Register
Medicines reference
Active substance

Atropine

Antimuscarinic (anticholinergic). Registered in Georgia: 3 human medicines. Forms: eye drops, solution.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Atropine
Before use

Safety information

Known Contraindications

  • Critical
    Known hypersensitivity to atropine is a contraindication.
  • Warning
    Atropine does not reverse nicotinic signs such as muscle twitching and paralysis. A massive organophosphate overdose can therefore still be fatal despite atropine treatment.
    Sources: MSD Vet Manual
  • Warning
    Use cautiously in tachyarrhythmia because atropine increases heart rate. For treatment of bradycardia, do not exceed 0.04 mg/kg.
  • Warning
    Use cautiously in glaucoma because antimuscarinic medicines dilate the pupil and increase intraocular pressure.
  • Caution
    Avoid excessive atropinization because the response diminishes with repeated administration.
    Sources: MSD Vet Manual

Known Drug Interactions

  • Minor warning Metoclopramide + Atropine
    In animals with gastritis, avoid giving anticholinergic drugs such as atropine with metoclopramide because they can oppose its effect on gastrointestinal motility.
    Recommendation: Avoid the combination in gastritis because the anticholinergic can oppose metoclopramide. Concomitant diarrhoea alone is not a contraindication to anticholinergic treatment.
    Sources: Product label
  • Minor warning Dexmedetomidine + Atropine
    Use anticholinergic drugs cautiously with dexmedetomidine because marked cardiovascular effects may occur.
    Recommendation: Do not administer together routinely; manage bradycardia individually with monitoring.
    Sources: Dexdomitor SPC · FDA
Latin name
Atropine
Georgian name
ატროპინი
Authorisation status
Authorised veterinary medicine
An authorised veterinary medicine containing this substance exists. Whether a particular use is on-label depends on the species and the indication - see each dose rule.
Registered in Georgia
3 of 3 forms
Human medicines in Georgia
Atropocil
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration3

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Atropine-Darnitsa 1 mg/ml (0.1%), Solution

1 ml ampoule, solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis.
6.8/10
Situational / acceptable
vetman assessment

Atropine-Darnitsa

1 mg/ml (0.1%), 1 ml ampoule, solution for injection, human medicine
Assessed clinical scopeDog · Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis. · IV,IM,SC
Care settingEmergency, anaesthesia or toxicology care with ECG, perfusion, temperature, respiratory and antimuscarinic-endpoint monitoring; route selected for urgency and clinical context
vetman score 6.8/10 Situational / acceptable
Evidence confidence: High Georgia: Yes, human · № რ-046155 · Verified on 16 Oct 2026 Off-label use

A clinically valuable emergency antimuscarinic when the exact indication is defined: significant vagal bradycardia, one selected early CPR dose, or muscarinic poisoning signs. The product is not a routine premedication or universal arrest drug. Separate the low bradycardia dose from poisoning titration, monitor ECG/perfusion and treat ventilation, nicotinic weakness and exposure control independently.

Regulatory and scientific credibility7.0/10

The exact Darnitsa 1 mg/ml ampoule has a current sourced Georgian human authorisation and an official exact manufacturer instruction, but the exact brand is not authorised in the checked EU/EEA, GB or US registers. A separate EU-authorised 1 mg/ml veterinary injection supports formulation/route applicability, while this human product remains off-label.

Clinical efficacy8.0/10

Atropine is an established antimuscarinic with a current EU-authorised canine injectable comparator. RECOVER recommends it for haemodynamically compromising bradycardia and allows one early dose in selected nonshockable CPR, but CPR outcome evidence is low and high-vagal benefit is expert opinion. A 102-dog poisoning cohort and toxicology guidance support control of muscarinic signs; atropine neither reverses nicotinic weakness nor replaces ventilation, decontamination or an oxime when indicated.

Safety and tolerability6.0/10

Atropine has a narrow indication-dependent margin rather than a generally benign profile: excessive or repeated dosing can cause tachycardia/tachyarrhythmia, reduced cardiac output, hyperthermia, ileus, urinary retention, thickened airway secretions, mydriasis/glaucoma aggravation and central excitation. ECG, perfusion and clinical endpoints make short monitored emergency use manageable; obstruction, glaucoma and pre-existing tachyarrhythmia require particular caution.

