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 combination ophthalmic anesthetic and mydriatic presented as an intracameral solution for intracameral use. It provides pupil dilation and intraocular anesthesia for cataract and other intraocular surgeries.

GNH 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 used in ophthalmic procedures that require rapid pupil dilation and intraocular anesthesia.

  • Cataract surgery: achieves effective pupil dilation and local anesthesia to facilitate lens removal.
  • Trabeculectomy: provides mydriasis and analgesia for glaucoma filtration surgery.
  • Vitrectomy and other intraocular surgeries: ensures adequate pupil size and comfort during posterior segment procedures.

How It Works

  • Lidocaine blocks voltage‑gated sodium channels in ocular nerves, producing local anesthesia. Phenylephrine, an α1‑adrenergic agonist, contracts the dilator pupillae muscle, causing pupil dilation. Tropicamide, a muscarinic antagonist, inhibits sphincter pupillae contraction, further enhancing mydriasis. The combined actions result in rapid, sustained pupil enlargement and analgesia within the anterior chamber.

Side Effects

Mydrane may cause ocular and systemic reactions after intracameral administration.

Common Side Effects

  • Transient ocular discomfort or burning sensation.
  • Mild increase in intraocular pressure.
  • Temporary blurred vision.
  • Conjunctival hyperemia.
  • Mild corneal edema.
  • Mild headache.

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis, angio‑edema).
  • Sustained elevation of intraocular pressure requiring intervention.
  • Persistent mydriasis lasting >24 hours.
  • Corneal endothelial toxicity.
  • Endophthalmitis or intraocular infection.

Precautions & Warnings

Before using Mydrane, consider the following safety measures.

  • Allergy assessment: verify no hypersensitivity to lidocaine, phenylephrine or tropicamide.
  • Intraocular pressure monitoring: check baseline IOP and observe post‑administration.
  • Cardiovascular caution: phenylephrine may raise systemic blood pressure; use cautiously in hypertensive patients.
  • Glaucoma caution: avoid in patients with narrow‑angle or uncontrolled glaucoma.
  • Sterile technique: ensure aseptic preparation and administration to prevent infection.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Mydrane may interact with systemic and ocular medications.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors: concurrent use with phenylephrine can precipitate hypertensive crisis.
  • Other topical mydriatics: additive pupil dilation may lead to prolonged mydriasis.
  • Systemic alpha‑adrenergic agonists: may cause excessive vasoconstriction and hypertension.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: may diminish phenylephrine‑induced pupil dilation.
  • Cholinergic drugs (e.g., pilocarpine): can antagonize tropicamide effects, reducing mydriasis.
  • Additional local anesthetics: may increase risk of lidocaine toxicity when used together.

Frequently Asked Questions

Mydrane is a combination ophthalmic solution used to produce rapid pupil dilation and provide local anesthesia during cataract extraction and other intraocular surgeries. It is administered directly into the anterior chamber to facilitate a clear surgical field.

Lidocaine blocks voltage‑gated sodium channels, producing local anesthesia. Phenylephrine activates α1‑adrenergic receptors, contracting the dilator pupillae muscle to enlarge the pupil. Tropicamide blocks muscarinic receptors, preventing sphincter pupillae contraction, which further enhances mydriasis. Together they give fast, sustained dilation and analgesia.

The dose of Mydrane is determined by the operating ophthalmologist based on the specific surgical procedure and patient factors. It is supplied as a ready‑to‑use intracameral solution, and the prescriber decides the volume to inject.

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

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 three active ingredients in a single intracameral injection, offering simultaneous anesthesia and mydriasis. Compared with separate administrations of lidocaine and phenylephrine or tropicamide, Mydrane simplifies the procedure, reduces injection time, and provides consistent pupil dilation, though individual component selection may be preferred in certain clinical scenarios.

Mydrane should be stored at room temperature, below 25 °C, in its original sealed container. Protect the vial from direct light and moisture. Do not freeze. Inspect the solution for clarity before use and discard if any particles or discoloration are observed.

Mydrane is administered by a trained ophthalmic surgeon as an intracameral injection into the anterior chamber at the start of the procedure. The sterile vial is opened in a controlled environment, and the prescribed volume is injected using a fine‑gauge cannula.

Serious risks include severe allergic reactions (anaphylaxis), sustained elevation of intraocular pressure, persistent mydriasis, corneal endothelial toxicity, and intraocular infection (endophthalmitis). Prompt recognition and management of these events are essential.

Mydrane should be avoided in patients with known hypersensitivity to lidocaine, phenylephrine, or tropicamide, in those with uncontrolled narrow‑angle glaucoma, and in individuals where systemic absorption of phenylephrine could exacerbate cardiovascular disease. The prescribing clinician must assess suitability for each patient.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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