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{{Short description|Medication}} |
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{{ambox | text = This page contains a copy of the infobox ({{tl|drugbox}}) taken from revid of page ] with values updated to verified values.}} |
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{{more citations needed|date=October 2021}} |
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{{Drugbox |
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{{Infobox drug |
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| verifiedrevid = 402148773 |
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| verifiedrevid = 461770217 |
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| image = Homatropine.svg |
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| IUPAC_name = (''N''-methyl-8-azabicyclooct-3-yl) 2-hydroxy-2-phenylacetate |
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| image = HomatropineNEW.png |
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| drug_name = Homatropine |
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<!--Clinical data--> |
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<!--Clinical data--> |
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| tradename = |
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| tradename = |
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| Drugs.com = {{drugs.com|monograph|glycopyrrolate}} |
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| Drugs.com = {{drugs.com|monograph|homatropine}} |
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| MedlinePlus = a601006 |
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| MedlinePlus = a601006 |
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| pregnancy_category = |
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| pregnancy_category = |
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| legal_status = |
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| legal_status = Rx only |
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| routes_of_administration = |
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| routes_of_administration = |
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<!--Pharmacokinetic data--> |
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<!--Pharmacokinetic data--> |
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| bioavailability = |
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| bioavailability = |
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| metabolism = |
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| metabolism = |
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| elimination_half-life = |
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| elimination_half-life = |
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<!--Identifiers--> |
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<!--Identifiers--> |
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| CASNo_Ref = {{cascite|correct|CAS}} |
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| CAS_number_Ref = {{cascite|changed|??}} |
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| CAS_number_Ref = {{cascite|changed|??}} |
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| CAS_number = 80-49-9 |
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| CAS_number = 87-00-3 |
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| ATC_prefix = A02 |
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| ATC_prefix = S01 |
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| ATC_suffix = BX03 |
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| ATC_suffix = FA05 |
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| ATC_supplemental = {{ATC|S01|FA05}} |
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| ATC_supplemental = |
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| PubChem = 6321423 |
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| PubChem = 6321423 |
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| DrugBank_Ref = {{drugbankcite|correct|drugbank}} |
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| DrugBank_Ref = {{drugbankcite|changed|drugbank}} |
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| DrugBank = <!-- blanked - oldvalue: APRD01017 --> |
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| DrugBank = DB00725 |
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| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} |
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| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} |
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| ChemSpiderID = 16498795 |
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| ChemSpiderID = 16498795 |
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| UNII_Ref = {{fdacite|changed|FDA}} |
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| UNII_Ref = {{fdacite|correct|FDA}} |
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| UNII = 8QS6WCL55Z |
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| UNII = 8QS6WCL55Z |
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| ChEMBL_Ref = {{ebicite|changed|EBI}} |
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| ChEMBL_Ref = {{ebicite|changed|EBI}} |
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| ChEMBL = <!-- blanked - oldvalue: 1233442 --> |
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| ChEMBL = 1233442 |
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<!--Chemical data--> |
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| C=16 | H=21 | N=1 | O=3 |
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| IUPAC_name = (''N''-Methyl-8-azabicyclooct-3-yl) 2-hydroxy-2-phenylacetate |
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| molecular_weight = 356.26 g/mol |
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| C=16 | H=21 | N=1 | O=3 |
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| smiles = CN31CC3C(C1)OC(=O)C(O)c2ccccc2 |
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| smiles = CN31CC3C(C1)OC(=O)C(O)c2ccccc2 |
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| InChI = 1/C16H21NO3/c1-17-12-7-8-13(17)10-14(9-12)20-16(19)15(18)11-5-3-2-4-6-11/h2-6,12-15,18H,7-10H2,1H3/t12-,13+,14+,15? |
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| InChIKey = ZTVIKZXZYLEVOL-HCYNLOQUSA-N |
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| StdInChI_Ref = {{stdinchicite|correct|chemspider}} |
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| StdInChI_Ref = {{stdinchicite|correct|chemspider}} |
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| StdInChI = 1S/C16H21NO3/c1-17-12-7-8-13(17)10-14(9-12)20-16(19)15(18)11-5-3-2-4-6-11/h2-6,12-15,18H,7-10H2,1H3/t12-,13+,14+,15? |
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| StdInChI = 1S/C16H21NO3/c1-17-12-7-8-13(17)10-14(9-12)20-16(19)15(18)11-5-3-2-4-6-11/h2-6,12-15,18H,7-10H2,1H3/t12-,13+,14+,15? |
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| StdInChIKey = ZTVIKZXZYLEVOL-MCOXGKPRSA-N |
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| StdInChIKey = ZTVIKZXZYLEVOL-MCOXGKPRSA-N |
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}} |
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}} |
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'''Homatropine''' ('''Equipin''', '''Isopto Homatropine''') is an ] ] that is an antagonist at ]s and thus the ]. It is used in ]s as a ] (to temporarily paralyze ]), and as a ] (to dilate the ]). |
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The related chemical compound ] (methylhomatropine) is a different medication. Homatropine is less ] than ] and has a shorter duration of action. It is available as the ] ]. Homatropine is also given as an atropine substitute,<ref>{{cite journal | vauthors = Scharer LL, Burhenne HJ | title = Megacolon associated with administration of an anticholinergic drug in a patient with ulcerative colitis | journal = The American Journal of Digestive Diseases | volume = 9 | issue = 4 | pages = 268–274 | date = April 1964 | pmid = 14142388 | doi = 10.1007/bf02232133 | s2cid = 19169565 }}</ref> given to reverse the muscarinic and ] effects associated with indirect ] (anti-AChase) administration. |
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Homatropine hydrobromide is on the ].<ref name="WHO23rd">{{cite book | vauthors = ((World Health Organization)) | title = The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023) | year = 2023 | hdl = 10665/371090 | author-link = World Health Organization | publisher = World Health Organization | location = Geneva | id = WHO/MHP/HPS/EML/2023.02 | hdl-access=free }}</ref> |
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It is an antagonist of all five muscarinic acetylcholine receptors.<ref name="LavradorCabralVeríssimo2023">{{cite journal | vauthors = Lavrador M, Cabral AC, Veríssimo MT, Fernandez-Llimos F, Figueiredo IV, Castel-Branco MM | title = A Universal Pharmacological-Based List of Drugs with Anticholinergic Activity | journal = Pharmaceutics | volume = 15 | issue = 1 | date = January 2023 | page = 230 | pmid = 36678858 | pmc = 9863833 | doi = 10.3390/pharmaceutics15010230 | doi-access = free | url = }}</ref> |
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==Side effects== |
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* Blurred vision |
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* ] |
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==Contraindications== |
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* Untreated ] |
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* ] |
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* Severe ] |
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* ] |
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== References == |
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{{Reflist}} |
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{{Mydriatics and cycloplegics}} |
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{{Muscarinic acetylcholine receptor modulators}} |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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] |
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{{gastrointestinal-drug-stub}} |