Antimuscarinic mydriatic / cycloplegic
Homatropine hydrobromide
Brand names: Minims homatropine
Adult dose
Dose: 1 drop, repeated as needed (effect 1–3 days)
Route: Topical (ophthalmic)
Frequency: PRN
Clinical pearls
- Refraction (children), uveitis ciliary spasm relief
- Atropine longer-acting; tropicamide shorter
Contraindications
- Closed-angle glaucoma
- Hypersensitivity
Side effects
- Stinging
- Photophobia
- Blurred vision
- Acute angle-closure
Reference: BNF; https://bnf.nice.org.uk/drugs/homatropine-hydrobromide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Acute Red Eye / Vision Loss Screen · RCOphth 2020; NICE CKS
- Idiopathic Intracranial Hypertension · ABN; consensus 2018
- Acute Red Eye Assessment · RCOphth / AAO
- Acute Angle Closure Glaucoma · RCOphth / EGS Guidelines
- Retinal Detachment · RCOphth Guidelines / EURETINA
- Diabetic Retinopathy — Screening and Management · NICE NG28 2016 / NHS DES Programme