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Tropicamide + Phenylephrine + Lidocaine is used during cataract surgery. It widens the pupil (mydriasis) and gives anaesthesia inside the eye while the operation is being done.
Dosage Reference
Reference Information Only
Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.
Adults:
This combination of tropicamide, phenylephrine and lidocaine is used only in elderly people and adults who are having cataract surgery. An ophthalmic surgeon must give the injection, under local anesthesia, at the start of the surgery. The recommended dose is 0.2 ml of solution, given as one injection only.
The procedure goes like this. Five minutes before the antiseptic preparation and the first incision, one to two drops of anesthetic eye drops are instilled in the eye. Then, at the start of surgery, 0.2 ml of the solution is injected slowly in a single injection by the intracameral route, through the side port or the principal port.
Side Effects
With Tropicamide + Phenylephrine + Lidocaine, the most serious well-known complications during or after cataract surgery are uncommon, and they may affect up to 1 in 100 people. These are injury to the lens (posterior capsule rupture) and swelling of the retina (cystoid macular edema). If either happens, please seek urgent medical advice. Other side effects are also uncommon and may affect up to 1 in 100 people. Nervous system disorder: headache. Eye disorder: swelling of the cornea (keratitis), increased pressure in the eye, and redness of the eye (ocular hyperaemia). Vascular disorder: high blood pressure (hypertension).
Cautions & Contraindications
Warnings & Precautions
Don't use Tropicamide + Phenylephrine + Lidocaine if the blister is damaged or broken. Open it under aseptic conditions only. Use the product immediately after opening the ampoule, and don't reuse it for the other eye or for any other patient. This medicine is not recommended in combined cataract surgery with a certain type of eye surgery (vitrectomy), if the ocular anterior chamber is shallow, or if the patient has a history of acute narrow angle glaucoma. The doctor should consider the patient's medical condition if he is suffering from hypertension, atherosclerosis or any kind of heart disease, hyperthyroidism, prostate gland disorders, epilepsy, any liver disease or kidney problem, breathing problem or myasthenia gravis.
Pregnancy & Breastfeeding
Do not use Tropicamide + Phenylephrine + Lidocaine during pregnancy or while breastfeeding.
⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Storage
Store this medicine at or below 30⁰C. It doesn't need a refrigerator. Keep it away from light and out of the reach of children.
The ampoule is for single eye use only. Use it straight after you first open it. Whatever solution is left afterwards should be discarded properly, and you shouldn't keep it for another use.
Common questions about Mydran 0.02%+0.31%+1%
What is Mydran 0.02%+0.31%+1% Intracameral Injection?
Mydran 0.02%+0.31%+1% Intracameral Injection is a medicine that contains Tropicamide + Phenylephrine + Lidocaine. It is made by General Pharmaceuticals Ltd. It belongs to the Other ophthalmic preparations group of medicines.
What is Mydran used for?
Tropicamide + Phenylephrine + Lidocaine is used during cataract surgery. It widens the pupil (mydriasis) and gives anaesthesia inside the eye while the operation is being done.
What are the side effects of Mydran?
With Tropicamide + Phenylephrine + Lidocaine, the most serious well-known complications during or after cataract surgery are uncommon, and they may affect up to 1 in 100 people. These are injury to the lens (posterior capsule rupture) and swelling of the retina (cystoid macular edema).
Can I take Mydran during pregnancy or while breastfeeding?
Do not use Tropicamide + Phenylephrine + Lidocaine during pregnancy or while breastfeeding. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
How should I store Mydran?
Store this medicine at or below 30⁰C. It doesn't need a refrigerator.
Do I need a prescription for Mydran?
Mydran is a prescription (Rx) medicine. Take it as your doctor advises.