"Cyclomed": instructions for use. Description of the drug, reviews, price, analogues
How much does the drug "Cyclomed" cost? The price of this tool is indicated at the end of this article. It also provides information on whether there are analogues for this medication, whether it can be used in the treatment of children, what properties it possesses, what it includes, etc. 
Composition, form, description and packaging of
In whichform is the medicine "Cyclomed"?Instruction for use informs that the given drug goes on sale in the form of eye drops. The active component of this agent is cyclopentolate hydrochloride. Also included in the formulation are additional ingredients in the form of disodium edetate, water, benzalkonium chloride and sodium chloride.
Eye drops "Cyclomed", analogues of which are described below, are a colorless and transparent solution. You can buy it in a vial-dropper with a volume of 5 ml, which is contained in a cardboard bundle.
Pharmacological properties of the local remedy
What are the properties of the local preparation "Cyclomed"?Instruction for use informs that the main effects of this remedy are cholinolytic and mydriatic.
This medication is able to block M-holinoretseptory, resulting in the expansion of the pupil and relaxation of the eye muscles.
An 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 noted in the patient even after a day. 
How does the drug "Cyclomed" work? Instructions for use say that this drug may have a minor antispasmodic effect. It lowers the tone of the vagus nerve and increases( slightly) intraocular pressure, and also leads to an increase in the number of heartbeats.
Against the background of the use of this agent secretory work of the salivary, gastric, pancreatic and bronchial glands worsens. The drug penetrates the blood-brain barrier. In usual dosages, it stimulates the brain, activating the respiratory center.
This medication is often used as a drug, digging eye drops into the nose.
Pharmacokinetics of topical agent
Can the local preparation "Cyclomed"( eye drops) be absorbed? Experts say that this medication is absorbed rather well through a conjunctiva. The greatest concentration of the main substance of the drug in the central nervous system is observed after 40-60 minutes.
Binding to plasma proteins in this drug is moderate, and the elimination half-life is 110 minutes.
Indications for use
Eye drops "Cyclomed", the price of which is quite high, can be used in the following cases: 
- for carrying out diagnostic measures in determining refraction and ophthalmoscopy;
- in the complex treatment of diseases of the anterior part of the eye, which are inflammatory( for example, sclerites, episcleritis, iridocyclitis, keratitis and uveitis);
- in ophthalmic surgery( to prepare for surgery to increase the pupil when extracting cataracts).
Contraindications to use
The drug "Cyclomed" for children under three years of age is prohibited. Also, it is not prescribed for:
- glaucoma, and if it is suspected of being present;
- increased sensitivity of the patient to cyclopentolate and other components of the
- tool for post-traumatic paresis of the iris.
With special care, this medication is recommended for people with prostatic hyperplasia and intestinal obstruction, as well as for the elderly.
Preparation "Cyclomed": instructions for use
According to the attached instructions, the eye drops should be used only topically. They must be instilled in the eyelid 1-2 drops a day.
Three drops per day with a break of 10 minutes are used to carry out diagnostic measures for the detection of eye fundus lesions. 
In the process of examination of refraction in children, 2 drops of the drug are applied with an exposure of 15 minutes( up to three times a day).
In inflammatory diseases, the eye is usually prescribed one drop of the drug three times a day.
Side effects of
According to the experts, this medication rarely causes side effects. The most frequently manifested reactions from the eyes are: decreased visual acuity( transient), conjunctival hyperemia, discomfort after use of drops, increased intraocular pressure, especially in patients with primary glaucoma.
With regard to common adverse reactions, they include nausea, weakness, dizziness and tachycardia.
Symptoms of an overdose of
Apply eye drops "Cyclomed" only at recommended dosages. This is due to the fact that a large amount of the drug can cause such undesirable symptoms 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 the treatment of such conditions, intravenous injections with physostigmine are used( children - 500 mcg, and adults - 2 mg).
Interaction with other medications
The effect of the agent under consideration may be enhanced by sympathomimetics( for example, Mesaton), and weaken m-cholinomimetics( for example, Pilocarpine).
The combination of "Cyclomed" with drugs that have m-holinoblocking properties, can enhance the side effects of the former.
Special recommendations
The action of "Cyclomed" is most effective in patients with dark iris pigment. At such people at use of the medicament the residual accommodation can reach 2.0-4.0 D.
In the course of application of eye drops at persons of advanced age careful monitoring of intraocular pressure is necessary.
Pregnancy and Breastfeeding
To date, data on the safety of the use of eye drops "Cyclomed" in pregnant women, as well as mothers during breastfeeding, is not enough. In this regard, the drug in question can be used only in those cases when the expected benefit from therapy for the patient significantly exceeds the risk of developing pathologies in the fetus or in the infant. 
Terms and conditions of storage
According to the instructions, eye drops "Cyclomed" must be stored out of reach of children and protected from light at a temperature of not more than +25 degrees( do not freeze).Shelf life of this drug is 2 years. However, after opening the vial-dropper 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 in a pharmacy for 380-400 rubles. As for the analogs, their cost can be either higher or lower.
To date, the most popular and effective substitutes for the drug in question are the following: Midratsil, Appamin Plus, Tropikamid, Atropin, Irifrin.
"Cyclomed" can be replaced with other medications only after consulting with an ophthalmologist.
Reviews for eye drops
Most often reviews about this drug are left by those patients who used it to carry out diagnostic activities before the research. According to their reports, this drug almost never causes undesirable effects and is relatively well tolerated. However, there are also such reviews, which talk about the occurrence of redness of the eyes and burning sensation. In this case it is recommended to consult a specialist. 
Many patients are interested in the question of what will happen if the drug is injected into the nasal sinuses. The use of 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 abstain from such use of a medicine.