Hydroxyamphetamine Hydrobromide/Tropicamide, Ophthalmic

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KEY POINTS

• This medicine is used in the eyes to relieve pain from eye inflammation, or to dilate the pupils for eye exams and procedures. Use it exactly as directed.
• This medicine may cause unwanted side effects. Tell your healthcare provider if you have any side effects that are serious, continue, or get worse.
• Tell all healthcare providers who treat you about all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take.

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What are other names for this medicine?

Type of medicine: adrenergic; anticholinergic

Generic and brand names: hydroxyamphetamine hydrobromide/tropicamide, ophthalmic; Paremyd

What is this medicine used for?

This medicine is put in the eyes to dilate the pupils for eye exams and sometimes for surgery. It may be used to relieve pain caused by inflammation in the eye.

This medicine may be used to treat other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

• An allergic reaction to any medicine
• Glaucoma or other eye disease
• Diabetes
• Heart disease or an irregular heartbeat
• High blood pressure
• Thyroid problems

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.

How do I use it?

This medicine is usually given by a healthcare provider. If your provider prescribes this medicine for you to use, check the label on the medicine for directions about your specific dose.

Wash your hands before putting medicine in your eyes. Tilt your head back and gently pull your lower eyelid down to form a pouch. Hold the dropper directly above your eye, look up, and squeeze a drop of the medicine into the pouch. Close your eyes for a minute or two and with a fingertip gently press on the inside corner of your eye to keep the medicine from draining out. Do not rub your eyes.

Check with your healthcare provider before using this medicine in children under age 18.

To keep from contaminating the medicine, do not let the tip of the dropper touch your eye or any other surface. After use, put the cap on tightly. Store the medicine away from heat and bright light. Do not use the medicine if it becomes discolored.

If you are using more than one type of eye drop, ask your healthcare provider which one to use first. Do not use other eye drops for 5 to 10 minutes before or after you use this medicine.

If you wear contact lenses:

• Do not wear your contacts when you put this medicine in your eyes. Wait at least 10 minutes after applying the drops before inserting your contact lenses.
• Do not wear contact lenses if your eyes are red.
• Do not use this medicine to treat contact lens related irritation.

This medicine is for use in the eyes only. Do not take it by mouth.

What should I watch out for?

This medicine widens your pupils, so your eyes may be more sensitive to bright light. Wear dark glasses outdoors. Your eyes should return to normal within 6 to 8 hours. If your eyes are not normal within 24 hours or if they get worse, contact your healthcare provider.

This medicine may cause temporary blurring of your vision. Do not drive or operate machinery until you can see clearly.

Adults over the age of 65 may be at greater risk for side effects.

Be sure to tell your healthcare provider if you are using any other medicines in your eyes. You may need to allow some time between applications of these products or to stop using the other medicines.

If you need emergency care, surgery, lab tests, or dental work, tell the healthcare provider or dentist you are using this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help.): Allergic reaction (hives; itching; rash; trouble breathing; chest pain or tightness in your chest; swelling of your lips, tongue, and throat).

Serious (Report these to your healthcare provider right away.): Any new redness, irritation, or swelling that develops while you are using the medicine; fast or irregular heartbeat; chest pain; eye pain; fever; severe confusion; unusual thoughts or behavior; trouble urinating; vomiting; unusual weakness; rigid muscles; fainting.

Other: Stinging or blurred vision after applying the medicine, sensitivity to light, tearing, headache, nausea, dry mouth.

What products might interact with this medicine?

No significant drug interactions have been reported. However, be sure that your healthcare provider knows about any other products you are using in your eyes.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

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This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.