What happens if I overdose Moryl?
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local, or emergency room immediately. Symptoms may include diarrhea; fainting; increased saliva; increased sweating; irregular heartbeat; nausea; vomiting.
Proper storage of Isopto Moryl drops:
Store Isopto Moryl drops at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Isopto Moryl drops out of the reach of children and away from pets.
Overdose of Moryl in details
Atropine should be administered parenterally (for dosage refer to Goodman & Gilman or other pharmacology reference).
What should I avoid while taking Moryl?
This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Do not use this medication while wearing contact lenses. Moryl ophthalmic may contain a preservative that can discolor soft contact lenses. Wait at least 15 minutes after using Moryl before putting in your contact lenses.
Do not use other eye medications during treatment with Moryl unless your doctor tells you to.
Moryl warnings
* Rarely, Moryl ophthalmic may cause retinal detachment. Tell your doctor if you have any type of retinal disease, if you have had a retinal tear, if you are nearsighted, or if you have had cataract surgery. These conditions may increase the risk of retinal detachment.
Before using this medication, tell your doctor if you have
* heart failure,
* high or low blood pressure,
* ever had a heart attack,
* asthma,
* a stomach ulcer or stomach spasms,
* epilepsy,
* hyperthyroidism (an overactive thyroid),
* blockage of your urinary tract or difficulty urinating, or
* Parkinson’s disease.
You may not be able to use Moryl ophthalmic, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Moryl ophthalmic is in the FDA pregnancy category C. This means that it is not known whether Moryl ophthalmic will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether Moryl passes into breast milk. Do not use Moryl ophthalmic without first talking to your doctor if you are breast-feeding a baby.
* Use caution when driving, operating machinery, or performing other hazardous activities. Moryl ophthalmic may cause decreased vision at night. If you experience decreased vision, avoid these activities.
Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.
If you wear contact lenses, remove them before applying Moryl ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Moryl ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.
Do not use other eye medications during treatment with Moryl ophthalmic except under the direction of your doctor.
What should I discuss with my healthcare provider before taking Moryl?
Some medical conditions may interact with Isopto Moryl drops. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have heart problems, high or low blood pressure, chronic obstructive pulmonary disease (COPD), asthma, stomach or intestinal ulcers or spasm, or urinary tract blockage
- if you have an eye infection or any kind of eye damage
- if you have an overactive thyroid or Parkinson disease
- if you have had a recent heart attack
Some MEDICINES MAY INTERACT with Isopto Moryl drops. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Beta-blockers (eg, timolol) because the risk of side effects may be increased
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, flurbiprofen) because it may decrease the effectiveness of Isopto Moryl drops
This may not be a complete list of all interactions that may occur. Ask your health care provider if Isopto Moryl drops may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Moryl precautions
General
Avoid overdosage.
Information for Patients
The miosis usually causes difficulty in dark adaptation. Patient should be advised to exercise caution in night driving and other hazardous occupations in poor light. Do not touch dropper tip to any surface, as this may contaminate the solution.
Carcinogenesis, Mutagenesis, Impairment of Fertility
No long-term animal studies have been conducted to evaluate the carcinogenic potential of Moryl.
Pregnancy
Pregnancy Category C. Animal reproduction studies have not been conducted with Moryl. It is also not known whether Moryl can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Moryl should be given to a pregnant woman only if clearly needed.
Nursing Mothers
It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Moryl is administered to a nursing woman.
Pediatric Use
Safety and effectiveness in pediatric patients have not been established.
Geriatric Use
No overall differences in safety or effectiveness have been observed between elderly and younger patients.
What happens if I miss a dose of Moryl?
Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
References
- DailyMed. "GRISEOFULVIN, ULTRAMICROSIZE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DailyMed. "CARBACHOL: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DrugBank. "carbachol". http://www.drugbank.ca/drugs/DB00411 (accessed September 17, 2018).
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Information checked by Dr. Sachin Kumar, MD Pharmacology