Isopto Hyoscine

For mydriasis and cycloplegia in diagnostic procedures. For some pre- and postoperative states when a mydriatic and cycloplegic is needed in treatment of iridocyclitis.

Patient should be advised not to drive or engage in other hazardous activities when drowsy or while pupils are dilated. Patient may experience sensitivity to light and should protect eyes in bright illumination during dilation. Parents should be warned not, to get this preparation in their child†s mouth and to wash their own hands and the child†s hands following administration.

See WARNINGS, CONTRAINDICATIONS and PRECAUTIONS.

Scopolamine is a prescription medication used to prevent the nausea and vomiting of motion sickness for up to 3 days. It also helps to prevent the nausea and vomiting associated with the use of anesthesia and certain analgesics used during or after many types of surgery.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

• Alcon Laboratories, Inc.

• Alcon Laboratories, Ophthalmic Div.

Serious side effects have been reported with scopolamine. See the “Scopolamine Precautions” section.

Common side effects of scopolamine include the following:

• dry mouth
• blurry vision
• drowsiness
• dizziness
• disorientation
• memory disturbances
• restlessness
• hallucinations
• confusion
• difficulty urinating
• skin rashes or redness
• temporary changes in heart rate such as palpitations

This is not a complete list of scopolamine side effects. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• alcohol
• barbiturates such as secobarbital (Seconal), amobarbital (Amytal), pentobarbital (Nembutal), butabarbital (Butisol), and phenobarbital (Luminal)
• antipsychotics such as haloperidol (Haldol), clozapine (Clozaril), and risperidone (Risperdal)
• antihistamines such as meclizine (Antivert, Bonine, Dramamine, Verticalm), diphenhydramine (Benadryl), desloratadine (Clarinex), olopatadine (Pataday, Patanol), and azelastine (Astelin, Astepro)
• other anticholinergics such as atropine (Atropen, Sal-Tropine, Ocu-Tropine), oxybutynin (Ditropan), hyoscyamine (Levsinex), solifenacin (Vesicare), and trospium (Sanctura)
• benzodiazepines such as alprazolam (Xanax), diazepam (Valium), temazepam (Restoril), and triazolam (Halcion)
• monoamine oxidase (MAO) blockers such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) or tranylcypromine (Parnate)
• muscle relaxants such as carisoprodol (Soma), dantrolene (Dantrium), metaxalone (Skelaxin), cyclobenzaprine (Flexeril, Amrix), tizanidine (Zanaflex), and methocarbamol (Robaxin)

This is not a complete list of scopolamine drug interactions. Ask your doctor or pharmacist for more information.

Serious side effects have been reported with scopolamine including the following:

• eye effects: Temporary blurring of vision and dilation (widening) of the pupils may occur, especially if the drug is on your fingers or hands and comes into contact with the eyes. Dry, itchy, or reddened whites of the eye and eye pain have been reported infrequently. In the unlikely event that you experience pain in the eye and reddened whites of the eye, which may be accompanied by widening of the pupil and blurred vision, remove the patch and consult your doctor promptly. Widening of the pupils and blurred vision without pain, or reddened whites of the eye, is usually temporary.
• drug withdrawal/post-removal symptoms: Symptoms such as dizziness, nausea, vomiting, headache, and disturbances of equilibrium have been reported by some people following stopping use of the scopolamine patch. These symptoms have occurred most often in people who have used the patches for more than 3 days, and frequently do not appear until 24 hours or more after the patch has been removed.
• skin burn. This has been reported at the patch site in several patients wearing aluminized transdermal systems during a Magnetic Resonance Imaging (MRI) scan. Because scopolamine contains aluminum, it is recommended to remove the system before undergoing an MRI.

Scopolamine can cause blurry vision, dizziness, and drowsiness. Do not drive or operate heavy machinery until you know how scopolamine affects you.

In addition, if you plan to participate in underwater sports while wearing the patch, you should discuss with your doctor the potentially disorienting effects of scopolamine.

Scopolamine should not be used in children. The safety of its use in children has not been determined. Children and the elderly may be particularly sensitive to the effects of scopolamine.

Do not take scopolamine if you:

• are allergic to scopolamine or to any of its ingredients
• are allergic to medications that contain belladonna alkaloids such as Donnatal tablets and elixir, PB Hyos elixir, Quadrapax elixir, Lomotil, atropine (Atropen, Sal-Tropine, Ocu-Tropine), and hyoscyamine (Levsinex)
• have angle-closure (narrow angle) glaucoma

• Blephamide
• Isopto Atropine

• Photrexa Viscous

Read the Isopto Hyoscine User Reviews »

© Isopto Hyoscine Patient Information is supplied by Cerner Multum, Inc. and Isopto Hyoscine Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.

After you apply this medicine to your eyes:

• Your pupils will become unusually large and you will have blurring of vision, especially for close objects. Make sure your vision is clear before you drive, use machines, or do anything else that could be dangerous if you are not able to see well.
• Your eyes will become more sensitive to light than they are normally. Wear sunglasses to protect your eyes from sunlight and other bright lights.

These effects may continue for several days after you stop using this medicine. However, check with your doctor if they continue longer than:

• 14 days if you are using atropine.
• 3 days if you are using homatropine.
• 7 days if you are using scopolamine.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Change in eyesight.
• Eye pain.
• Very bad eye irritation.
• Not able to pass urine or change in how much urine is passed.
• Dry skin.
• Fever.
• Flushing.
• A fast heartbeat.
• A heartbeat that does not feel normal.