Does anyone have a suggestion as to where I can get some Pyramid dilation drops? All of our suppliers have it on bo with no release date. We just opened our last bottle and getting kinda antsy...Any suggestions??
Pyramid drops on eternal back order...
Does anyone have a suggestion as to where I can get some Pyramid dilation drops? All of our suppliers have it on bo with no release date. We just opened our last bottle and getting kinda antsy...Any suggestions??
Try asking "ODs on Facebook"
Originally Posted by drstewart74
The generic name is "Atropin" and is available through any drugstore on the next corner.
Atropine eye drops are used to dilate the pupil and relax the lens so that eye examinations can be carried out thoroughly. They are often used to aid eye examinations in young children.
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It's called "Paremyd" and it's parahydroxyamphetamine and tropicamide (not atropine). Call Hilco/Wilson.
Edit: there's a big supply issue on phenylephrine, homatropine, atropine, etc. Seems like it's a bad time to use mydriatics.
Talk to the docs: they could try 1/4% to 1/2% tropicamide.
Last edited by drk; 05-07-2015 at 10:08 AM.
According to one of our suppliers, there was a nationwide recall. She said last time it happened it was unavailable for 6-12 months. Also on our last bottle...
Just got off the phone with Akorn, who makes Paremyd, it is just a backorder. They expect it to be off of backorder Mid-June.
Tropicamide is preferred for short term effects, cyclopentolate in some cases as well. But atropine isn't that commonly used over here during normal examinations , at least not that I know of.
I don't believe that you want to use atropine as a substitute for Paremyd. Follow drk's advice and get yourselves some tropicamide. Atropine 1% ointment is a long acting method of achieving mydriasis and cyclopegia, usually in children, and is usually administered for three night prior to exam. Its usually maintains mydriasis and cyclopegia for two or three days post exam.
Last edited by rbaker; 05-08-2015 at 10:15 AM.
Dr. K has it right.
Just thought I'd update this, because I just went to order Paremyd again and now the rep from Akorn that I spoke to, is hoping for the it to be back in stock in the beginning of October
Chris, they are not even remotely related, with the exception that they both dilate pupils. While atropine has some application for doing cycloplegic refraction in children, and for treating cases of severe iritis/uveitis, it is more often NOT used than ACTUALLY used.
Paramyd is used for examination of the fundus with minimal cycloplegia. Totally different chemically and in its purpose. You can't just go pick it up in the drugstore...thank goodness.
Sorry for going on, I didn't see other peoples good answers.
I love Paremyd but am not married to it due to occasional shortages. Use .5% tropicamide for blue irides, 1% for brown or other hard to dilate irides. 1 gtt of 2.5% phenyl. plus 1 gtt of .5 trop. works about the same as paremyd, and as usual, I always start with an anesthetic drop and do Goldmann first, just to loosen things up.
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