Topical ester local anaesthetic
Proxymetacaine hydrochloride
Brand names: Minims proxymetacaine
Adult dose
Dose: 1 drop before procedure (may repeat)
Route: Topical (ophthalmic)
Frequency: PRN
Clinical pearls
- Tonometry, foreign-body removal, gonioscopy
- Single-use minim — discard after
Contraindications
- Hypersensitivity
Side effects
- Stinging
- Corneal toxicity with repeated use
Reference: BNF; https://bnf.nice.org.uk/drugs/proxymetacaine-hydrochloride/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
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