Clinical practicality6.0/10

The 1 mg/ml single-use 1 ml ampoule is familiar, needs no reconstitution and supports accurate IV/IM/SC withdrawal for many dogs. Small bradycardia doses still need a finely graduated syringe, while severe poisoning can require repeated multi-ampoule dosing and substantial stock because the titrated dose may be tens of times higher; opened remainder is discarded.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with known atropine hypersensitivity. Avoid or obtain specialist justification in uncontrolled tachyarrhythmia, mechanical gastrointestinal or urinary obstruction, paralytic ileus and angle-closure glaucoma; atropine can worsen each through antimuscarinic effects.
  • Never merge the indications into one dose range. Bradycardia/CPR dosing is around 0.04 mg/kg, whereas organophosphate/carbamate treatment is titrated over a much higher 0.2–2 mg/kg range; selecting the poisoning dose for bradycardia can cause severe toxicity.
  • Use ECG, heart rate, pulse quality and blood pressure before and after dosing. Stop automatic redosing and reassess for excessive tachycardia, ventricular ectopy, worsening perfusion, agitation, hyperthermia or absent clinical benefit; atropine can raise rate while reducing useful filling/output.
  • In organophosphate/carbamate poisoning atropine treats muscarinic secretions, bronchoconstriction and bradycardia but does not reverse nicotinic fasciculation, weakness or respiratory paralysis. Secure ventilation and supportive care, decontaminate safely and use an oxime when indicated; do not titrate only to pupil dilation.
  • For poisoning, titrate to clinically meaningful drying of bronchial/oral secretions, improved ventilation and adequate heart rate/perfusion, then reassess frequently. Response can diminish with repeated treatment; avoid reflex dosing on a fixed schedule when muscarinic endpoints are already controlled.
  • During CPR, high-quality BLS, rhythm diagnosis, ventilation, defibrillation and indicated vasopressors take priority. RECOVER permits one early atropine dose for selected nonshockable arrest/high vagal tone and recommends against repeated doses; evidence for survival benefit is low.
  • Additive antimuscarinic toxicity can occur with other anticholinergics, some antihistamines, tricyclic antidepressants and phenothiazines. Review anaesthetic and emergency drugs, and distinguish atropine-responsive vagal bradycardia from hypoxia, electrolyte disturbance, hypothermia, drug overdose or structural conduction disease.
  • Monitor temperature, hydration, gut sounds, urine output and airway secretions after clinically important or repeated exposure. Antimuscarinic drying can thicken respiratory secretions; hyperthermia risk rises in hot environments and patients with impaired heat dissipation.
  • The 1 mg/ml concentration can produce very small bradycardia volumes in cats and small dogs. Use a verified concentration, patient weight and finely graduated syringe or a pharmacy-approved dilution; never confuse mg with ml or atropine sulfate with a differently expressed base-equivalent strength.
  • Reproductive safety of these exact human ampoules in pregnant or lactating bitches/queens is not established. In a life-threatening emergency use the minimum effective dose after benefit-risk assessment; for elective premedication, choose an indication-specific alternative rather than assuming routine benefit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis.
6.9/10
Situational / acceptable
vetman assessment

Atropine-Darnitsa

1 mg/ml (0.1%), 1 ml ampoule, solution for injection, human medicine
Assessed clinical scopeCat · Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis. · IV,IM,SC
Care settingEmergency, anaesthesia or toxicology care with ECG, perfusion, temperature, respiratory and antimuscarinic-endpoint monitoring; route selected for urgency and clinical context
vetman score 6.9/10 Situational / acceptable
Evidence confidence: High Georgia: Yes, human · № რ-046155 · Verified on 16 Oct 2026 Off-label use

A useful feline emergency antimuscarinic for significant vagal bradycardia, one selected early CPR dose or muscarinic poisoning signs, with an authorised veterinary comparator and feline toxicosis evidence. Benefit depends on correct indication and titration: protect against tiny-volume error, monitor ECG/temperature/GI-urinary function and do not mistake drying secretions for treatment of nicotinic paralysis.

Regulatory and scientific credibility7.0/10

The exact Darnitsa 1 mg/ml ampoule has a current sourced Georgian human authorisation and an official exact manufacturer instruction, but the exact brand is not authorised in the checked EU/EEA, GB or US registers. A separate EU-authorised 1 mg/ml veterinary injection supports formulation/route applicability, while this human product remains off-label.

Clinical efficacy7.5/10

Atropine has a current EU-authorised feline injectable comparator and RECOVER support for haemodynamically compromising bradycardia and one selected early CPR dose, although outcome evidence is low. A 39-cat poisoning cohort and a successful severe-toxicosis CRI case support muscarinic control but do not establish comparative efficacy. It does not reverse nicotinic weakness or replace ventilation, decontamination or an oxime.

Safety and tolerability6.0/10

Atropine has a narrow indication-dependent margin rather than a generally benign profile: excessive or repeated dosing can cause tachycardia/tachyarrhythmia, reduced cardiac output, hyperthermia, ileus, urinary retention, thickened airway secretions, mydriasis/glaucoma aggravation and central excitation. ECG, perfusion and clinical endpoints make short monitored emergency use manageable; obstruction, glaucoma and pre-existing tachyarrhythmia require particular caution.

