How much does the Cyclomed drug cost? The price of this tool is indicated at the end of this article. It also provides information on whether this medicine has analogues, whether it can be used in the treatment of children, what properties it has, which includes in its composition, etc.
Composition, form, description and packaging of the drug
In what form is the Cyclomed medication made? Instructions for use informs that this drug goes on sale in the form of eye drops. The active component of this agent is cyclopentolate hydrochloride. Also, the composition of the drug includes additional ingredients in the form of disodium edetate, water, benzalkonium chloride and sodium chloride.
Eye drops "Cyclomed", the analogues of which are described a little further, are a colorless and transparent solution. You can buy it in a 5 ml dropper bottle, which is contained in a cardboard box.
Pharmacological properties of local remedies
What are the properties of the local drug Cyclomed? Instructions for use informs that the main effects of this tool are anticholinergic and mydriatic.
This medication is able to block M-cholinergic receptors, as a result of which the pupil dilates and the eye muscles relax.
The increase in the pupil is observed approximately 18-22 minutes after instillation of the drug and persists for 8-11 hours (sometimes longer). By the way, residual effects can be observed in a patient even after a day.
How does the Cyclomed medication work? Instructions for use states that this drug may have a slight antispasmodic effect. It reduces the tone of the vagus nerve and increases (slightly) intraocular pressure, and also leads to an increase in the number of heart contractions.
Against the background of the use of this tool, the secretory work of the salivary, gastric, pancreas and bronchial glands worsens. The drug crosses the blood-brain barrier. In normal dosages, it stimulates the brain, activating the respiratory center.
This medication is often used as a drug by instilling eye drops in the nose.
Pharmacokinetics of local drugs
Can the local drug Cyclomed (eye drops) be absorbed? Reviews of experts report that this medication is fairly well absorbed through the conjunctiva. The highest concentration of the main substance of the drug in the central nervous system is observed after 40-60 minutes.
Plasma protein binding is moderate in this drug, and the elimination half-life is 110 minutes.
Indications for use
Cyclomed eye drops, the price of which is quite high, can be used in the following cases:
- for diagnostic measures in determining refraction and ophthalmoscopy;
- in the complex treatment of diseases of the anterior part of the eye that are inflammatory (for example, scleritis, episiscleritis, iridocyclitis, keratitis and uveitis);
- in ophthalmic surgery (to prepare for surgery to enlarge the pupil during cataract extraction).
Contraindications
The drug "Cyclomed" for children under three years of age is prohibited. Also, it is not prescribed for:
- glaucoma, as well as if it is suspected;
- hypersensitivity of the patient to cyclopentolate and other components of the drug
- post-traumatic paresis of the iris.
With extreme caution, this medication is recommended for people with prostatic hyperplasia and intestinal obstruction, as well as elderly people.
The drug "Cyclomed": instructions for use
According to the attached instructions, the eye drops in question should be applied only topically. They need to be instilled for an eyelid 1-2 drops per day.
For diagnostic measures to identify lesions of the fundus , 3 drops per day are used with a break of 10 minutes.
In the process of examining refraction in children, 2 drops of the drug are used with an exposure of 15 minutes (up to three times a day).
In inflammatory eye diseases, one drop of the drug is usually prescribed three times a day.
Side effects
According to experts, this medication rarely causes side effects. The most common reactions from the eyes are: decreased visual acuity (transient), conjunctival hyperemia, discomfort after using drops, increased intraocular pressure, especially in patients with primary glaucoma.
As for the common adverse reactions, they include nausea, weakness, dizziness and tachycardia.
Overdose Signs
Apply Cyclomed eye drops only at dosages recommended by your doctor. This is due to the fact that a large amount of the drug can cause unwanted symptoms such as tachycardia, dry skin and mucous membranes, mental reactions (disorientation, fatigue, change in emotional status, incoherent speech), as well as coma and respiratory arrest.
As a treatment for such conditions, intravenous injections with physostigmine are used (for children - 500 mcg, and for adults - 2 mg).
Interaction with other medicines
Sympathomimetics (for example, Mesaton) can enhance the effect of the drug in question, and m-cholinomimetics (for example, Pilocarpine) can weaken it.
The combination of Cyclomed with drugs that have m-anticholinergic properties can enhance the side effects of the former.
Special recommendations
The Cyclomed action is most effective in patients with dark iris pigment. In such people, when using the medication, residual accommodation can reach 2.0-4.0 D.
In the process of applying eye drops in the elderly, careful monitoring of intraocular pressure is necessary.
Pregnancy and breastfeeding
To date, safety data on the use of Cyclomed eye drops in pregnant women, as well as mothers during breastfeeding, are insufficient. In this regard, the drug in question can be used only in cases where the expected benefit of therapy for the patient significantly exceeds the risk of developing pathologies in the fetus or infant.
Terms and conditions of storage
According to the instructions, Cyclomed eye drops should be stored out of the reach of children and protected from light at a temperature of no more than +25 degrees (do not freeze). The shelf life of this drug is 2 years. However, after opening the dropper bottle, this period is reduced to one month.
Eye drops "Cyclomed": analogues and cost
The price of this drug is quite high. You can buy it at a pharmacy for 380-400 rubles. As for analogues, their cost can be both higher and lower.
To date, the following drugs are the most popular and effective substitutes for the drug in question: Midriacil, Appamin Plus, Tropicamide, Atropine, Irifrin.
Cyclomed can be replaced with other drugs only after consultation with an ophthalmologist.
Eye Drop Reviews
Most often, reviews about this drug are left by those patients who used it to carry out diagnostic measures before studies. According to their reports, this medication almost never causes unwanted effects and is tolerated relatively well. However, there are also such reviews, which indicate the occurrence of redness of the eyes and a burning sensation. In this case, it is recommended to contact a specialist.
A lot of patients are interested in the question of what will happen if this drug is instilled into the sinuses. Using drops in this way can lead to unpredictable consequences (from hallucinations and emotional lability to causing serious harm to mental health). Therefore, it is better to refrain from such use of the medication.