Have you ever had an eye exam? You probably remember the doctor putting some drops in your eyes. After a while, your eyes feel a little blurry, and when you go outside, your eyes feel like they're turning blue. Many people are a little scared about this. Why do they actually put this kind of medicine in your eyes? What happens with this? Let's talk about this today.
What really happens with this medicine?
Simply put, it's a combination of two medications: Hydroxyamphetamine and Tropicamide . These come in the form of eye drops. Their main function is to dilate the pupil, the black part of your eye.
Imagine that a doctor wants to examine the inside of your eye. For example, they want to get a good look at the retina or optic nerve at the back of the eye. Normally, the pupil is small, so looking inside the eye is like looking into a room through a small keyhole. So by using this medicine to enlarge the pupil, the doctor can see the inside of the eye clearly and completely. This is something that is usually done during an eye exam. This medicine is also known by the brand name ``(Paremyd)``.
Things you need to tell your doctor before prescribing this medicine
It is very important that your doctor knows about your health condition before giving you this medicine. This is because it can be dangerous to use this medicine with certain medical conditions. Therefore, if you have any of the medical conditions below, be sure to tell your doctor.
- Diabetes
- Glaucoma condition
- Any type of heart disease
- High blood pressure
- An irregular heartbeat or change in rhythm
- Thyroid diseases
- If you have an allergic reaction to these medications (hydroxyamphetamine, tropicamide), other medications, foods, dyes, or preservatives.
- If you are pregnant or trying to get pregnant
- If you are a breastfeeding mother
How do you use this medicine?
Most of the time, about 99% of the time, this medicine is given to you by a doctor, nurse, or other health professional in a hospital or clinic. It is not a medicine that you can use at home.
However, if for some reason, your doctor tells you to use this at home, you should follow the instructions exactly. Wash your hands well, shake the bottle well, tilt your head back slightly, and apply the prescribed number of drops to the small pouch that forms under your lower eyelid. Do not let the tip of the bottle touch your eye, your fingers, or anywhere else. After applying the medicine, close your eye briefly and let the medicine spread throughout your eye.
Use for children
Young children may need special care when using this medicine, so talk to your doctor about this.
What if the medicine is used too much? (Overdose)
Although this is not a common occurrence, if you think you have taken too much of this medicine, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or go to the Emergency Department (ETU) of the nearest hospital.
This medicine has been prescribed for you only. Do not share it with others for any reason.
Things to be careful about when using this medicine
- Blurred vision and driving: After applying this medicine to your eyes, your vision may become blurred for a few hours. You may also experience dizziness and drowsiness. Therefore, you should avoid driving, operating machinery, or doing anything that requires concentration until the effects of this medicine have completely worn off. This is very important for your safety.
- Sensitivity to sunlight: Your eyes become very sensitive to sunlight. This means that when you go out in the sun, your eyes become blue and it becomes difficult to see. Therefore , wearing sunglasses when you go out is a great relief for your eyes.
- Dizziness: Especially if you are elderly, do not go from sitting to standing or from standing to sitting suddenly. Do these things slowly. Otherwise, you may feel dizzy and fall.
- Contact Lenses: If you wear contact lenses, ask your doctor exactly when and for how long you can put them back in after applying the medication.
- Dry mouth: Some people may experience dry mouth. Chewing sugar-free gum and drinking more water may help. If this persists, tell your doctor .
What are the possible side effects?
Like any medicine, this one can cause side effects in some people. Some of them are serious, some of them are common.
| Classification of side effects | |
|---|---|
| Side effects that should be reported to your doctor immediately | |
| Allergic Reactions | Skin rash, itching, swelling of the face, lips or tongue. |
| Heartbeat | Feeling like your heart is beating fast or irregularly. |
| Mental changes | Seeing or hearing things that are not there (hallucinations), feeling disconnected from reality. |
| Usually not serious (but tell your doctor if it persists) | |
| Vision problems | Blurred vision, sensitivity to light. |
| Other features | Dry mouth, headache, nausea or vomiting. |
If you experience any other unusual symptoms not mentioned on this list, talk to your doctor about them as well.
Take-Home Message
- This medicine is used during an eye exam to enlarge the pupil of the eye and allow a better view of the inside of the eye.
- If you have other medical conditions such as diabetes, glaucoma, or heart disease, be sure to tell your doctor before taking the medication.
- Do not drive after taking the medicine as your vision may become blurred and you may feel drowsy. Wearing sunglasses is good for your eyes.
- If you experience anything serious, such as a rapid heartbeat or allergic symptoms, seek medical advice immediately.
- If you have any questions about this medicine or your eye exam, don't be afraid to ask your doctor. It's your right.


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