Clinical practicality7.0/10

The 1 mg/ml single-use 1 ml ampoule is ready to use and usually supplies enough drug for feline bradycardia or initial poisoning management. A small cat at the low bradycardia range may require only a few hundredths of a millilitre, demanding a finely graduated syringe or validated dilution; repeated toxicosis dosing still needs close endpoint monitoring and opened remainder is discarded.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with known atropine hypersensitivity. Avoid or obtain specialist justification in uncontrolled tachyarrhythmia, mechanical gastrointestinal or urinary obstruction, paralytic ileus and angle-closure glaucoma; atropine can worsen each through antimuscarinic effects.
  • Never merge the indications into one dose range. Bradycardia/CPR dosing is around 0.04 mg/kg, whereas organophosphate/carbamate treatment is titrated over a much higher 0.2–2 mg/kg range; selecting the poisoning dose for bradycardia can cause severe toxicity.
  • Use ECG, heart rate, pulse quality and blood pressure before and after dosing. Stop automatic redosing and reassess for excessive tachycardia, ventricular ectopy, worsening perfusion, agitation, hyperthermia or absent clinical benefit; atropine can raise rate while reducing useful filling/output.
  • In organophosphate/carbamate poisoning atropine treats muscarinic secretions, bronchoconstriction and bradycardia but does not reverse nicotinic fasciculation, weakness or respiratory paralysis. Secure ventilation and supportive care, decontaminate safely and use an oxime when indicated; do not titrate only to pupil dilation.
  • For poisoning, titrate to clinically meaningful drying of bronchial/oral secretions, improved ventilation and adequate heart rate/perfusion, then reassess frequently. Response can diminish with repeated treatment; avoid reflex dosing on a fixed schedule when muscarinic endpoints are already controlled.
  • During CPR, high-quality BLS, rhythm diagnosis, ventilation, defibrillation and indicated vasopressors take priority. RECOVER permits one early atropine dose for selected nonshockable arrest/high vagal tone and recommends against repeated doses; evidence for survival benefit is low.
  • Additive antimuscarinic toxicity can occur with other anticholinergics, some antihistamines, tricyclic antidepressants and phenothiazines. Review anaesthetic and emergency drugs, and distinguish atropine-responsive vagal bradycardia from hypoxia, electrolyte disturbance, hypothermia, drug overdose or structural conduction disease.
  • Monitor temperature, hydration, gut sounds, urine output and airway secretions after clinically important or repeated exposure. Antimuscarinic drying can thicken respiratory secretions; hyperthermia risk rises in hot environments and patients with impaired heat dissipation.
  • The 1 mg/ml concentration can produce very small bradycardia volumes in cats and small dogs. Use a verified concentration, patient weight and finely graduated syringe or a pharmacy-approved dilution; never confuse mg with ml or atropine sulfate with a differently expressed base-equivalent strength.
  • Reproductive safety of these exact human ampoules in pregnant or lactating bitches/queens is not established. In a life-threatening emergency use the minimum effective dose after benefit-risk assessment; for elective premedication, choose an indication-specific alternative rather than assuming routine benefit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Atropine1 mg/ml
Formulation Type
Solution
Administration route
Intravenous, Intramuscular, Subcutaneous
Manufacturer
Darnitsa · Ukraine
Registration
Georgia Yes, human
In force until 13 Aug 2031
Human (Ministry of Health, RAMA)
In the register: ატროპინი-დარნიცა 1 მგ/მლ (0.1%), 1 მლ ამპულა, საინექციო ხსნარი
№ რ-046155
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Atropine Pharmex 10 mg/ml (1%), Eye drops

eye drops 5 ml, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Adjunctive therapeutic cycloplegia/mydriasis for painful miosis and ciliary spasm associated with corneal disease or anterior uveitis
6.4/10
Situational / acceptable
vetman assessment

Atropine Pharmex

10 mg/ml (1%), eye drops 5 ml, human medicine
Assessed clinical scopeDog · Adjunctive therapeutic cycloplegia/mydriasis for painful miosis and ciliary spasm associated with corneal disease or anterior uveitis · Into the eye
Care settingVeterinary ophthalmic treatment after examination, with case-specific frequency, minimum exposure and IOP/tear/corneal reassessment.
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-037377 · Verified on 16 Oct 2026 Off-label use

An established off-label therapeutic role in a transparent 1% human product, useful for selected painful miosis/ciliary spasm with ophthalmic diagnosis and monitoring; exact-product veterinary outcomes and frequency remain unestablished.

Regulatory and scientific credibility6.5/10

The exact 10 mg/ml 5 ml presentation and Pharmex manufacturing link are current in Ukrainian and Georgian registers, with an accessible exact instruction transcription and strong same-form regulatory controls. The official Ukrainian public name is generic, the instruction copy is secondary, and the exact product has no veterinary authorisation or target-animal dossier.

Clinical efficacy7.0/10

Current veterinary consensus supports atropine 1% for miosis, painful reflex ciliary spasm and blood-aqueous-barrier stabilisation in corneal disease/anterior uveitis. Direct canine pharmacodynamics support biological activity, but exact-product diseased-eye comparative outcomes and one universal regimen are absent.

Safety and tolerability5.5/10

One-drop canine studies document an early IOP rise, and repeated daily exposure can suppress tear production beyond treatment. Systemic antimuscarinic absorption, glaucoma, corneal-surface compromise and prolonged effects require selection, minimum exposure and monitoring; exact-product veterinary safety is unstudied.

Clinical practicality7.0/10

A 5 ml dropper and 14-day in-use period can support a short ophthalmic course, but frequency is case-specific and continuing care requires restraint, IOP/tear reassessment, punctal occlusion and contamination control.

