Medicine guide

Phenylephrine Hydrochloride

100 mg/mL · Solution

  • Prescription only
  • alpha-1 Adrenergic Agonist
Made by
Leading Pharma, LLC

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2024-08-23

What it is

alpha-1 Adrenergic Agonist

Used for
  • Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% and 10%, is indicated to dilate the pupil. Phenylephrine Hydrochloride Ophthalmic Solution is an alpha-1 adrenergic receptor agonist indicated to dilate…
The label’s usual adult dose

(2.1) Apply one drop of Phenylephrine Hydrochloride Ophthalmic Solution (2.5% or 10% strength) to conjunctival fornix at 3 to 5 minute intervals up to a maximum of 3 drops per eye.

2.1 General Dosing Recommendations In patients 1 year of age or greater, apply one drop of either phenylephrine hydrochloride ophthalmic solution 2.5% or 10% every 3 to 5 minutes to the conjunctival fornix as required up to a maximum of 3 drops per eye per day.

Full directions ↓
Do not take it if

The 10% strength is contraindicated in:

All warnings ↓
Good to know
  • Prescription only
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
116other products contain Phenylephrine Hydrochloride — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

  • Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% and 10%, is indicated to dilate the pupil. Phenylephrine Hydrochloride Ophthalmic Solution is an alpha-1 adrenergic receptor agonist indicated to dilate the pupil (1)

From the official label · 2024-08-23 · DailyMed

How it works

From this product’s own US prescribing label.

Phenylephrine hydrochloride is an α-1 adrenergic agonist drug that is used in ophthalmology mainly for its mydriatic effect.

After topical application to the conjunctiva, phenylephrine acts directly on α-adrenergic receptors in the eye, producing contraction of the dilator muscle of the pupil and constriction of the arterioles in the conjunctiva.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2024-08-23

Do not take it if

  • The 10% strength is contraindicated in:
  • Patients with hypertension, or thyrotoxicosis (4.1)
  • Pediatric patients less than 1 year of age due to increased risk of systemic toxicity (4.2) 4.1 Cardiac and Endocrine Disease Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in patients with hypertension or thyrotoxicosis. Phenylephrine hydrochloride ophthalmic solution 2.5% should be used in these patients. 4.2 Pediatric Patients Less Than 1 Year of Age Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in pediatric patients less than 1 year of age due to the increased risk of systemic toxicity. Phenylephrine hydrochloride ophthalmic solution 2.5% should be used in these patients [See Dosage and Administration (2.2) ] .
  • 4.1 Cardiac and Endocrine Disease Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in patients with hypertension or thyrotoxicosis. Phenylephrine hydrochloride ophthalmic solution 2.5% should be used in these patients.
  • 4.2 Pediatric Patients Less Than 1 Year of Age Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in pediatric patients less than 1 year of age due to the increased risk of systemic toxicity.
  • Phenylephrine hydrochloride ophthalmic solution 2.5% should be used in these patients [See Dosage and Administration (2.2) ] .

Quoted from the official label, section “Contraindications”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • For patients 1 year of age and older:
  • (2.1) Apply one drop of Phenylephrine Hydrochloride Ophthalmic Solution (2.5% or 10% strength) to conjunctival fornix at 3 to 5 minute intervals up to a maximum of 3 drops per eye.
  • To obtain a greater degree of mydriasis, use 10% strength For pediatric patients less than 1 year of age:
  • (2.2) Instill one drop of 2.5% strength to conjunctival fornix at 3 to 5 minute intervals up to a maximum of 3 drops per eye
  • 2.1 General Dosing Recommendations In patients 1 year of age or greater, apply one drop of either phenylephrine hydrochloride ophthalmic solution 2.5% or 10% every 3 to 5 minutes to the conjunctival fornix as required up to a maximum of 3 drops per eye per day.
  • In order to obtain a greater degree of mydriasis, phenylephrine hydrochloride ophthalmic solution 10% may be needed.
  • 2.2 Dosing in Pediatric Patients Less Than 1 Year of Age In pediatric patients less than 1 year of age, one drop of phenylephrine hydrochloride ophthalmic solution 2.5% should be instilled at 3 to 5 minute intervals up to a maximum of 3 drops per eye.
  • 2.1 General Dosing Recommendations In patients 1 year of age or greater, apply one drop of either phenylephrine hydrochloride ophthalmic solution 2.5% or 10% every 3 to 5 minutes to the conjunctival fornix as required up to a maximum of 3 drops per eye per day.
  • In order to obtain a greater degree of mydriasis, phenylephrine hydrochloride ophthalmic solution 10% may be needed.
  • 2.2 Dosing in Pediatric Patients Less Than 1 Year of Age In pediatric patients less than 1 year of age, one drop of phenylephrine hydrochloride ophthalmic solution 2.5% should be instilled at 3 to 5 minute intervals up to a maximum of 3 drops per eye.

