Ryzumvi

— THERAPEUTIC CATEGORIES —
  • Miscellaneous ocular agents

Ryzumvi Generic Name & Formulations

General Description

Phentolamine 0.75%; oph soln; preservative-free.

Pharmacological Class

Alpha adrenergic blocker.

How Supplied

Single-patient-use vials (0.31mL)—30

Manufacturer

Generic Availability

NO

Mechanism of Action

Ryzumvi is a relatively non-selective alpha-1 and alpha-2 adrenergic antagonist. Phentolamine reversibly binds to the alpha-1 adrenergic receptors on the iris dilator muscle, thereby reducing pupil diameter. Phentolamine directly antagonizes the mydriatic effect of an α-1 adrenergic agonist, and indirectly reverses mydriasis induced by muscarinic antagonist effects on the iris sphincter muscle. 

Ryzumvi Indications

Indications

Pharmacologically-induced mydriasis produced by adrenergic agonists (eg, phenylephrine) or parasympatholytic (eg, tropicamide) agents.

Ryzumvi Dosage and Administration

Adults and Children

<3yrs: not established. 3–11yrs: Instill 1 drop in each dilated eye after completing eye examination/procedure. ≥12yrs: Instill 1 or 2 drops in each dilated eye after completing eye examination/procedure; if 2 drops are used, separate drops by 5mins.

Ryzumvi Contraindications

Not Applicable

Ryzumvi Boxed Warnings

Not Applicable

Ryzumvi Warnings/Precautions

Warnings/Precautions

Active ocular inflammation (eg, iritis): not recommended. Contact lenses (remove; may reinsert lenses 10mins after administration). Pregnancy. Nursing mothers.

Ryzumvi Pharmacokinetics

Absorption

Peak concentration levels occurred between 15 minutes and 1 hour after dosing with the median value of 0.45 ng/mL.

Ryzumvi Interactions

Not Applicable

Ryzumvi Adverse Reactions

Adverse Reactions

Instillation site discomfort (pain, stinging, burning), conjunctival hyperemia, dysgeusia.

Ryzumvi Clinical Trials

See Literature

Ryzumvi Note

Not Applicable

Ryzumvi Patient Counseling

See Literature

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