Full-course cost-effectiveness-

A current Georgian exact-pack price and role-specific course/procedure cost were not verified; price is excluded from the denominator.

Important safety and use flags

  • Human medicine. Every canine/feline use of this exact 5 ml presentation is off-label; current Ukrainian/Georgian human registration does not make it veterinary-authorised.
  • Do not use atropine 1% as the routine default for lens/fundus dilation. Its effect can last 24 hours to 7 days or longer; current veterinary consensus prefers short-acting tropicamide for that task.
  • Exclude glaucoma and clinically important IOP elevation before use; monitor when exposure continues. A one-drop healthy-dog study showed an early mean IOP rise.
  • Assess the cornea and baseline tear production. Repeated daily 1% atropine reduced canine tearing bilaterally and recovery remained incomplete five weeks after the last dose.
  • Topical does not mean local only. Apply nasolacrimal occlusion and wipe excess to reduce swallowing/systemic absorption; monitor for tachycardia, dry mucosae, GI hypomotility, urinary retention, agitation, weakness or hyperthermia.
  • Stop and reassess marked or persistent stinging, blepharospasm, conjunctival inflammation, keratitis or hypersensitivity. Sodium metabisulfite (E223) may cause allergic reactions.
  • Review all medicines. Other antimuscarinics can add systemic toxicity; atropine opposes cholinergic miotics/antiglaucoma drugs such as pilocarpine and may complicate pressure control.
  • Separate other ophthalmic medicines by at least 15 minutes. Do not touch the dropper to the eye, lids or surfaces, and do not share one bottle between animals.
  • Store at no more than 25°C in the original pack and discard 14 days after opening. Do not extend the in-use period from another atropine product with different preservatives or packaging.
  • Exact-product safety in pregnancy, lactation, neonates and very young animals is not established. Record an individual benefit-risk decision and use the minimum justified exposure.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Dog Routine diagnostic mydriasis for examination of the lens and fundus
5.1/10
Weak evidence support
vetman assessment

Atropine Pharmex

10 mg/ml (1%), eye drops 5 ml, human medicine
Assessed clinical scopeDog · Routine diagnostic mydriasis for examination of the lens and fundus · Into the eye
Care settingClinic-administered diagnostic use assessed against shorter-acting tropicamide, with ocular examination and post-dose counselling/observation.
vetman score 5.1/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037377 · Verified on 16 Oct 2026 Off-label use

It dilates the pupil, but its prolonged action and safety burden make it a weak routine lens/fundus diagnostic choice when short-acting tropicamide is available.

Regulatory and scientific credibility6.5/10

The exact 10 mg/ml 5 ml presentation and Pharmex manufacturing link are current in Ukrainian and Georgian registers, with an accessible exact instruction transcription and strong same-form regulatory controls. The official Ukrainian public name is generic, the instruction copy is secondary, and the exact product has no veterinary authorisation or target-animal dossier.

Clinical efficacy5.0/10

Atropine reliably dilates and cyclopleges, but current veterinary consensus explicitly advises against it for routine lens/fundus dilation because a shorter-acting agent is better matched to that task; prolonged effect is not added diagnostic benefit.

Safety and tolerability5.5/10

One-drop canine studies document an early IOP rise, and repeated daily exposure can suppress tear production beyond treatment. Systemic antimuscarinic absorption, glaucoma, corneal-surface compromise and prolonged effects require selection, minimum exposure and monitoring; exact-product veterinary safety is unstudied.

Clinical practicality2.5/10

Instillation is simple, but 24-hour-to-7-day-or-longer dilation is disproportionate for a routine lens/fundus examination and complicates recovery, owner counselling and repeat assessment compared with short-acting tropicamide.

Full-course cost-effectiveness-

A current Georgian exact-pack price and role-specific course/procedure cost were not verified; price is excluded from the denominator.

Important safety and use flags

  • Human medicine. Every canine/feline use of this exact 5 ml presentation is off-label; current Ukrainian/Georgian human registration does not make it veterinary-authorised.
  • Do not use atropine 1% as the routine default for lens/fundus dilation. Its effect can last 24 hours to 7 days or longer; current veterinary consensus prefers short-acting tropicamide for that task.
  • Exclude glaucoma and clinically important IOP elevation before use; monitor when exposure continues. A one-drop healthy-dog study showed an early mean IOP rise.
  • Assess the cornea and baseline tear production. Repeated daily 1% atropine reduced canine tearing bilaterally and recovery remained incomplete five weeks after the last dose.
  • Topical does not mean local only. Apply nasolacrimal occlusion and wipe excess to reduce swallowing/systemic absorption; monitor for tachycardia, dry mucosae, GI hypomotility, urinary retention, agitation, weakness or hyperthermia.
  • Stop and reassess marked or persistent stinging, blepharospasm, conjunctival inflammation, keratitis or hypersensitivity. Sodium metabisulfite (E223) may cause allergic reactions.
  • Review all medicines. Other antimuscarinics can add systemic toxicity; atropine opposes cholinergic miotics/antiglaucoma drugs such as pilocarpine and may complicate pressure control.
  • Separate other ophthalmic medicines by at least 15 minutes. Do not touch the dropper to the eye, lids or surfaces, and do not share one bottle between animals.
  • Store at no more than 25°C in the original pack and discard 14 days after opening. Do not extend the in-use period from another atropine product with different preservatives or packaging.
  • Exact-product safety in pregnancy, lactation, neonates and very young animals is not established. Record an individual benefit-risk decision and use the minimum justified exposure.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Adjunctive therapeutic cycloplegia/mydriasis for painful miosis and ciliary spasm associated with corneal disease or anterior uveitis
5.7/10
Weak evidence support
vetman assessment

