| Cyclogyl (U.S.N.L.M.) | |
|---|---|
| Dosing (uveitis/iritis) | 1 or 2 drops bid (consider atropine or homatropine) |
| Dosing (cycloplegia) | 1 drop 1% repeated once in five minutes about 30 min before refraction. For infants 1 drop 0.05% with nasolacrimal pressure for 2-3 min. |
| Chem Specs | Cyclopentolate 0.5%, 1%, 2% |
| Quantities | 2, 5 , 15ml (1% not available in 5 ml qty) |
| Cost | 42.00/15ml |
| Class | anticholinergic |
| Action | Competitive antagonist for the muscarinic acetylcholine receptor. |
| Usage | Indicated for cycloplegic refraction or for pupil dilation in acute inflammatory conditions of the iris and uveal tract. |
| Increased susceptibility in infants, young children, and in children with blond hair, blue eyes, Down's syndrome, spastic paralysis, or brain damage. Cyclopentolate increases IOP for several hours in patients with POAG. Stinging is normal; hypersensitivity is rare. |
|
| Contraindications | Untreated narrow-angle glaucoma, or untreated anatomically narrow angles, or hypersensitivity to any component of the preparation. |
| Pediatric use | Withhold feeding for 4 hours after examination. Psychotic reactions and behavioral disturbances have been reported in young children. |
| Pregnancy | Category C. Animal reproduction studies have not been conducted. |
| Peak mydriasis 30-60 min. Peak cycloplegia 25-75 min. Recovery 6-24 hrs. Recovery from mydriasis in some individuals may require several days. Observe infants for 30 minutes; avoid feeding for 4 hours. (See package insert for extensive list of possible adverse reactions.) |