Acetylcholine Chloride Brand Name– Miochol-E
What is Acetylcholine Chloride
Acetylcholine chloride is a direct-acting parasympathomimetic ophthalmic agent used to produce miosis during ophthalmic surgery.
It should be administered only in a 1% solution by instillation intraocularly into the anterior chamber of the eye; miosis occurs promptly and lasts for approximately 10 minutes.
This drug was approved by the FDA in 1966.
Indications
- miosis induction
- ocular surgery
For miosis induction in cataract surgery, in penetrating keratoplasty, iridectomy and other anterior segment ocular surgery where rapid miosis may be required
Side Effects
- bradycardia
- bronchospasm
- corneal degeneration
- corneal edema
- corneal opacification
- diaphoresis
- dyspnea
- flushing
- headache
- hypotension
- optic atrophy
Monitoring Parameters
- ophthalmologic exam
Contraindications
- breast-feeding
- children
- infants
- iritis
- neonates
- pregnancy
Interactions
- Ambenonium Chloride
- Amoxapine
- Anticholinergics
- Atropine
- Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Atropine; Difenoxin
- Atropine; Diphenoxylate
- Atropine; Edrophonium
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Belladonna Alkaloids; Ergotamine; Phenobarbital
- Belladonna; Opium
- Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Benztropine
- Chlordiazepoxide; Clidinium
- Cholinesterase inhibitors
- Dicyclomine
- Disopyramide
- Donepezil
- Donepezil; Memantine
- Edrophonium
- Flavoxate
- Galantamine
- Glycopyrrolate
- Glycopyrrolate; Formoterol
- Homatropine; Hydrocodone
- Hyoscyamine
- Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate
- Indacaterol; Glycopyrrolate
- Maprotiline
- Mepenzolate
- Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine
- Methscopolamine
- Neostigmine
- Oxybutynin
- Physostigmine
- Propantheline
- Pyridostigmine
- Rivastigmine
- Scopolamine
- Tacrine
- Tricyclic antidepressants
- Trihexyphenidyl
- Trospium