Atropine Pil 2020 20

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Scottish Palliative Care Guidelines – Atropine

Patient Information Leaflet


Atropine sulfate 1% w/v Eye Drops (FOR USE IN THE
MOUTH ONLY), for respiratory secretions, available as a
10ml bottle, or single use units called MINIMS® each
containing 0.5ml of solution.

Name of the medicine:


Atropine sulfate

What is it for?
Atropine sulfate belongs to a group of medicines called “anti-cholinergics”. These medicines help to prevent
the formation of secretions that can cause problems in your respiratory tract. Your respiratory tract is the
part of your body involved with breathing. The secretions can build up if you are unable to clear your own
throat and can cause noisy breathing which can be distressing.
Atropine 1% Eye Drops can be dropped under your tongue from where they are quickly absorbed into the
bloodstream. This is useful when you are unable to swallow or when it is not possible to give a suitable
medicine by another route e.g. by injection.
Most medicines available in the UK have a licence for use. The licence describes the ways in which the
medicine can be given and the conditions it can be used to treat. In order to get a licence, the manufacturer
of the medicine has to show that it is safe and made to a high standard.

Use of Atropine 1% Eye Drops for respiratory secretions is outside its licence. Medicines used in palliative
care are quite often used this way. There is experience and research to support the use of Atropine 1% Eye
Drops in this way. The person who prescribed your medicine will have considered carefully the benefits for
you.

Information on this is not included in the information leaflet supplied with the medicine.
We are giving you this extra leaflet to tell you about the reason(s) why you are taking this medicine and to
highlight other information. This should be read along with the manufacturer’s patient information leaflet.

What form(s) of this medicine are there and how is it usually taken?
Atropine 1% eye drops are applied under your tongue. Your mouth should be moistened with water, before
gently applying the drops.
Up to TWO to FOUR DROPS may be used every 4 hours as needed.
Allow one drop to form by pointing the bottle down – do not shake the bottle.

Copyright © 2020 NHS Scotland Page 1 of 3


Issue Date: 29/06/2020
Scottish Palliative Care Guidelines – Atropine

*
CAUTION
Do not confuse 1 drop with 1ml – they are not the same
Measure the dose in DROPS not mls.
**DO NOT APPLY TO THE EYES**

*Image provided by wikiHow, a wiki building the world's largest, highest quality how-to manual. Content on wikiHow
can be shared under a Creative Commons License.

What are the most common side effects I might experience?


Atropine sulfate can also dry up other bodily secretions. You may experience a dry mouth or dry and gritty
eyes. Other side effects may include blurred vision, confusion, agitation, dizziness, excessive drowsiness or
difficulty in passing urine.

What other information should I know about this medicine?


Atropine sulfate will help to prevent the formation of respiratory secretions but will not have any effect on
secretions which have already formed.
Each 0.5ml MINIMS container may be used for up to 7 days after opening.
The 10ml bottle should be safely disposed of 28 days after opening.
If the Atropine drops are accidently applied to your eyes, you should get medical advice.
Your medication needs to be kept in a safe place out of the reach of children.
It needs to be stored in the original container. Any unused medication should be returned to a pharmacy.

Any other important information?


In addition to medicines, changing how you are sitting or lying down can sometimes help.

Copyright © 2020 NHS Scotland Page 2 of 3


Issue Date: 29/06/2020
Scottish Palliative Care Guidelines – Atropine

To prevent having an uncomfortable dry mouth, regular mouth care should be part of your daily routine.
You should clean your teeth at least twice a day. Regular sips or sprays of water or artificial saliva
preparations can be used. Lips should also be moistened.
Dry eyes may be relieved by using lubricating eye drops, ointment or gels. Please ask your pharmacist for
advice.

Copyright © 2020 NHS Scotland Page 3 of 3


Issue Date: 29/06/2020

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