Atropine Pharmex

10 mg/ml (1%), eye drops 5 ml, human medicine
Assessed clinical scopeCat · Adjunctive therapeutic cycloplegia/mydriasis for painful miosis and ciliary spasm associated with corneal disease or anterior uveitis · Into the eye
Care settingVeterinary ophthalmic treatment after examination, with case-specific frequency, minimum exposure and IOP/tear/corneal reassessment.
vetman score 5.7/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037377 · Verified on 16 Oct 2026 Off-label use

A plausible established feline therapeutic role, but direct 1% tolerance and IOP findings materially narrow its use. Select patients carefully, minimise exposure and monitor rather than treating it as a routine benign eye drop.

Regulatory and scientific credibility6.5/10

The exact 10 mg/ml 5 ml presentation and Pharmex manufacturing link are current in Ukrainian and Georgian registers, with an accessible exact instruction transcription and strong same-form regulatory controls. The official Ukrainian public name is generic, the instruction copy is secondary, and the exact product has no veterinary authorisation or target-animal dossier.

Clinical efficacy6.5/10

Veterinary consensus supports therapeutic cycloplegia, pain relief and synechiae prevention in feline anterior uveitis/corneal disease, but exact-product diseased-eye outcomes are absent and newer direct data show that 1% is less tolerable than 0.1% in healthy cats.

Safety and tolerability4.5/10

Direct 1% feline studies show reproducible IOP elevation, marked immediate discomfort and prolonged pupil non-responsiveness. Bitter nasolacrimal drainage can trigger salivation/vomiting, systemic absorption remains possible, and exact-product diseased-cat safety is unstudied.

Clinical practicality5.0/10

A dropper bottle is simple, but feline bitter-taste distress, restraint, baseline/follow-up tonometry, minimum exposure, prolonged effects and 14-day discard create meaningful clinical burden.

Full-course cost-effectiveness-

A current Georgian exact-pack price and role-specific course/procedure cost were not verified; price is excluded from the denominator.

Important safety and use flags

  • Human medicine. Every canine/feline use of this exact 5 ml presentation is off-label; current Ukrainian/Georgian human registration does not make it veterinary-authorised.
  • Do not use atropine 1% as the routine default for lens/fundus dilation. Its effect can last 24 hours to 7 days or longer; current veterinary consensus prefers short-acting tropicamide for that task.
  • Exclude glaucoma and clinically important IOP elevation before use; monitor during treatment. One-drop feline 1% studies show significant IOP elevation and prolonged pupil non-responsiveness.
  • Assess the cornea, tear film and ocular surface before treatment. Direct short feline exposure did not lower STT at 8 hours, but repeated diseased-eye exposure and exact-product surface safety are unestablished.
  • Topical does not mean local only. Apply nasolacrimal occlusion and wipe excess to reduce swallowing/systemic absorption; monitor for tachycardia, dry mucosae, GI hypomotility, urinary retention, agitation, weakness or hyperthermia.
  • The solution is bitter after nasolacrimal drainage and 1% caused marked immediate discomfort in a direct feline study. Hypersalivation or vomiting can occur; ointment or lower-concentration alternatives may be better tolerated when clinically appropriate.
  • Review all medicines. Other antimuscarinics can add systemic toxicity; atropine opposes cholinergic miotics/antiglaucoma drugs such as pilocarpine and may complicate pressure control.
  • Separate other ophthalmic medicines by at least 15 minutes. Do not touch the dropper to the eye, lids or surfaces, and do not share one bottle between animals.
  • Store at no more than 25°C in the original pack and discard 14 days after opening. Do not extend the in-use period from another atropine product with different preservatives or packaging.
  • Exact-product safety in pregnancy, lactation, neonates and very young animals is not established. Record an individual benefit-risk decision and use the minimum justified exposure.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Routine diagnostic mydriasis for examination of the lens and fundus
4.6/10
Weak evidence support
vetman assessment

Atropine Pharmex

10 mg/ml (1%), eye drops 5 ml, human medicine
Assessed clinical scopeCat · Routine diagnostic mydriasis for examination of the lens and fundus · Into the eye
Care settingClinic-administered diagnostic use assessed against shorter-acting tropicamide, with ocular examination and post-dose counselling/observation.
vetman score 4.6/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037377 · Verified on 16 Oct 2026 Off-label use

Reliable dilation does not offset marked feline discomfort, IOP elevation and prolonged pupil non-responsiveness; it is a weak routine diagnostic default.

Regulatory and scientific credibility6.5/10

The exact 10 mg/ml 5 ml presentation and Pharmex manufacturing link are current in Ukrainian and Georgian registers, with an accessible exact instruction transcription and strong same-form regulatory controls. The official Ukrainian public name is generic, the instruction copy is secondary, and the exact product has no veterinary authorisation or target-animal dossier.

Clinical efficacy4.5/10

One-drop feline studies confirm marked dilation, but current veterinary consensus advises against routine lens/fundus use and direct feline data show prolonged pupil non-responsiveness; reliable dilation does not make 1% atropine a good routine diagnostic default.

Safety and tolerability4.5/10

Direct 1% feline studies show reproducible IOP elevation, marked immediate discomfort and prolonged pupil non-responsiveness. Bitter nasolacrimal drainage can trigger salivation/vomiting, systemic absorption remains possible, and exact-product diseased-cat safety is unstudied.

Clinical practicality2.0/10

Instillation is simple, but marked immediate discomfort, IOP monitoring and a median 47.5 hours of pupil non-responsiveness in a direct 1% study make this particularly impractical for routine feline lens/fundus examination.

Full-course cost-effectiveness-

A current Georgian exact-pack price and role-specific course/procedure cost were not verified; price is excluded from the denominator.

Important safety and use flags

  • Human medicine. Every canine/feline use of this exact 5 ml presentation is off-label; current Ukrainian/Georgian human registration does not make it veterinary-authorised.
  • Do not use atropine 1% as the routine default for lens/fundus dilation. Its effect can last 24 hours to 7 days or longer; current veterinary consensus prefers short-acting tropicamide for that task.
  • Exclude glaucoma and clinically important IOP elevation before use; monitor during treatment. One-drop feline 1% studies show significant IOP elevation and prolonged pupil non-responsiveness.
  • Assess the cornea, tear film and ocular surface before treatment. Direct short feline exposure did not lower STT at 8 hours, but repeated diseased-eye exposure and exact-product surface safety are unestablished.
  • Topical does not mean local only. Apply nasolacrimal occlusion and wipe excess to reduce swallowing/systemic absorption; monitor for tachycardia, dry mucosae, GI hypomotility, urinary retention, agitation, weakness or hyperthermia.
  • The solution is bitter after nasolacrimal drainage and 1% caused marked immediate discomfort in a direct feline study. Hypersalivation or vomiting can occur; ointment or lower-concentration alternatives may be better tolerated when clinically appropriate.
  • Review all medicines. Other antimuscarinics can add systemic toxicity; atropine opposes cholinergic miotics/antiglaucoma drugs such as pilocarpine and may complicate pressure control.
  • Separate other ophthalmic medicines by at least 15 minutes. Do not touch the dropper to the eye, lids or surfaces, and do not share one bottle between animals.
  • Store at no more than 25°C in the original pack and discard 14 days after opening. Do not extend the in-use period from another atropine product with different preservatives or packaging.
  • Exact-product safety in pregnancy, lactation, neonates and very young animals is not established. Record an individual benefit-risk decision and use the minimum justified exposure.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Atropine10 mg/ml
Formulation Type
Eye drops
Administration route
Into the eye
Registration
Georgia Yes, human
In force until 21 Feb 2028
Human (Ministry of Health, RAMA)
In the register: ატროპინი ფარმექსი 10 მგ/მლ (1%), თვალის წვეთები 5 მლ
№ რ-037377
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 22 Oct 2026
US No
Verified on: 22 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified All dog/cat use of this exact human product is off-label. Atropine 1% is primarily a therapeutic cycloplegic/mydriatic for painful reflex ciliary spasm, miosis and blood-aqueous-barrier disruption associated with corneal disease or anterior uveitis; it is not the routine choice for lens/fundus dilation because effects may last 24 hours to 7 days or longer. No exact-product veterinary frequency is established. Do not copy the human 1–2-drop, 2–6-times-daily schedule or turn one-drop healthy-animal studies into a universal treatment regimen.

Atropine Sulfate Bioindustria 1 mg/ml, Solution

1 ml ampoule, solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis.
7.3/10
Good
vetman assessment

Atropine Sulfate Bioindustria

1 mg/ml, 1 ml ampoule, solution for injection, human medicine
Assessed clinical scopeDog · Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis. · IV,IM,SC
Care settingEmergency, anaesthesia or toxicology care with ECG, perfusion, temperature, respiratory and antimuscarinic-endpoint monitoring; route selected for urgency and clinical context
vetman score 7.3/10 Good
Evidence confidence: High Georgia: Yes, human · № რ-035558 · Verified on 16 Oct 2026 Off-label use

A clinically valuable emergency antimuscarinic when the exact indication is defined: significant vagal bradycardia, one selected early CPR dose, or muscarinic poisoning signs. The product is not a routine premedication or universal arrest drug. Separate the low bradycardia dose from poisoning titration, monitor ECG/perfusion and treat ventilation, nicotinic weakness and exposure control independently.

