Homatropine Explained

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Watchedfields:changed
Verifiedrevid:461770217
Legal Status:Rx only
Cas Number:87-00-3
Atc Prefix:S01
Atc Suffix:FA05
Pubchem:6321423
Drugbank:DB00725
Chemspiderid:16498795
Unii:8QS6WCL55Z
Chembl:1233442
Iupac Name:(N-Methyl-8-azabicyclo[3.2.1]oct-3-yl) 2-hydroxy-2-phenylacetate
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H:21
N:1
O:3
Smiles:CN3[C@H]1CC[C@@H]3C[C@@H](C1)OC(=O)C(O)c2ccccc2
Stdinchi:1S/C16H21NO3/c1-17-12-7-8-13(17)10-14(9-12)20-16(19)15(18)11-5-3-2-4-6-11/h2-6,12-15,18H,7-10H2,1H3/t12-,13+,14+,15?
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Homatropine (Equipin, Isopto Homatropine) is an anticholinergic medication that is an antagonist at muscarinic acetylcholine receptors and thus the parasympathetic nervous system. It is used in eye drops as a cycloplegic (to temporarily paralyze accommodation), and as a mydriatic (to dilate the pupil).

The related chemical compound homatropine methylbromide (methylhomatropine) is a different medication. Homatropine is less potent than atropine and has a shorter duration of action. It is available as the hydrobromide salt. Homatropine is also given as an atropine substitute,[1] given to reverse the muscarinic and CNS effects associated with indirect cholinomimetic (anti-AChase) administration.

Homatropine hydrobromide is on the World Health Organization's List of Essential Medicines.[2]

Side effects

Contraindications

Notes and References

  1. Scharer LL, Burhenne HJ . Megacolon associated with administration of an anticholinergic drug in a patient with ulcerative colitis . The American Journal of Digestive Diseases . 9 . 4 . 268–274 . April 1964 . 14142388 . 10.1007/bf02232133 . 19169565 .
  2. Book: ((World Health Organization)) . The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023) . 2023 . 10665/371090 . World Health Organization . World Health Organization . Geneva . WHO/MHP/HPS/EML/2023.02 . free .