Quoted from the official label, section “Dosage & Administration”.

Other warnings

  • Not for injection:
  • Topical ophthalmic use only (5.1) Serious cardiovascular reactions with 10% strength:
  • Reactions have included ventricular arrhythmias and some have been fatal.
  • Monitor blood pressure in patients with cardiovascular disease (5.2) .
  • Significant elevations in blood pressure:
  • Caution in pediatric patients less than 5 years of age, and in patients with cardiovascular disease or perthyroidism.
  • In patients at high risk, monitor blood pressure post Treatment (5.3) .
  • Rebound miosis: Reported one day after instillation (5.4)
  • 5.1 Topical Ophthalmic Use Only Phenylephrine hydrochloride ophthalmic solution 2.5% and 10% is not indicated for injection.
  • 5.2 Cardiovascular Reactions There have been reports of serious cardiovascular reactions, including ventricular arrhythmias and myocardial infarctions, in patients using phenylephrine 10%.
  • These episodes, some fatal, have usually occurred in patients with pre-existing cardiovascular diseases.
  • Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% should be used in these patients.
  • 5.3 Elevation of Blood Pressure A significant elevation in blood pressure is not common but has been reported following conjunctival instillation of recommended doses of phenylephrine 10%.
  • The risk is less with phenylephrine 2.5%.
  • Caution should be exercised with the use of phenylephrine 10% in pediatric patients less than 5 years of age and patients with hyperthyroidism, or cardiovascular disease.
  • The post-treatment blood pressure of patients with cardiac and endocrine diseases and any patients who develop symptoms should be carefully monitored. 5.4.
  • Rebound Miosis Rebound miosis has been reported one day after receiving phenylephrine hydrochloride ophthalmic solution, and re-instillation of the drug produced a lesser mydriatic effect.
  • 5.1 Topical Ophthalmic Use Only Phenylephrine hydrochloride ophthalmic solution 2.5% and 10% is not indicated for injection.
  • 5.2 Cardiovascular Reactions There have been reports of serious cardiovascular reactions, including ventricular arrhythmias and myocardial infarctions, in patients using phenylephrine 10%.
  • These episodes, some fatal, have usually occurred in patients with pre-existing cardiovascular diseases.
  • Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% should be used in these patients.
  • 5.3 Elevation of Blood Pressure A significant elevation in blood pressure is not common but has been reported following conjunctival instillation of recommended doses of phenylephrine 10%.
  • The risk is less with phenylephrine 2.5%.
  • Caution should be exercised with the use of phenylephrine 10% in pediatric patients less than 5 years of age and patients with hyperthyroidism, or cardiovascular disease.
  • The post-treatment blood pressure of patients with cardiac and endocrine diseases and any patients who develop symptoms should be carefully monitored.
  • 5.4. Rebound Miosis Rebound miosis has been reported one day after receiving phenylephrine hydrochloride ophthalmic solution, and re-instillation of the drug produced a lesser mydriatic effect.