Regulatory and scientific credibility8.5/10

The exact Bioindustria 1 mg/ml ampoule has current sourced Georgian and EU/Italian human authorisations and exact approved product information. A separate 1 mg/ml atropine-sulfate veterinary injection is validly authorised in the EU for dogs and cats by IV, IM and SC routes, strongly supporting formulation/route applicability; this human product itself remains off-label.

Clinical efficacy8.0/10

Atropine is an established antimuscarinic with a current EU-authorised canine injectable comparator. RECOVER recommends it for haemodynamically compromising bradycardia and allows one early dose in selected nonshockable CPR, but CPR outcome evidence is low and high-vagal benefit is expert opinion. A 102-dog poisoning cohort and toxicology guidance support control of muscarinic signs; atropine neither reverses nicotinic weakness nor replaces ventilation, decontamination or an oxime when indicated.

Safety and tolerability6.0/10

Atropine has a narrow indication-dependent margin rather than a generally benign profile: excessive or repeated dosing can cause tachycardia/tachyarrhythmia, reduced cardiac output, hyperthermia, ileus, urinary retention, thickened airway secretions, mydriasis/glaucoma aggravation and central excitation. ECG, perfusion and clinical endpoints make short monitored emergency use manageable; obstruction, glaucoma and pre-existing tachyarrhythmia require particular caution.

Clinical practicality6.0/10

The 1 mg/ml single-use 1 ml ampoule is familiar, needs no reconstitution and supports accurate IV/IM/SC withdrawal for many dogs. Small bradycardia doses still need a finely graduated syringe, while severe poisoning can require repeated multi-ampoule dosing and substantial stock because the titrated dose may be tens of times higher; opened remainder is discarded.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with known atropine hypersensitivity. Avoid or obtain specialist justification in uncontrolled tachyarrhythmia, mechanical gastrointestinal or urinary obstruction, paralytic ileus and angle-closure glaucoma; atropine can worsen each through antimuscarinic effects.
  • Never merge the indications into one dose range. Bradycardia/CPR dosing is around 0.04 mg/kg, whereas organophosphate/carbamate treatment is titrated over a much higher 0.2–2 mg/kg range; selecting the poisoning dose for bradycardia can cause severe toxicity.
  • Use ECG, heart rate, pulse quality and blood pressure before and after dosing. Stop automatic redosing and reassess for excessive tachycardia, ventricular ectopy, worsening perfusion, agitation, hyperthermia or absent clinical benefit; atropine can raise rate while reducing useful filling/output.
  • In organophosphate/carbamate poisoning atropine treats muscarinic secretions, bronchoconstriction and bradycardia but does not reverse nicotinic fasciculation, weakness or respiratory paralysis. Secure ventilation and supportive care, decontaminate safely and use an oxime when indicated; do not titrate only to pupil dilation.
  • For poisoning, titrate to clinically meaningful drying of bronchial/oral secretions, improved ventilation and adequate heart rate/perfusion, then reassess frequently. Response can diminish with repeated treatment; avoid reflex dosing on a fixed schedule when muscarinic endpoints are already controlled.
  • During CPR, high-quality BLS, rhythm diagnosis, ventilation, defibrillation and indicated vasopressors take priority. RECOVER permits one early atropine dose for selected nonshockable arrest/high vagal tone and recommends against repeated doses; evidence for survival benefit is low.
  • Additive antimuscarinic toxicity can occur with other anticholinergics, some antihistamines, tricyclic antidepressants and phenothiazines. Review anaesthetic and emergency drugs, and distinguish atropine-responsive vagal bradycardia from hypoxia, electrolyte disturbance, hypothermia, drug overdose or structural conduction disease.
  • Monitor temperature, hydration, gut sounds, urine output and airway secretions after clinically important or repeated exposure. Antimuscarinic drying can thicken respiratory secretions; hyperthermia risk rises in hot environments and patients with impaired heat dissipation.
  • The 1 mg/ml concentration can produce very small bradycardia volumes in cats and small dogs. Use a verified concentration, patient weight and finely graduated syringe or a pharmacy-approved dilution; never confuse mg with ml or atropine sulfate with a differently expressed base-equivalent strength.
  • Reproductive safety of these exact human ampoules in pregnant or lactating bitches/queens is not established. In a life-threatening emergency use the minimum effective dose after benefit-risk assessment; for elective premedication, choose an indication-specific alternative rather than assuming routine benefit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis.
7.3/10
Good
vetman assessment

Atropine Sulfate Bioindustria

1 mg/ml, 1 ml ampoule, solution for injection, human medicine
Assessed clinical scopeCat · Haemodynamically important vagal bradycardia; one early dose in selected nonshockable CPR; or titrated control of muscarinic organophosphate/carbamate signs. Not routine premedication or treatment of nicotinic paralysis. · IV,IM,SC
Care settingEmergency, anaesthesia or toxicology care with ECG, perfusion, temperature, respiratory and antimuscarinic-endpoint monitoring; route selected for urgency and clinical context
vetman score 7.3/10 Good
Evidence confidence: High Georgia: Yes, human · № რ-035558 · Verified on 16 Oct 2026 Off-label use

A useful feline emergency antimuscarinic for significant vagal bradycardia, one selected early CPR dose or muscarinic poisoning signs, with an authorised veterinary comparator and feline toxicosis evidence. Benefit depends on correct indication and titration: protect against tiny-volume error, monitor ECG/temperature/GI-urinary function and do not mistake drying secretions for treatment of nicotinic paralysis.

