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Cyclopentolate

Published: July 26, 2026Updated: August 24, 2026

Cyclopentolate is an anticholinergic eye drop medication used primarily for pupil dilation (mydriasis) and temporary paralysis of the eye's focusing muscles (cycloplegia). It is commonly prescribed before eye examinations and certain surgical procedures, as well as to treat inflammatory eye conditions. The medication works by blocking muscarinic receptors in the eye's muscles, causing the pupil to dilate and preventing the eye from changing focus.

Quick summary

Cyclopentolate is an ophthalmic anticholinergic used to dilate pupils and temporarily paralyze eye focusing muscles for examinations, surgery, and treatment of inflammatory conditions.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
S01FA04
RxNorm
3001
Generic
Cyclopentolate
Class
atc-s01
Brands
Cylate, Cyclogyl, Cyclomydril
Availability
rx
Lactation
unknown
Routes
ophthalmic
Forms
solution
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)ophthalmic solution 1%
Usual dose
1-2 drops per eye
Maximum
consult physician
Frequency
single dose or as needed for examination
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)ophthalmic solution 0.5% or 1%
Usual dose
1 drop per eye
Maximum
consult physician
Frequency
single dose or as needed for examination
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)ophthalmic solution 1%
Usual dose
1-2 drops per eye
Maximum
consult physician
Frequency
single dose or as needed for examination
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity when ingested systemically
Chronic overdose: Not typically associated with chronic overdose as drug is used acutely for eye examinations
Immediate actions
Activated charcoal if presentation within 1 hour, supportive care, monitor vital signs
Antidote
Physostigmine(May be considered for severe anticholinergic toxicity)
Poison Control: 1-800-222-1222

Special Populations

8 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use only when clinically indicated

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

✓

lactation

n a
safe
FDA Category
N
Dose Adjustment

none required

Key Recommendations

compatible with breastfeeding due to minimal systemic absorption

Monitor

none

⚠

pediatric_age

infants
caution
FDA Category
C
Dose Adjustment

use lower concentration 0.5%

Key Recommendations

use with extreme caution in neonates and infants under 3 months due to immature metabolism

Monitor

monitor for systemic anticholinergic effects and respiratory depression

Use with caution and monitor for adverse effects.

✓

pediatric_age

children
safe
FDA Category
C
Dose Adjustment

standard pediatric dosing

Key Recommendations

commonly used for cycloplegic refractions in children over 6 months

Monitor

observe for behavioral changes and flushing

⚠

geriatric

n a
caution
FDA Category
C
Dose Adjustment

use caution

Key Recommendations

may have increased sensitivity to anticholinergic effects monitor for confusion or urinary retention

Monitor

monitor for systemic anticholinergic effects

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing due to minimal systemic absorption

Monitor

none

✓

hepatic_impairment

mild moderate
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing due to minimal systemic absorption

Monitor

none

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1990s

General prescribing information for ophthalmic cycloplegic use

drug_classWHO
2023

Drug class

Value:Anticholinergic/Mydriatic

Drug class as antimuscarinic cycloplegic agent

usageMedical guidelines
2023

Common uses

Value:Pupil dilation and cycloplegia for refractive examinations

Primary therapeutic uses in ophthalmic practice

mechanismPharmacology references
2023

Mechanism of action

Value:Muscarinic receptor antagonist blocking acetylcholine

Primary pharmacodynamic mechanism

Used for diagnostic pupil dilation during eye examinations (fundoscopy, refraction testing), pre- and post-operative mydriasis for ophthalmic surgery, and therapeutic cycloplegia in the treatment of anterior uveitis and other inflammatory conditions of the eye.

Cyclopentolate is an anticholinergic (antimuscarinic) agent that competitively blocks acetylcholine at muscarinic receptors in the smooth muscle of the iris sphincter (causing mydriasis) and the ciliary muscle (causing cycloplegia). This prevents pupil constriction and accommodation, allowing the eye to remain in a dilated, relaxed state.

Contraindicated in patients with narrow-angle glaucoma or those with a family history of glaucoma. Can cause temporary blurred vision, stinging, and photophobia. Systemic absorption may lead to anticholinergic effects, particularly in children and elderly patients. Patients should not drive or operate machinery until vision clears. Use with caution in patients with Down syndrome, spastic paralysis, or cardiovascular conditions.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy