main component in this medicinal product is topicamide, which has a dilating effect on the pupil. It is used mainly for diagnostics, much less often for treatment.

Conclusion

Cyclomed is an indispensable tool for the diagnosis and treatment of eye diseases. Remember to use it with extreme caution. If you experience any unpleasant symptoms, see your doctor.

Content

Cyclomed belongs to the group of m-anticholinergics and is used in ophthalmic practice. A drug is prescribed for the treatment of inflammatory processes, before carrying out diagnostic procedures in the eyes and as a premedication before surgical treatment.

Cyclomed composition

Multicomponent eye drops, contain the main (active) and auxiliary substances. The table presents full list components of the drug:

The mechanism of action of the drug

Under the action of cyclopentolate, m-cholinergic receptors are blocked, this leads to tension in the ciliary (ciliary) muscle of the eye and, at the same time, to relaxation of the muscle that constricts the pupil. During the rest of the ciliary muscle, accommodation paresis develops, which helps to restore the lost functions of the eye. In this case, the brain for some time loses the ability to change visual perception by the means of these muscles. Cyclopentolate crosses the blood-brain barrier and stimulates the respiratory center. The drug is capable of having an unexpressed antispasmodic effect:

• Intraocular pressure rises.
• The secretory function of the glands (salivary, bronchial, sweat, gastric and pancreas) decreases.
• Decreases tone " vagus nerve"(Heart rate increases, blood pressure rises slightly).
• The breathing center is excited.

Indications for use

Cyclomed eye drops are indicated for the treatment of ophthalmic problems. The drug is prescribed in the presence of inflammatory diseases (episcleritis, keratitis, iridocyclitis, uveitis), before diagnostic procedures (ophthalmoscopy, refraction determination) and surgical procedures (with cataract extraction to dilate the pupil).

How to drip Cyclomed

Drops are applied in a hygienic manner, avoiding contact of the dropper edge with any surfaces and with fingers. The bottle must be kept closed after each use. Instructions for using the drug:

1. For the treatment of inflammatory processes: pull the lower eyelid and drip 1 or 2 drops of the drug into the conjunctival sac, three times a day.
2. To study the fundus: Cyclomed eye drops are instilled 1 drop 3 times a day.
3. To study refraction in childhood it is necessary to drip the drug in 1-2 drops, maintaining an interval of 15 minutes, 3 times a day.
4. With anterior and posterior uveitis, the medicine is instilled in 2 drops every 6 hours.
5. Newborns - 1 cap. 0.5% solution. The exposure time is 2-3 minutes, after manipulating the child, continuous observation is shown for half an hour.

How long does Cyclomed work

Maximum pharmacological effect from the drug occurs after 30 minutes. after a single application. The drug Cyclomed continues to act for about 6-12 hours, the residual manifestations of dilated pupils (mydriasis) persist for up to a day. A moderate amount of the drug is bound to the protein fractions of the blood plasma.

special instructions

Cyclomed is less effective in patients with dark skin color and dark-pigmented irises of the eyes. Use the medication with caution in case of hyperemia of the orbital zones, because systemic reactions may occur and absorption may increase. To reduce absorption and the risks of systemic manifestations during use, it is recommended to clamp the edges of the eyes at the bridge of the nose for one minute after instilling the drug. This technique minimizes the passage of Cyclomed through the nasolacrimal passage to the nasopharynx and nose.

It is recommended to use the remedy with caution in children under 3 years of age, adults over 60 years old, in the presence of prostate adenoma, heart failure, prostatic hyperplasia, in the presence of sensitivity to belladonna derivatives. The use of the drug during pregnancy is possible if the benefits to the mother are greater than the risks to the health of the fetus. Cyclomed medicine can affect the reaction rate, so you should refrain from driving a car.

Drug interactions

Sympathomimetics can enhance the effect of the drug, while M-cholinomimetics (for example, Pilocarpine), on the contrary, weaken it. Drugs that have M-cholinomimetic properties, when used together, can aggravate the manifestation of side reactions of Cyclomed. For this reason, it is recommended to take the remedy only after consulting a doctor.

Side effects and overdose

In case of an overdose of Cyclomed, the following symptoms are possible: dry mucous membranes, incoherent speech, fatigue, in rare cases - respiratory arrest and coma. Assistance: introduce a specific antidote - physostigmine. The table shows adverse reactions from the use of a therapeutic agent:

Contraindications

The drug has a number of contraindications for use. Cyclomed is not prescribed for:

• the presence or suspicion of glaucoma;
• paresis of the sphincter of the pupil (after injury);
• intestinal obstruction;
• mental disorder in children;
• the presence of hypersensitivity to the components of the drug.

Terms of sale and storage

Store the drug when room temperature, do not freeze. The shelf life of a closed bottle is 2 years, after opening - 30 days. Cyclomed is a prescription drug.

Cyclomed's analogs

Cyclomed has a number of similar drugs different price categories. The analogs of the medicinal product include:

• Midriacil is an analogue of Cyclomed, which is used for examinations in ophthalmic practice. According to patient reviews, this drug causes fewer adverse reactions.
• Tropicamide is an anticholinergic drug that blocks the sphincter of the pupil and ciliary muscle, thereby causing mydriasis.
• The drug Unitropic is an eye drops that are used before diagnostic procedures in ophthalmology.

Cyclomed price

The cost of the drug Cyclomed 1% vial. 5 ml in Moscow varies from 550 to 836 rubles. The table shows prices for remedy and its availability in pharmacies.