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • Animal reproduction studies have not been conducted with topical phenylephrine.
  • It is also not known whether phenylephrine can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity.
  • Phenylephrine hydrochloride should be given to a pregnant woman only if clearly needed.
  • It is not known whether this drug is excreted in human breast milk. Because many drugs are excreted in human milk, caution should be exercised when phenylephrine hydrochloride ophthalmic solution 2.5% and 10% is administered to a nursing woman.
  • IN SPECIFIC POPULATIONS
  • 8.1 Pregnancy Animal reproduction studies have not been conducted with topical phenylephrine.
  • It is also not known whether phenylephrine can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity.
  • Phenylephrine hydrochloride should be given to a pregnant woman only if clearly needed.
  • 8.3 Nursing Mothers It is not known whether this drug is excreted in human breast milk.
  • Because many drugs are excreted in human milk, caution should be exercised when phenylephrine hydrochloride ophthalmic solution 2.5% and 10% is administered to a nursing woman.
  • 8.4 Pediatric Use Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in pediatric patients less than 1 year of age [S ee Contraindications (4.2) ].
  • 8.5 Geriatric Use No overall differences in safety and effectiveness have been observed between elderly and younger adult patients.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Other medicines

  • Atropine-like drugs:
  • May exaggerate the adrenergic pressor response (7.1) Potent inhalation anesthetic agents:
  • May potentiate cardiovascular depressant effects (7.1)
  • 7.1 Agents That May Exaggerate Pressor Responses Concomitant use of phenylephrine and atropine may enhance the pressor effects and induce tachycardia in some patients.
  • Phenylephrine may potentiate the cardiovascular depressant effects of some inhalation anesthetic agents.
  • 7.1 Agents That May Exaggerate Pressor Responses Concomitant use of phenylephrine and atropine may enhance the pressor effects and induce tachycardia in some patients.
  • Phenylephrine may potentiate the cardiovascular depressant effects of some inhalation anesthetic agents.

Quoted from the official label, section “Drug Interactions”.

If you take too much

In an emergency, call your local emergency number or a poison control centre.

  • Overdosage of phenylephrine may cause a rapid rise in blood pressure.
  • It may also cause headache, anxiety, nausea, and vomiting, and ventricular arrhythmias.
  • Prompt injection of a rapidly acting alpha-adrenergic blocking agent such as phentolamine has been recommended.

Quoted from the official label, section “Overdosage”.

Use in children

Phenylephrine hydrochloride ophthalmic solution 10% is contraindicated in pediatric patients less than 1 year of age [S ee Contraindications (4.2) ].

Quoted from the official label, section “Pediatric Use”.

Use in older people

No overall differences in safety and effectiveness have been observed between elderly and younger adult patients.

Quoted from the official label, section “Geriatric Use”.

Side effects

  • The following serious adverse reactions are described below and elsewhere in the labeling:
  • Cardiovascular Effects [See Warnings and Precautions (5.2) ] Elevation in Blood Pressure [See Warnings and Precautions (5.3) ] The following adverse reactions have been identified following use of phenylephrine hydrochloride ophthalmic solution.
  • Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
  • Ocular adverse reactions include eye pain and stinging on instillation, temporary blurred vision, and photophobia (6.1) Cardiovascular adverse reactions include increase in blood pressure, syncope, myocardial infarction, tachycardia, arrhythmia and subarachnoid hemorrhage (6.2) To report SUSPECTED ADVERSE REACTIONS, contact LEADING PHARMA,LLC AT 1-844-740-7500 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
  • 6.1 Ocular Adverse Reactions Eye pain and stinging on instillation, temporary blurred vision and photophobia, and conjunctival sensitization may occur.
  • 6.2 Systemic Adverse Reactions A marked increase in blood pressure has been reported particularly, but not limited to low weight premature neonates, infants and hypertensive patients.
  • Cardiovascular effects which have been seen primarily in hypertensive patients following topical ocular use of phenylephrine hydrochloride ophthalmic solution 10% include marked increase in blood pressure, syncope, myocardial infarction, tachycardia, arrhythmia and subarachnoid hemorrhage [See Warnings and Precautions (5.2 and 5.3) ].
  • 6.1 Ocular Adverse Reactions Eye pain and stinging on instillation, temporary blurred vision and photophobia, and conjunctival sensitization may occur.
  • 6.2 Systemic Adverse Reactions A marked increase in blood pressure has been reported particularly, but not limited to low weight premature neonates, infants and hypertensive patients.
  • Cardiovascular effects which have been seen primarily in hypertensive patients following topical ocular use of phenylephrine hydrochloride ophthalmic solution 10% include marked increase in blood pressure, syncope, myocardial infarction, tachycardia, arrhythmia and subarachnoid hemorrhage [See Warnings and Precautions (5.2 and 5.3) ].

