What is Atropine for after a surgery?

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The following post is archived from the ROP list, which was moderated by Dr. Scott Richards until August, 2002. The list is now hosted at YahooGroups.

Date: January 11, 1999
From: Scott Richards

"What is atropine for after a surgery? I have all these different drops, and I'm trying to learn what they all do."

Atropine dilates the pupil, but it also paralyzes the ciliary muscle. This provides pain relief, since much of the pain after an eye surgery is caused by spasm of that muscle.

Further Notes on Atropine

The following is provided as a note of experience from Sarah Blake.

I experienced a severe psychiatric reaction to Atropine in 1999. My doctors disagreed on the potential of this medication to cause systemic side effects. Some believe it should not cause any effects at all while others believe it is a potentially dangerous neurotoxin. Several parents have asked on various forums about the potential of this medication to cause reactions in their infants. I believe because of my own reaction that parents should follow their instincts on this, though Dr. Richards' information should also be informative. Your child may experience an increase in pain if you withdraw this medication. Use your best judgment, and communicate with your doctors even if you act against their advice.

Finally, I have learned since listing Atropine as a drug allergy that it is very important to ensure that hospitals are always aware of this reaction. Atropine is used in other forms during some types of emergency care. I now list this adverse reaction on my Medic Alert bracelet.

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