Cyclomed - this drug, used in the treatment of eye pathologies or as a prophylaxis. Drops are a foreign development, therefore, they have an increased cost.
Record content:
- 1 Forms of release and composition of the drug
- 2 Pharmacological properties
- 3 Pharmacodynamics and pharmacokinetics
- 4 Indications for use
- 5 Contraindications
- 6 At what age can the drug be used?
- 7 Instructions for use, dosage
- 8 Side effects
- 9 Overdose
- 10 special instructions
- 11 Drug interactions
- 12 Analogues for children and adults
- 13 Terms, conditions of sale and storage
- 14 Price
- 15 Video about the action of the drug
Forms of release and composition of the drug
This medicine is manufactured in India as an eye instillation solution. The main component of the drops is cyclopentolate hydrochloride.
Additional composition:
- benzalkonium chloride;
- disodium salt of ethylenediaminetetraacetic acid;
- sodium chloride;
- injection water.
The medicine is poured into plastic or glass bottles and packed in a cardboard container.
Pharmacological properties
Cyclomed - eye drops (the price of the drug does not affect its pharmacological properties), which belong to the class of mydriatic drugs with m-anticholinergic action.
When using the agent, the cholenergic synapses are suppressed, as a result of which the pupil dilates. The active substance of the solution has a stimulating effect on the muscle, which is responsible for relaxing and dilating the pupil. In this case, accommodation paralysis occurs.
When using a single dosage, pupil dilation is observed after 20-30 minutes. after installation. This condition continues for 6-12 hours. With a higher sensitivity of the eye, the dilation of the pupil can persist for a longer time. Moreover, some effects after using the solution may persist for another day.
The drug can have a mild antispasmodic effect, which leads to an increase in intraocular pressure and an increase in heart rate. At the same time, there is a slight increase in blood pressure. In some cases, there is an increase in the secretory function of various glands.
The components of the drug are able to penetrate the blood-brain barrier. As a result, moderate stimulation of the central nervous system and respiratory center is observed.
Pharmacodynamics and pharmacokinetics
The medication has good absorbency. It quickly penetrates the conjunctiva of the eye. The content of components in the central nervous system reaches maximum values after 30-50 minutes. after installation.
The drug interacts with plasma proteins. At the same time, the level of binding is moderate. The half-life of the components is 2 hours.
Indications for use
The product is intended for use in ophthalmic practice.
Indications:
- studies aimed at studying refractive characteristics - when ophthalmoscopy occurs;
- preoperative period - for the onset of mydriasis, which is necessary in cataract therapy;
- inflammatory processes occurring in the area of the anterior part of the eye - as part of a complex treatment.
The solution is used only as directed by the attending specialist and the studies performed.
Contraindications
Cyclomed - eye drops (the price of the medicine is not a factor that excludes contraindications), which have some restrictions on the appointment associated with the influence of the active substance or special conditions the patient.
Contraindications:
- the presence of glaucoma or symptoms that indicate its development;
- the period after injuries associated with damage to the iris;
- intolerance to the active substance - an allergy to the agent.
With extreme caution and only under the supervision of a physician, the drug can be used in the following cases:
- intestinal obstruction;
- children under 3 years old;
- the presence of prostatic hyperplasia;
- advanced age.
Before using the solution, you should make sure that there are no allergic reactions. To do this, it is necessary to carry out a one-time installation and observe the reaction. If any negative symptoms occur, it is recommended to refuse further use of the drops.
At what age can the drug be used?
This drug is approved for use from 3 years of age. In this case, treatment should be carried out under the supervision of a specialist.
Instructions for use, dosage
The drug is intended for topical use. Installations are carried out in the area of the conjunctival sac. To avoid getting the drug into the nasopharynx when instilling it, it is recommended to clamp the tear duct.
Before diagnosing the fundus, 1 drop of the drug is prescribed in each eye from 1 to 3 times a day. In this case, before the installations, it is necessary to maintain an interval of at least 10 minutes.
