1 What is Paremyd?

Brand: Paremyd

Generic: Hydroxyamphetamine And Tropicamide (Ophthalmic Route)

Paremyd is a topical drug that is administered in your eye to dilate your pupil. Pupillary dilation results in a decrease in the adjusting ability of the eye to near vision.

It is usually used when a doctor wants to examine your eye in detail.

This medicine is available only with your doctor's prescription.

This product is available in the following dosage forms:

  • Solution

2 What to know before using

If you are about to start Paremyd, speak with your doctor about what you need to know.

The advantages of a drug should always be weighed against its associated risks. Your doctor will consider these risks before prescribing the drug and will inform you about them. Following factors should be considered before taking this drug:


If you have had an allergic reaction to this drug in the past, inform your doctor. You should also tell your healthcare provider if you are allergic to any other drugs or food products.

Age specific problems:

The data regarding the effects of this medicine specific to the pediatric age group is not yet available. Its safety and efficacy has not been established in children.

The studies specific to the geriatric age group have not established any specific side effect for the elderly population.

Drug Interactions:

Certain drugs should not be used together because they can interact inside the body which can have a harmful effect. On the other hand certain drugs are allowed to be used together. So, you should tell your doctor about any other medications you are taking. If there is a chance of interaction between those two drugs, the doctor may change the dose or may prescribe an alternative drug.

This medication should be used cautiously with following drugs:

  • Oxymorphone
  • Donepezil
  • Bupropion

Furthermore, certain medications should not be taken with alcohol or tobacco, which may also result in harmful interactions. Ask your doctor about the concurrent use of this drug along with alcohol or tobacco.

You should also inform your doctor about any other medical condition you may be suffering from, especially:

  • Glaucoma—which can be made worse by this medicine.

3 Proper usage

To use Paremyd properly, you must follow all instructions given by your doctor.

This ophthalmic solution is usually administered under the supervision of a doctor. The amount of medication needed to apply in each case will be determined by your doctor. Your doctor will also tell you that how often you should use this medicine. Do not overuse this topical medication because it is not for long term use.

To use the eye drops:

  • Wash your hands just before applying the drops. Then tilt your head back and put your finger gently on the lower eyelid, pushing it downward. Pull the lower eyelid downward and away from the eye. This will create a small space between the eyelid and eyeball. Put the medication in this space and let go of the lower eyelid and then close your eyes. Apply some pressure on the inner corner of your eye to stop the drainage of the drug and letting it absorbed in the eye.
  • Wash your hands immediately after applying the medication. This will remove any medication left on your hands.
  • To keep the medicine as germ-free as possible, do not touch the dropper to any surface (including the eye). Always keep the container tightly closed

The dose of this drug varies according to the condition of each person. The number of doses per day, the time interval between the doses and the length of time you have to take the medicine depends on your condition individually and all these factors should only be determined by your healthcare provider. Follow each and every instruction of your doctor and also read the label carefully.


This medicine should be stored at room temperature within a closed container, away from heat, direct light and moisture. Keep this drug out of the reach of children. Do not store expired or outdated medicines or the medicine no longer needed.

4 Precautions to take

Before using Paremyd, there are some precautions you must take.

You should know that after administration of this medication, your pupils will become unusually dilated and you will have blurry vision for some time.

You will also become sensitive to light. You will be unable to focus on the objects near to your eyes. 

5 Potential side effects

Make sure you meet with your doctor in using Paremyd to avoid unwanted potential side effects.

Every medicine has a propensity to cause unwanted effects along with its desired effects. Although these side effects may occur only in a handful of patients but if they do occur, contact your physician immediately.

This medication is associated with following side effects:

  • chest pain or discomfort
  • Blurred vision
  • faintness or lightheadedness when getting up from a lying or sitting position
  • confusion
  • dizziness
  • fast, slow, or irregular heartbeat
  • pain or discomfort in arms, jaw, back or neck
  • nausea
  • shortness of breath
  • unusual tiredness or weakness
  • sudden sweating
  • cold, clammy, pale skin
  • Agitation
  • anxiety
  • cough
  • eye pain
  • difficulty swallowing
  • failure to recognize people
  • irritability
  • hives
  • itching
  • loss of consciousness
  • hyperactivity or restlessness
  • mood or mental changes
  • loss of vision
  • nightmares
  • nervousness
  • pounding heartbeat or pulse
  • seeing, hearing, or feeling things that are not there
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • tightness in chest
  • skin rash
  • tremor
  • unusual feeling of excitement
  • unusual behavior such as disorientation to time or place
  • wheezing

Symptoms of Overdose:

Seek medical help instantly, if you experience any of these symptoms while on this drug.

Also contact your healthcare professional immediately, if have overdosed on this drug. If any of these side effects becomes more bothersome or does not go away, contact your doctor.