Homatropaire (homatropine Hbr)
Ophthalmic Cycloplegics/Mydriatics Ophthalmic (Eye) Drops
Last reviewed · Source: First Databank (FDB) drug data
Overview
Homatropine hydrobromide, a tertiary amine antimuscarinic, is a mydriatic and cycloplegic.
Homatropine hydrobromide is used to produce mydriasis and cycloplegia for refraction and in the management of acute inflammatory conditions of the uveal tract.
Generic name: homatropine Hbr
Pronunciation: (hoe-MAT-roe-peen)
Drug class: Ophthalmic Cycloplegics/Mydriatics
Therapeutic class: Ophthalmic Agents
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Homatropaire
Indications
The following indications are listed for Homatropaire:
- Cycloplegia
- Perioperative Mydriasis
- Uveitis
Also known as: Paraoperative Mydriasis, Perioperative Pupil Dilation, Preoperative And/Or Postoperative Mydriasis.
Dosing
To produce mydriasis and cycloplegia for refraction in adults, 1 or 2 drops of a 2 or 5% solution may be instilled onto the eye(s) immediately before the procedure and repeated in 5-10 minutes if necessary. In children, the usual dosage to produce mydriasis and cycloplegia for refraction is 1 drop of a 2% solution instilled onto the eye(s) immediately before the procedure and repeated at 10-minute intervals as necessary.
For pupillary dilation in the treatment of acute inflammatory conditions of the uveal tract in adults, the usual dosage is 1 or 2 drops of a 2 or 5% solution instilled onto the eye(s) 2 or 3 times daily, and if necessary, as often as every 3 or 4 hours; in children, the usual dosage is 1 drop of a 2% solution 2 or 3 times daily.
Homatropine hydrobromide is applied topically to the eye in the form of a solution. To minimize drainage into the nose and throat and reduce the risk of absorption and systemic reactions, finger pressure should be applied on the lacrimal sac for 1-2 minutes following topical instillation of the solution.
| Drug label | Dosing type | Instructions |
|---|---|---|
| Homatropaire 5% Eye Drops | Maintenance | Instill 1 drop into affected eye(s) by ophthalmic route 2 times per day. |
No dosing information is available for this tab.
Drug interactions
There is no enhanced messaging for this drug.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
There is no enhanced messaging for this drug.
- Predisposition to glaucoma
- Primary angle-closure glaucoma
- Shallow anterior chamber of eye
There are no moderate contraindications for this drug.
Adverse reactions
There is no enhanced messaging for this drug.
Rare or Very Rare
- Abdominal distension
- Acute cognitive impairment
- Anticholinergic toxicity
- Behavioral disorders
- Drowsy
- Dry skin
- Fatigue
- Fever
- Flushing
- Hallucinations
- Skin rash
- Slurred speech
- Tachycardia
- Unsteady gait
- Xerostomia
Less Frequent
- Blurred vision
- Eyelid edema
- Ocular irritation
- Photophobia
Precautions
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
No enhanced messaging available.
ICD codes
| Code | Type | Description |
|---|---|---|
| Uveitis | ||
| D86.83 | ICD10CM | Sarcoid iridocyclitis |
| H20 | ICD10CM | Iridocyclitis |
| H20.0 | ICD10CM | Acute and subacute iridocyclitis |
| H20.00 | ICD10CM | Unspecified acute and subacute iridocyclitis |
| H20.01 | ICD10CM | Primary iridocyclitis |
| H20.011 | ICD10CM | Primary iridocyclitis, right eye |
| H20.012 | ICD10CM | Primary iridocyclitis, left eye |
| H20.013 | ICD10CM | Primary iridocyclitis, bilateral |
| H20.019 | ICD10CM | Primary iridocyclitis, unspecified eye |
| H20.02 | ICD10CM | Recurrent acute iridocyclitis |
| H20.021 | ICD10CM | Recurrent acute iridocyclitis, right eye |
| H20.022 | ICD10CM | Recurrent acute iridocyclitis, left eye |
| H20.023 | ICD10CM | Recurrent acute iridocyclitis, bilateral |
| H20.029 | ICD10CM | Recurrent acute iridocyclitis, unspecified eye |
| H20.03 | ICD10CM | Secondary infectious iridocyclitis |
| H20.031 | ICD10CM | Secondary infectious iridocyclitis, right eye |
| H20.032 | ICD10CM | Secondary infectious iridocyclitis, left eye |
| H20.033 | ICD10CM | Secondary infectious iridocyclitis, bilateral |
| H20.039 | ICD10CM | Secondary infectious iridocyclitis, unspecified eye |
| H20.04 | ICD10CM | Secondary noninfectious iridocyclitis |
| H20.041 | ICD10CM | Secondary noninfectious iridocyclitis, right eye |
| H20.042 | ICD10CM | Secondary noninfectious iridocyclitis, left eye |
| H20.043 | ICD10CM | Secondary noninfectious iridocyclitis, bilateral |
| H20.049 | ICD10CM | Secondary noninfectious iridocyclitis, unspecified eye |
| H20.1 | ICD10CM | Chronic iridocyclitis |
| H20.10 | ICD10CM | Chronic iridocyclitis, unspecified eye |
| H20.11 | ICD10CM | Chronic iridocyclitis, right eye |
| H20.12 | ICD10CM | Chronic iridocyclitis, left eye |
| H20.13 | ICD10CM | Chronic iridocyclitis, bilateral |
| H20.2 | ICD10CM | Lens-induced iridocyclitis |
| H20.20 | ICD10CM | Lens-induced iridocyclitis, unspecified eye |
| H20.21 | ICD10CM | Lens-induced iridocyclitis, right eye |
| H20.22 | ICD10CM | Lens-induced iridocyclitis, left eye |
| H20.23 | ICD10CM | Lens-induced iridocyclitis, bilateral |
| H20.8 | ICD10CM | Other iridocyclitis |
| H20.81 | ICD10CM | Fuchs' heterochromic cyclitis |
| H20.811 | ICD10CM | Fuchs' heterochromic cyclitis, right eye |
| H20.812 | ICD10CM | Fuchs' heterochromic cyclitis, left eye |
| H20.813 | ICD10CM | Fuchs' heterochromic cyclitis, bilateral |
| H20.819 | ICD10CM | Fuchs' heterochromic cyclitis, unspecified eye |
| H20.9 | ICD10CM | Unspecified iridocyclitis |
| H44.11 | ICD10CM | Panuveitis |
| H44.111 | ICD10CM | Panuveitis, right eye |
| H44.112 | ICD10CM | Panuveitis, left eye |
| H44.113 | ICD10CM | Panuveitis, bilateral |
| H44.119 | ICD10CM | Panuveitis, unspecified eye |
| H44.13 | ICD10CM | Sympathetic uveitis |
| H44.131 | ICD10CM | Sympathetic uveitis, right eye |
| H44.132 | ICD10CM | Sympathetic uveitis, left eye |
| H44.133 | ICD10CM | Sympathetic uveitis, bilateral |
| H44.139 | ICD10CM | Sympathetic uveitis, unspecified eye |
ICD code information from First Databank (FDB).
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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