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 monohydrate, the active ingredient in Mydrane, is a local anesthetic presented as an intracameral solution for intraocular use. It provides rapid anesthesia and, together with phenylephrine and tropicamide, produces pupil dilation during cataract surgery.\n\nGNH India supplies Mydrane as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Laboratoires Thea

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Indications & Clinical Uses

  • Mydrane is employed in ophthalmic surgery to achieve intraoperative pupil dilation and anesthesia.\n\nCataract surgery: provides rapid pupil dilation and intraocular anesthesia for safe lens removal.\nIntraocular lens implantation: ensures adequate pupil size for precise lens placement.\nAnterior segment procedures: facilitates mydriasis and analgesia during surgeries such as trabeculectomy or iridotomy.

How It Works

  • Lidocaine blocks voltage‑gated sodium channels in ocular nerves, producing local anesthesia. Phenylephrine acts as an α1‑adrenergic agonist, contracting the dilator pupillae muscle. Tropicamide is an antimuscarinic agent that relaxes the sphincter pupillae muscle. The combined actions result in immediate analgesia and sustained pupil dilation within the anterior chamber.

Side Effects

  • Mydrane may cause a range of ocular and systemic reactions.\n\nCommon Side Effects:\n- Transient ocular pain or discomfort\n- Mild increase in intraocular pressure\n- Temporary blurred vision\n- Conjunctival hyperemia\n- Mild corneal edema\n- Headache\n\nSerious or Rare Side Effects:\n- Anaphylactic or severe allergic reaction\n- Sustained high intraocular pressure requiring intervention\n- Persistent mydriasis beyond the procedure\n- Corneal ulceration or keratitis\n- Endophthalmitis\n- Cardiovascular events such as hypertension or arrhythmia

Precautions & Warnings

  • Mydrane should be used with careful patient assessment and monitoring.\n\nAllergy assessment: confirm no hypersensitivity to lidocaine, phenylephrine, or tropicamide.\nIntraocular pressure monitoring: measure pressure before and after administration.\nGlaucoma caution: avoid in patients with narrow‑angle or uncontrolled glaucoma.\nCardiovascular risk: use cautiously in patients with hypertension or cardiac disease.\nSystemic drug interactions: review concurrent systemic adrenergic agents.\nStore at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

  • Mydrane can interact with other ophthalmic and systemic agents.\n\nMajor Interactions (Avoid):\n- Concurrent systemic phenylephrine with monoamine oxidase inhibitors: risk of hypertensive crisis.\n- Other potent mydriatics (e.g., apraclonidine): may cause excessive pupil dilation.\n- Additional local anesthetics: increased risk of lidocaine toxicity.\n\nModerate Interactions (Monitor Closely):\n- Beta‑blocker eye drops: may blunt intraocular pressure response.\n- Anticholinergic systemic drugs: additive mydriatic effect.\n- Antihypertensive agents: monitor blood pressure if systemic absorption occurs.

Frequently Asked Questions

Mydrane is an intracameral solution used during ophthalmic surgery to provide rapid local anesthesia and to dilate the pupil. It is commonly employed in cataract extraction and other anterior segment procedures where adequate mydriasis and analgesia are required.

Lidocaine blocks voltage‑gated sodium channels, producing local nerve blockade and anesthesia. Phenylephrine, an α1‑adrenergic agonist, contracts the dilator pupillae muscle, while tropicamide, an antimuscarinic, relaxes the sphincter pupillae muscle. Together they achieve swift pupil dilation and analgesia within the eye.

The dose of Mydrane is determined by the operating ophthalmologist based on the specific procedure and patient factors. It is administered as a single intracameral injection at the start of surgery; exact volume and concentration are prescribed by the clinician.

Safety data for Mydrane in pregnancy and lactation are limited. Because the product is administered directly into the eye, systemic exposure is minimal, but clinicians should weigh potential risks and benefits and consider alternative options when treating pregnant or nursing patients.

To order Mydrane, 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 any cold‑chain requirements), and import documentation.

Mydrane combines a local anesthetic (lidocaine) with two mydriatics (phenylephrine and tropicamide) in a single formulation, offering convenience over separate agents. Compared with using lidocaine alone, Mydrane provides both anesthesia and reliable pupil dilation, reducing preparation time and potential dosing errors.

Mydrane should be stored at ambient temperature, protected from light and moisture, and kept in its original sealed container until use. Do not freeze the product, and avoid exposing it to extreme temperatures that could compromise sterility or efficacy.

Mydrane is administered by a trained ophthalmic surgeon as an intracameral injection directly into the anterior chamber of the eye at the beginning of the procedure. The injection is performed under sterile conditions using a calibrated syringe.

Serious risks include severe allergic reactions such as anaphylaxis, sustained high intraocular pressure that may require intervention, persistent mydriasis, corneal ulceration, endophthalmitis, and systemic cardiovascular events like hypertension or arrhythmia if significant systemic absorption occurs.

Mydrane should be avoided in patients with known hypersensitivity to lidocaine, phenylephrine, or tropicamide, those with uncontrolled narrow‑angle glaucoma, severe cardiovascular disease, or any condition where excessive pupil dilation could compromise ocular health.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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