Regulatory and scientific credibility8.5/10

The exact Bioindustria 1 mg/ml ampoule has current sourced Georgian and EU/Italian human authorisations and exact approved product information. A separate 1 mg/ml atropine-sulfate veterinary injection is validly authorised in the EU for dogs and cats by IV, IM and SC routes, strongly supporting formulation/route applicability; this human product itself remains off-label.

Clinical efficacy7.5/10

Atropine has a current EU-authorised feline injectable comparator and RECOVER support for haemodynamically compromising bradycardia and one selected early CPR dose, although outcome evidence is low. A 39-cat poisoning cohort and a successful severe-toxicosis CRI case support muscarinic control but do not establish comparative efficacy. It does not reverse nicotinic weakness or replace ventilation, decontamination or an oxime.

Safety and tolerability6.0/10

Atropine has a narrow indication-dependent margin rather than a generally benign profile: excessive or repeated dosing can cause tachycardia/tachyarrhythmia, reduced cardiac output, hyperthermia, ileus, urinary retention, thickened airway secretions, mydriasis/glaucoma aggravation and central excitation. ECG, perfusion and clinical endpoints make short monitored emergency use manageable; obstruction, glaucoma and pre-existing tachyarrhythmia require particular caution.

Clinical practicality7.0/10

The 1 mg/ml single-use 1 ml ampoule is ready to use and usually supplies enough drug for feline bradycardia or initial poisoning management. A small cat at the low bradycardia range may require only a few hundredths of a millilitre, demanding a finely graduated syringe or validated dilution; repeated toxicosis dosing still needs close endpoint monitoring and opened remainder is discarded.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use with known atropine hypersensitivity. Avoid or obtain specialist justification in uncontrolled tachyarrhythmia, mechanical gastrointestinal or urinary obstruction, paralytic ileus and angle-closure glaucoma; atropine can worsen each through antimuscarinic effects.
  • Never merge the indications into one dose range. Bradycardia/CPR dosing is around 0.04 mg/kg, whereas organophosphate/carbamate treatment is titrated over a much higher 0.2–2 mg/kg range; selecting the poisoning dose for bradycardia can cause severe toxicity.
  • Use ECG, heart rate, pulse quality and blood pressure before and after dosing. Stop automatic redosing and reassess for excessive tachycardia, ventricular ectopy, worsening perfusion, agitation, hyperthermia or absent clinical benefit; atropine can raise rate while reducing useful filling/output.
  • In organophosphate/carbamate poisoning atropine treats muscarinic secretions, bronchoconstriction and bradycardia but does not reverse nicotinic fasciculation, weakness or respiratory paralysis. Secure ventilation and supportive care, decontaminate safely and use an oxime when indicated; do not titrate only to pupil dilation.
  • For poisoning, titrate to clinically meaningful drying of bronchial/oral secretions, improved ventilation and adequate heart rate/perfusion, then reassess frequently. Response can diminish with repeated treatment; avoid reflex dosing on a fixed schedule when muscarinic endpoints are already controlled.
  • During CPR, high-quality BLS, rhythm diagnosis, ventilation, defibrillation and indicated vasopressors take priority. RECOVER permits one early atropine dose for selected nonshockable arrest/high vagal tone and recommends against repeated doses; evidence for survival benefit is low.
  • Additive antimuscarinic toxicity can occur with other anticholinergics, some antihistamines, tricyclic antidepressants and phenothiazines. Review anaesthetic and emergency drugs, and distinguish atropine-responsive vagal bradycardia from hypoxia, electrolyte disturbance, hypothermia, drug overdose or structural conduction disease.
  • Monitor temperature, hydration, gut sounds, urine output and airway secretions after clinically important or repeated exposure. Antimuscarinic drying can thicken respiratory secretions; hyperthermia risk rises in hot environments and patients with impaired heat dissipation.
  • The 1 mg/ml concentration can produce very small bradycardia volumes in cats and small dogs. Use a verified concentration, patient weight and finely graduated syringe or a pharmacy-approved dilution; never confuse mg with ml or atropine sulfate with a differently expressed base-equivalent strength.
  • Reproductive safety of these exact human ampoules in pregnant or lactating bitches/queens is not established. In a life-threatening emergency use the minimum effective dose after benefit-risk assessment; for elective premedication, choose an indication-specific alternative rather than assuming routine benefit.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Atropine1 mg/ml
Formulation Type
Solution
Administration route
Intravenous, Intramuscular, Subcutaneous
Manufacturer
Registration
Georgia Yes, human
In force until 15 Jun 2027
Human (Ministry of Health, RAMA)
In the register: ატროპინის სულფატი ბიოინდუსტრია 1 მგ/მლ, 1 მლ ამპულა, საინექციო ხსნარი
№ რ-035558
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.