In refractive diagnostics, the recommended dosage is 1 drop of the solution 2-3 times a day. The interval between instillations should be at least 15-20 minutes.
With the development of inflammatory diseases, 1 drop of the drug is prescribed 2-3 times a day. In the presence of severe forms of the disease, the dosage can be increased - 1 drop of the drug every 3-4 hours.
Side effects
In some cases, taking the drug can lead to the development of negative symptoms associated with the activity of the main substance or the physiological characteristics of the patient.
Side effects:
- hyperemia of the conjunctiva;
- discomfort after applying the solution;
- temporary deterioration of visual functions;
- increased pressure inside the eye in patients with glaucoma;
- general weakness;
- the development of dizziness;
- nausea;
- increased sleepiness;
- feeling of dry mouth;
- migraine;
- increased heart rate.
If side effects occur, including symptoms not listed in the annotation, you should stop further taking the medication and seek the advice of an ophthalmologist.
Overdose
Cyclomed (the high cost of the drug is justified by its good therapeutic effect), if the prescribed dosages are exceeded, it can lead to the development of negative signs. Therefore, the established dosage regimens for eye drops should be strictly observed.
Overdose:
- overdried mucous membranes;
- feeling of dry mouth;
- excessive agitation;
- increased heart rate;
- psychomotor disorders, including psychoemotional disorders;
- respiratory paralysis;
- coma.
With the development of symptoms of an overdose, a specific antidote (physostigmine) is prescribed. Adult patients are prescribed an injection of an antidote at a dosage of 2 mg.
The recommended dosage for children is 0.5 mg. If necessary or in the absence of efficacy, a repeated dose is administered.
special instructions
It should be borne in mind that the drug is less effective in patients who have a dark color of the iris. At the same time, accommodation in such patients will be much higher.
Elderly patients during the period of application of the solution should undergo systematic examinations aimed at determining intraocular pressure. The medication can be used in patients with hypersensitivity to atropine, since the drip solution does not cause allergic reactions in this category of patients.
In childhood, in the presence of a stable accommodation spasm, it is advisable to use another drug - atropine.
The data on the use of the drug during the period of gestation is insufficient to prescribe the solution during this period of time. It is possible to use the drug during pregnancy only taking into account the potential risks and possible benefits for both the mother and the fetus.
The tool can have a negative effect on the psyche or visual functions of a person. Therefore, one should refrain from driving or other activities that require high psychomotor functions.
Drug interactions
The drug can react with other drugs, which must be taken into account when using several drugs at once.
The effect of the medication can be enhanced when administered simultaneously with symptom mimetics. The effectiveness of the solution may decrease if it is used simultaneously with m-cholinomimetics. The risks of developing side effects of drops may increase with their simultaneous use with agents that have an m-anticholinergic effect.
When using other drugs during the period of use of the medication, it is recommended to inform the attending specialist about this in advance. This will avoid the possible development of drug interactions.
Analogues for children and adults
Cyclomed - eye drops (the price of analogs may differ significantly from the original drug), which in some cases can provoke the development of allergic reactions or side actions. If such symptoms occur, the solution should be replaced with another remedy similar in indications and action.
Analogs:
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Atropine. The manufacture and release of this medical device is Russia. The drug is produced in the form of a drop solution for installations. The active component of the drug is atropine sulfate. The solution has an m-cholinergic blocking effect aimed at suppressing m-cholinergic receptors located in the eye area. Indications for prescribing the drug: diagnostic (ophthalmological) procedures, eye trauma, the presence of spasms in the central retinal arteries, inflammatory processes in the area of the ocular membrane, various forms of embolism, mydriasis, which is necessary for some eye research.
