Cyclopentolate (cyclopentolate HCl)

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Last reviewed · Source: First Databank (FDB) drug data

Overview

Cyclopentolate hydrochloride, a tertiary amine antimuscarinic, is a mydriatic and cycloplegic.

Cyclopentolate hydrochloride is used to produce mydriasis and cycloplegia for refraction (e.g., retinal and optic disc examination, measurement of refractive error). Cyclopentolate usually is preferred over atropine for such use because cyclopentolate has a more rapid onset and shorter duration of action relative to atropine.

Generic name: cyclopentolate HCl
Pronunciation: (SYE-kloe-PEN-toe-late)

Reference product & biosimilars

No reference, biosimilar or interchangeable associated with this drug.

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Indications

The following indications are listed for Cyclopentolate:

  • Cycloplegia
  • Mydriasis

Dosing

To produce mydriasis and cycloplegia for refraction in adults, 1 or 2 drops of a 0.5, 1, or 2% cyclopentolate hydrochloride solution may be instilled onto the eye(s) approximately 40-50 minutes before the procedure; if necessary, a second dose may be instilled in 5-10 minutes. In adults with darkly pigmented irides, more doses or use of the 2% solution may be needed. Although recovery from mydriasis and cycloplegia usually occurs within 24 hours, 1 or 2 drops of a 1 or 2% pilocarpine solution instilled onto the eye(s) may reduce recovery time to 3-6 hours in most patients.

For cycloplegic refraction in children, 1 drop of a 0.5, 1, or 2% solution may be instilled onto the eye(s); if necessary, this dose may be followed by a second drop of a 0.5 or 1% solution 5-10 minutes later. The concentration of cyclopentolate hydrochloride used in pediatric patients should be selected based on the patient's weight, iris coloration, and dilation history. In small infants, 1 drop of the 0.5% solution may be instilled into the eye(s). Following instillation, infants should be observed closely for at least 30 minutes. (See Cautions: Pediatric Precautions.)

To produce mydriasis for funduscopic examination with the combination preparation (Cyclomydril(R)), 1 drop of the solution containing 0.2% cyclopentolate hydrochloride and 1% phenylephrine hydrochloride instilled onto each eye will generally provide rapid mydriasis and permit ready visual access to the fundus. The dose may be repeated every 5-10 minutes if necessary. When used in infants to produce mydriasis for screening for retinopathy of prematurity, instillation 30 minutes before the examination is recommended.

Drug interactions

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Contraindications

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Adverse reactions

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Precautions

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ICD codes

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Last reviewed · Source: First Databank (FDB) drug data