Tropicamide blocks muscarinic receptors on the iris sphincter and ciliary muscles, causing relaxation-mediated mydriasis (pupil dilation) and cycloplegia (paralysis of accommodation). Its rapid onset (peak effect within 20--30 minutes) and comparatively short duration of action (mydriasis resolving over ~6--7 hours, cycloplegia over 2--6 hours) distinguish it from longer-acting anticholinergics like atropine, making it preferred for routine diagnostic ophthalmic procedures.
Tropicamide is a synthetic anticholinergic (antimuscarinic) agent used clinically as an ophthalmic mydriatic and cycloplegic. Marketed as Mydriacyl and as a component of Paremyd, it is the standard diagnostic agent for pupil dilation in eye examinations, functioning by antagonizing M4 muscarinic acetylcholine receptors.
| Chemical Name | Tropicamide (Mydriacyl) |
| CAS Number | 1508-75-4 |
| IUPAC Name | N-ethyl-3-hydroxy-2-phenyl-N-(pyridin-4-ylmethyl)propanamide |
| Molecular Formula | C17H20N2O2 |
| Molecular Weight | 284.35 g/mol g/mol |
Active ingredient in eye drop solutions (0.5%, 1%) used for pupil dilation during routine and pre-surgical eye exams.
Component of combination formulations (e.g., Paremyd, paired with hydroxyamphetamine) for enhanced dilation efficacy.
Used as USP/EP reference material for tropicamide drug product quality control and method validation.
Studied as a selective M4 muscarinic receptor antagonist in receptor pharmacology and behavioral research models.
Br. J. Pharmacol.
Acta Ophthalmol.
Invest. Ophthalmol. Vis. Sci.
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