Product image of Mydane (Lidocaine Hydrochloride Monohydrate, Phenylephrine Hydrochloride, Tropicamide) supplied by GNH India

Mydane

Active Ingredient:
Lidocaine Hydrochloride Monohydrate, Phenylephrine Hydrochloride, Tropicamide
Origin:
EU

Mydane (Lidocaine Hydrochloride Monohydrate, Phenylephrine Hydrochloride, Tropicamide)

Lidocaine Hydrochloride, Phenylephrine Hydrochloride and Tropicamide, the active ingredients in Mydane, are a combination ophthalmic preparation presented as a solution for injection for intracameral use. It provides local anesthesia and pupil dilation during ophthalmic surgery in adult patients.

GNH India supplies Mydane as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and clinics worldwide.

Manufacturer / TM Owner

Laboratoires Thea

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Indications & Clinical Uses

  • Mydane, a combination ophthalmic preparation, is employed to achieve intra‑operative mydriasis and local anesthesia in anterior segment eye procedures.
  • Intra‑operative mydriasis: sustains pupil dilation throughout ophthalmic surgery.
  • Local anesthesia of the anterior chamber: numbs the anterior segment to facilitate procedures.
  • Pain reduction during surgery: minimizes patient discomfort during cataract or glaucoma operations.

How It Works

  • Lidocaine hydrochloride blocks voltage‑gated sodium channels on ocular nerves, producing rapid local anesthesia. Phenylephrine hydrochloride acts as an α1‑adrenergic agonist, contracting the dilator pupillae muscle and causing pupil dilation. Tropicamide, a muscarinic antagonist, relaxes the sphincter pupillae muscle, resulting in cycloplegia and additional mydriasis. The combined actions provide both anesthesia and sustained dilation of the pupil for intra‑operative use.

Side Effects

Mydane may cause transient ocular reactions and systemic effects following intracameral administration.

Common Side Effects

  • Burning or stinging sensation in the eye.
  • Temporary blurred vision.
  • Mild conjunctival redness.
  • Transient increase in intra‑ocular pressure.
  • Mild headache.
  • Nausea.

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis) with swelling, rash, or difficulty breathing.
  • Persistent high intra‑ocular pressure.
  • Corneal edema or ulceration.
  • Endophthalmitis (intra‑ocular infection).
  • Cardiac arrhythmias due to systemic absorption of phenylephrine.
  • Vision loss.

Precautions & Warnings

  • Prior to using Mydane, clinicians should assess patient history and ocular condition.
  • Allergy assessment: confirm no known hypersensitivity to lidocaine, phenylephrine, or tropicamide.
  • Cardiovascular status: avoid in patients with uncontrolled hypertension or arrhythmias.
  • Pregnancy and lactation: use only if benefit outweighs potential risk.
  • Intra‑ocular infection: defer use in active ocular infections.
  • Monitoring: observe intra‑ocular pressure and pupil size after administration.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mydane may interact with systemic medications that affect cardiovascular or ocular physiology.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis with phenylephrine.
  • Beta‑blockers: may blunt phenylephrine‑induced pupil dilation.
  • Other local anesthetics: additive toxicity risk.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs: may enhance cycloplegic effect of tropicamide.
  • Systemic sympathomimetics: may increase cardiovascular effects.
  • CYP450 substrates: phenylephrine metabolism may be altered by enzyme inhibitors.

Frequently Asked Questions

Mydane is a combination ophthalmic solution used during eye surgery to provide local anesthesia of the anterior chamber and to maintain pupil dilation (mydriasis) throughout the procedure. It is administered intracamerally to facilitate safe and comfortable intra‑operative conditions.

The formulation contains lidocaine, which blocks sodium channels to numb ocular nerves; phenylephrine, an α1‑adrenergic agonist that contracts the dilator pupillae muscle causing pupil dilation; and tropicamide, a muscarinic antagonist that relaxes the sphincter pupillae muscle, enhancing cycloplegia and mydriasis. Together they achieve anesthesia and sustained dilation.

The dose of Mydane is determined by the operating ophthalmologist based on the specific surgical protocol and patient factors. The prescriber selects the appropriate volume and concentration for intracameral injection at the time of surgery.

Safety data for Mydane in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made by the treating physician.

To order Mydane, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed) and required import documentation.

Mydane combines a local anesthetic (lidocaine) with two mydriatic agents (phenylephrine and tropicamide) in a single injection, offering both anesthesia and sustained dilation. Alternative regimens may require separate administrations of anesthetic drops and mydriatics, potentially increasing procedure time. Mydane’s triple‑action formulation can simplify workflow and provide more consistent pupil control.

Mydane should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use and discard any solution that appears discolored or contains particles.

Mydane is administered by intracameral injection directly into the anterior chamber of the eye during surgery. The injection is performed by the operating ophthalmologist using aseptic technique and the appropriate volume as dictated by the surgical protocol.

Serious risks include severe allergic reactions (anaphylaxis), persistent high intra‑ocular pressure, corneal edema or ulceration, endophthalmitis, and systemic cardiovascular effects such as arrhythmias or hypertensive crisis due to phenylephrine absorption. Immediate medical attention is required if any of these occur.

Mydane should be avoided in patients with known hypersensitivity to any of its components, uncontrolled hypertension, significant cardiac arrhythmias, active ocular infection, or in those where pupil dilation is contraindicated. The prescribing clinician must evaluate each patient’s medical history before use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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