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

Mydrane

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

Mydrane (Lidocaine Hydrochloride Monohydrate, Phenylephrine Hydrochloride, Tropicamide)

Lidocaine Hydrochloride, Phenylephrine Hydrochloride, and Tropicamide, the active ingredients in Mydrane, are a local anesthetic; an alpha‑1 adrenergic agonist; and an anticholinergic, presented as a sterile solution for intracameral injection use. It provides intra‑operative pupil dilation and anesthesia during cataract and other intra‑ocular surgeries in adult patients.

GNH India supplies Mydrane as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, ophthalmic surgery centres, clinics, and research institutions worldwide.

Manufacturer / TM Owner

Laboratoires Thea

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Indications & Clinical Uses

  • Mydrane is employed in ophthalmic procedures to achieve pupil dilation and intra‑ocular anesthesia.
  • Cataract surgery: provides rapid pupil dilation and corneal anesthesia to facilitate lens removal.
  • Other intra‑ocular surgeries (e.g., glaucoma, vitreoretinal procedures): ensures adequate mydriasis and analgesia during the operation.
  • Intra‑operative pupil management: maintains a stable, dilated pupil throughout the procedure.

How It Works

  • Mydrane combines three agents that act synergistically: lidocaine blocks voltage‑gated sodium channels, producing local anesthesia of ocular tissues; phenylephrine stimulates alpha‑1 adrenergic receptors on the iris dilator muscle, causing contraction and pupil dilation; tropicamide antagonizes muscarinic receptors in the iris sphincter, leading to relaxation, cycloplegia, and further dilation. The combined effect yields rapid, sustained mydriasis and analgesia for intra‑ocular surgery.

Side Effects

Mydrane may cause a range of ocular and systemic reactions.

Common Side Effects

  • Transient ocular pain or discomfort.
  • Mild conjunctival redness.
  • Temporary blurred vision.
  • Slight increase in intra‑ocular pressure.
  • Mild headache.
  • Nausea.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reaction.
  • Sustained elevation of intra‑ocular pressure requiring intervention.
  • Persistent mydriasis leading to photophobia.
  • Corneal edema or endothelial damage.
  • Retinal toxicity (rare).
  • Systemic cardiovascular effects such as hypertension or arrhythmia.

Precautions & Warnings

  • When using Mydrane, clinicians should observe the following precautions.
  • Allergy assessment: verify no known hypersensitivity to lidocaine, phenylephrine, or tropicamide.
  • Intra‑ocular pressure monitoring: measure IOP before and after injection, especially in glaucoma patients.
  • Systemic cardiovascular status: avoid in patients with uncontrolled hypertension or significant arrhythmias.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk, as safety data are limited.
  • Drug interactions: review concomitant ocular vasoconstrictors or cholinergic agents.
  • Store at ambient temperature: keep in the original container, protect from light and moisture.

Avoid Interactions

Mydrane may interact with other medications; awareness of the interaction level is important.

Major Interactions (Avoid)

  • Systemic phenylephrine‑containing products: additive hypertensive effects.
  • Other topical ocular vasoconstrictors: risk of excessive pupil constriction reversal.
  • Beta‑blocker eye drops: may blunt cardiovascular response to phenylephrine.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs (e.g., atropine): may enhance cycloplegic effect.
  • Additional topical anesthetics: may increase local anesthetic load.
  • MAO inhibitors: potential for hypertensive crisis when combined with phenylephrine.

Frequently Asked Questions

Mydrane is an ophthalmic sterile solution used during intra‑ocular surgeries to provide rapid pupil dilation (mydriasis) and local anesthesia. It is commonly employed in cataract extraction and other procedures where a stable, dilated pupil and analgesia are required for optimal surgical access and patient comfort.

Lidocaine blocks voltage‑gated sodium channels, producing local anesthesia of ocular tissues. Phenylephrine activates alpha‑1 adrenergic receptors on the iris dilator muscle, causing contraction and pupil dilation. Tropicamide antagonizes muscarinic receptors in the iris sphincter, leading to relaxation, cycloplegia, and further dilation. Together they create fast, sustained mydriasis and analgesia.

The dose of Mydrane is determined by the operating ophthalmologist based on the specific surgical protocol and patient characteristics. The prescribing clinician selects the appropriate volume for intracameral injection; no fixed regimen is provided in public information.

Safety data for Mydrane in pregnancy and lactation are limited. It should be used only if the potential therapeutic benefit justifies any potential risk to the fetus or infant. Clinicians should discuss the risk‑benefit profile with the patient and consider alternative options when appropriate.

To order Mydrane, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Mydrane combines three agents in a single intracameral formulation, offering simultaneous anesthesia and mydriasis. Compared with using separate lidocaine and phenylephrine/tropicamide drops, Mydrane provides faster onset, more consistent pupil dilation, and reduces the number of applications. Alternative combination products exist, but Mydrane’s single‑step injection can simplify workflow and improve surgical efficiency.

Mydrane should be stored at ambient temperature, below 25 °C, in its original sealed container. Protect the solution from direct light and moisture. Do not freeze or shake the vial. Inspect the product before use for any particulate matter or discoloration.

Mydrane is administered by a sterile intracameral injection directly into the anterior chamber of the eye at the start of surgery. The injection is performed by a qualified ophthalmic surgeon using aseptic technique, delivering the prescribed volume to achieve rapid mydriasis and anesthesia.

The most serious risks include severe allergic reactions such as anaphylaxis, sustained elevation of intra‑ocular pressure that may require intervention, persistent mydriasis causing photophobia, corneal edema, and systemic cardiovascular effects like hypertension or arrhythmia. Prompt recognition and management of these events are essential.

Mydrane should be avoided in patients with known hypersensitivity to lidocaine, phenylephrine, or tropicamide. It is also contraindicated in individuals with uncontrolled hypertension, severe cardiovascular disease, or those in whom significant intra‑ocular pressure elevation would be hazardous, such as certain glaucoma patients. Clinical judgment is required for each case.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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