The dosage depends on the pathology and scope of the drug. Duration of admission - individual, according to the testimony of a doctor. A contraindication to the use of the drug is congenital or acquired sensitivity to the active substance. The method of sale is by prescription. The cost of a bottle in commercial and state pharmacies in Russia ranges from 52 to 65 rubles. - Midriacil. This medicine is manufactured in Belgium in the form of ophthalmic drops. The main ingredient of the drug is tropicamide, a substance with m-anticholinergic action. The use of the drug leads to the development of mydriasis and accommodation paralysis, which is necessary for full therapy. Indications for the use of the solution: diagnostics of the fundus, synechiae, inflammatory diseases occurring in the eye area. In refractive studies, 1-2 drops of the agent are prescribed, after which the installation is repeated after a 5-minute break. When diagnosing the fundus, the dosage is 1-2 drops before the procedure. The installation is repeated immediately after 20 minutes. before the start of the study. List of contraindications: hypersensitivity to the composition of the drug, angle-closure glaucoma, intraocular pressure. Dispensing conditions from pharmacies - by prescription. The cost of a bottle in pharmacies in Moscow and the Moscow region starts from 365 rubles.
- Midax. This pharmaceutical is produced in England as drops for topical use in ophthalmology. The active ingredient of the drug is tropicamide. The solution has high anticholinergic properties and belongs to the class of m-cholinergic blockers, which have a suppressive effect on m-cholinergic receptors located in the eye area. Indications for the use of the medication: for the formation of mydriasis, which is necessary for carrying out diagnostic and research procedures; intolerance to other drugs that lead to pupil dilation; surgical interventions; complex therapy of inflammatory processes occurring in the eye area. The scheme of application of the solution depends on the area of application and the age of the patient. The duration of the course is established by the attending specialist. Contraindications: allergy to the components of the product, angle-closure glaucoma. The method of sale through pharmacies is by prescription. The cost of a medicine in regional and regional pharmacies in Russia starts from 180 rubles.
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Tropicamide. The manufacturer of this medicinal product is Poland. The product is produced in the form of drops for topical use in ophthalmology. The active ingredient of the drug is the component of the same name, tropicamide. The drip solution has an m-cholinergic blocking effect on m-cholinergic receptors. Indications for appointment: diagnostic procedures, surgical operations, inflammatory processes in the eye area, prevention of synechia development. Contraindications: mixed and angle-closure glaucoma, intolerance to the active composition. The dosage regimen is developed by the treating ophthalmologist, taking into account the patient's age and the area of application of the medication and, on average, is 1-2 drops 2 times a day. The duration of the course depends on the scope of use of the drip solution. Terms of sale of the drug - by prescription. The cost of funds in pharmacies in Moscow and the Moscow region is from 130 rubles. per bottle.
Tropicamidum
Cyclomed - eye drops (the price of the product is not a criterion for the selection of a similar solution), which should be replaced with an analogue only after prior consultation with the attending specialist. In this case, the degree of portability of the components of a particular agent should be taken into account.
It is not recommended to choose similar drugs on your own, since an incorrectly selected medicine can cause the development of high sensitivity and allergic reactions.
Terms, conditions of sale and storage
- The drug should be stored in a dry and clean place at temperatures up to 250C.
- The shelf life of the drug is 24 months from the date of manufacture. After opening the bottle, the product is allowed to be used for 1 month.
- Do not use the drip solution after the expiration date indicated on the package.
- Dispensing method - by prescription.
Price
Product prices may vary depending on the region and area of sale.
| Region / region | Dosage form / dosage | Price |
| Moscow, Moscow region | Drops, 1%, 5 ml | RUB 605-855 |
| St. Petersburg | Drops, 1%, 5 ml | RUB 650-830 |
| Saint Petersburg (suburbs) | Drops, 1%, 5 ml | 666-720 rub. |
| Novgorod region | Drops, 1%, 5 ml | RUB 670-735 |
| Leningrad region | Drops, 1%, 5 ml | RUB 667-740 |
Before using Cyclomed, you must carefully read the instructions for using the product and consult a specialist. Additionally, it is recommended to study the reviews of patients who have used the drug. You can find out the exact price of eye drops at any pharmacy located in your place of residence.
Video about the action of the drug
Pharmacology of anticholinergics:
