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词条 Homatropine
释义

  1. Side effects

  2. Contraindications

  3. References

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| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 461770217
| IUPAC_name = (N-Methyl-8-azabicyclo[3.2.1]oct-3-yl) 2-hydroxy-2-phenylacetate
| image = Homatropine.svg
| tradename =
| Drugs.com = {{drugs.com|monograph|glycopyrrolate}}
| MedlinePlus = a601006
| pregnancy_category =
| legal_status = Rx only, not FDA approved, only sold in UK
| routes_of_administration =
| bioavailability =
| protein_bound =
| metabolism =
| elimination_half-life =
| CAS_number_Ref = {{cascite|changed|??}}
| CAS_number = 87-00-3
| ATC_prefix = A02
| ATC_suffix = BX03
| ATC_supplemental = {{ATC|S01|FA05}}
| PubChem = 6321423
| DrugBank_Ref = {{drugbankcite|changed|drugbank}}
| DrugBank = DB00725
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 16498795
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 8QS6WCL55Z
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 1233442
| C=16 | H=21 | N=1 | O=3
| molecular_weight = 356.26 g/mol
| smiles = CN3[C@H]1CC[C@@H]3C[C@@H](C1)OC(=O)C(O)c2ccccc2
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| 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).

For Homatropine methylbromide see Methylhomatropine, this 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 given to reverse the muscarinic and CNS effects associated with indirect cholinomimetic (anti-AChase) administration.

Side effects

  • Blurred vision
  • Sensitivity to light

Contraindications

  • Untreated glaucoma
  • Myasthenia gravis
  • Severe heart failure
  • Thyrotoxicosis

References

{{Mydriatics and cycloplegics}}{{Muscarinic acetylcholine receptor modulators}}{{gastrointestinal-drug-stub}}

2 : Muscarinic antagonists|Tropanes

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