Abstract
• Background
Glycopyrrolate, an anticholinergic agent that does not cross the blood-brain barrier, has several indications, but its mydriatic effect has never been tested. This study was carried out in order to compare the mydriatic effect of glycopyrrolate 0.5% to that of atropine sulfate 1%.
• Methods
Glycopyrrolate 0.5% and atropine 1.0% were instilled separately in the eyes of albino rabbits. Pupil diameter and intra-ocular pressure were monitored.
• Results
Mydriasis was noted within 5 min of glycopyrrolate instillation, reached near-maximal level at 15 min and persisted for 1 week. Glycopyrrolate 0.5% showed a faster, stronger and more peristent mydriatic effect than atropine 1.0%. Administration of glycopyrrolate 0.5% solution b.i.d. for 1 week did not affect intra-ocular pressure or produce any adverse reaction.
• Conclusion
Glycopyrrolate solution has the potential to deliver an ocular anticholinergic effect without causing associated central anticholinergic hazards.
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References
Ali-Melkkila TM, Kaila T, Kanto J, Iisalo E (1990) Pharmacokinetics of IM glycopyrronium. Br J Anaesthesiol 64:667–669
Apt L, Gaffney WL (1988) Toxic effects of topical eye medications in infants and children. In: Duane TD, Jaeger EA (eds) Biomedical foundations of ophthalmology, vol. 3. Lippincott, Philadelphia, pp 1–7
Cozanitis DA, Dundee JW, Buchanan TAS, Archer DB (1979) Atropine versus glycopyrrolate. A study of intraocular pressure and pupil size in man. Anaesthesiol 34:236–238
Ettinger ER, Wyatt HJ, London R (1991) Anisocoria. Variation and clinical observation with different conditions of illumination and accommodation. Invest Ophthalmol Vis Sci 32:501–509
Greenan J, Prasad J (1985) Comparison of ocular effects of atropine or glycopyrrolate with two IV induction agents. Br J Anaesthesiol 57:180–183
Hunsley JE, Bush GH, Jones CJ (1982) A study of glycopyrrolate and atropine in the suppression of the oculocardiac reflex during strabismus surgery in children. Br J Anaesthesiol 54:459–464
Kaila T, Ali-Melkkila TM, Iisalo E, Kanto J (1990) Radioreceptor assay for pharmacokinetic studies of glycopyrrolate. Pharmacol Toxicol 67:313–316
May JS, McGuirt WF (1989) Frey's syndrome: treatment with topical glycopyrrolate. Head Neck 11:85–89
Meyers EF, Tomeldan SA (1979) Glycopyrrolate compared with atropine in prevention of the oculocardiac reflex during eye muscle surgery. Anesthesiology 51:350–352
Mindel JS (1988) Cholinergic pharmacology. In: Duane TD, Jaeger EA (eds) Biomedical foundations of ophthalmology, vol. 3. Lippincott, Philadelphia, pp 5, 6, 32-45
Mirakhur RK, Dundee JW, Jones CJ (1978) Evaluation of the anticholinergic actions of glycopyrronium bromide. Br J Clin Pharmacol 5:77–84
Mirakhur RK, Dundee JW (1980) Comparison of the effects of atropine and glycopyrrolate on various end organs. JR Soc Med 73:727–730
Mirakhur RK, Dundee JW (1983) Glycopyrrolate: pharmacology and clinical use. Anaesthesia 38:1195–1204
Preiss D, Berguson P (1983) Dose-response studies on glycopyrrolate and atropine in conscious cardiac patients. Br J Clin Pharmacol 16:523–527
Proakis AG, Harris GB (1978) Comparative penetration of glycopyrrolate and atropine across the blood-brain and -placental barriers in anesthetized dogs. Anesthesiology 48:339–344
Reynolds JEF, Parfitt K, Parsons AV, Sweetman SC (eds) (1993) Martindale: the extra pharmacopoea, 30th edition. Pharmaceutical press, London, pp 424–425
Roarty JD, Keltner JL (1990) Normal pupil size and anisocoria in newborn infants. Arch Ophthalmol 108:94–95
Salem MG, Ahearn RS (1984) The effects of atropine and glycopyrrolate on intra-ocular pressure in anesthetised elderly patients. Anaesthesia 39:809–812
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Varssano, D., Rothman, S., Haas, K. et al. The mydriatic effect of topical glycopyrrolate. Graefe's Arch Clin Exp Ophthalmol 234, 205–207 (1996). https://doi.org/10.1007/BF00462034
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DOI: https://doi.org/10.1007/BF00462034