Quoted from the official label, section “Adverse Reactions”.

Strengths and forms

  • FORMS AND STRENGTHS Phenylephrine hydrochloride ophthalmic solution, USP 2.5% is a clear, colorless to yellow solution, sterile topical ophthalmic solution containing phenylephrine hydrochloride 2.5%:
  • each mL contains 25 mg of phenylephrine hydrochloride.
  • Phenylephrine hydrochloride ophthalmic solution, USP 10% is a clear, colorless to yellow solution, sterile topical ophthalmic solution containing phenylephrine hydrochloride 10%.:
  • each mL contains 100 mg of phenylephrine hydrochloride.
  • Ophthalmic solution (sterile):
  • (3) 25 mg of phenylephrine hydrochloride in one mL of solution (2.5%) 100 mg of phenylephrine hydrochloride in one mL of solution (10%)

Quoted from the official label, section “Dosage Forms & Strengths”.

What it looks like and how it is packed

  • Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% is supplied as a sterile, aqueous, topical ophthalmic solution in an opaque, white low density polyethylene (LDPE) bottle with a natural LDPE dropper tip and red cap in the following sizes:
  • NDC 69315-323-08 2 mL in 5 mL bottle NDC 69315-323-15 15 mL in 15 mL bottle Phenylephrine Hydrochloride Ophthalmic Solution, USP 10% is supplied as a sterile, aqueous, topical ophthalmic solution in an opaque, white low density polyethylene (LDPE) bottle with a natural LDPE dropper tip and red cap in the following sizes:
  • NDC 69315-324-05 5 mL in 10 mL bottle After opening, Phenylephrine Hydrochloride Ophthalmic Solution, USP can be used until the expiration date on the bottle.
  • Storage: Store at 20° to 25°C (68° to 77°F).
  • Keep container tightly closed.
  • Protect from light and excessive heat.
  • Do not use if solution is brown or contains precipitate.

Quoted from the official label, section “How Supplied”.

What is in it

  • Phenylephrine Hydrochloride Ophthalmic Solution, USP is a sterile, clear, colorless, topical α- adrenergic agonist for ophthalmic use.
  • The active ingredient is represented by the chemical structure Chemical Name:
  • (R)-3-hydroxy-α[(methylamino)methyl]benzenemethanol hydrochloride.
  • Molecular Formula:
  • C 9 H 13 NO 2 .HCl Molecular Weight:
  • 203.67 g/mol Each mL of Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% contains:
  • ACTIVE:
  • Phenylephrine Hydrochloride 25 mg (2.5%);
  • INACTIVES: Sodium Phosphate Dibasic, Sodium Phosphate Monobasic, Water for Injection.
  • Phosphoric Acid and/or Sodium Hydroxide may be added to adjust pH (4.0 to 7.5).
  • The solution has a tonicity of 340 mOsm/kg;
  • PRESERVATIVE: Benzalkonium Chloride 0.1 mg (0.01%).
  • Each mL of Phenylephrine Hydrochloride Ophthalmic Solution, USP 10% contains:
  • ACTIVE:
  • Phenylephrine Hydrochloride 100 mg (10%);
  • INACTIVES: Sodium Phosphate Dibasic, Sodium Phosphate Monobasic, Water for Injection.
  • Phosphoric Acid and/or Sodium Hydroxide may be added to adjust pH (4.0 to 7.5).
  • The solution has a tonicity of 985 mOsm/kg;
  • PRESERVATIVE: Benzalkonium Chloride 0.1 mg (0.01%). chemicalstructure

Quoted from the official label, section “Description”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

CanadaNo exact match for this strength and form

Details

Made byLeading Pharma, LLC
Active substancePhenylephrine Hydrochloride
Strength100 mg/mL
FormSolution
RouteOphthalmic
Packs1 BOTTLE, DROPPER in 1 CARTON / 5 mL in 1 BOTTLE, DROPPER
NDC69315-324

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Other strengths and forms

62 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.