Uses
To obtain miosis of the iris in seconds after delivery of the lens in cataract surgery, in penetrating keratoplasty, iridectomy, and other anterior segment surgery where rapid miosis may be required.
Source: US FDA prescribing information
- Presentations
- 1
- Brands
- 1
- Manufacturers
- 1
- Available from stock
- 0
Acetylcholine is a prescription medicine. It is available as kits. MedsAcross supplies Acetylcholine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.
Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review
Key facts
- ATC classification
- S01EB09 Acetylcholine · Eye medicines, subgroup S01E, subgroup S01EB
- US FDA first approval
- 9 October 1973
- EU status
- Not recorded
- Orphan designation
- Not recorded
- WHO essential medicine
- Not recorded
- India (CDSCO)
- Not yet confirmed against CDSCO approval lists
- Dosage forms
- Kit
- Identifiers
- UNII N9YNS0M02XRxCUI 194CAS 51-84-3DrugBank DB03128Q180623
Clinical information
From the regulator-approved product information. Each section names its source.
Dosing overview
Miochol ™ -E (acetylcholine chloride intraocular solution) is instilled into the anterior chamber before or after securing one or more sutures. Instillation should be gentle and parallel to the iris face and tangential to pupil border. If there are no mechanical hindrances, the pupil starts to constrict in seconds and the peripheral iris is drawn away from the angle of the anterior chamber. Any anatomical hindrance to miosis must be released to permit the desired effect of the drug. In most cases, 0.5 to 2 mL produces satisfactory miosis. Note that the syringe filter supplied with Miochol-E has a priming volume of 0.6 mL (approximately). In cataract surgery, use Miochol-E only after delivery of the lens. Aqueous solutions of acetylcholine chloride are unstable. Prepare solution immediately before use. Do not use solution that is not clear and colorless.
Source: US FDA prescribing information
Contraindications
Miochol-E is contraindicated in persons with a known hypersensitivity to any component of this product.
Source: US FDA prescribing information
Warnings and precautions
DO NOT GAS STERILIZE. If blister or peelable backing is damaged or broken, sterility of the enclosed vial and ampule cannot be assured. Open under aseptic conditions only.
Source: US FDA prescribing information
Side effects
Infrequent cases of corneal edema, corneal clouding, and corneal decompensation have been reported with the use of intraocular acetylcholine. Adverse reactions have been reported rarely, which are indicative of systemic absorption. These include bradycardia, hypotension, flushing, breathing difficulties, and sweating.
Source: US FDA prescribing information
Storage
Storage Store at 4°C to 25°C (39°F to 77°F). KEEP FROM FREEZING.
Source: US FDA prescribing information
For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.
All presentations
1 presentations of Acetylcholine, sorted by availability.
| Medicine | Manufacturer | Register | Availability |
|---|---|---|---|
| Miochol E kit | Bausch & Lomb | US FDA | Available on request |
Brands by market
1 brand names across 1 markets.
United States
Manufacturers
Regulatory status
Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.
| Register | Status | Source |
|---|---|---|
| US FDA | First approved 9 October 1973 | Drugs@FDA |
| EU (EMA) | Not recorded | — |
| India (CDSCO) | Not yet confirmed against CDSCO approval lists | — |
| United States | Registered | US FDA (NDC directory, openFDA)Checked 12 November 2026 |
Questions and answers
Is Acetylcholine available for export from India?
Yes, on request. MedsAcross lists 1 presentations of Acetylcholine and sources them for licensed hospitals, importers and physicians against valid import documents.
What brand names does Acetylcholine have?
The catalogue lists 1 brand names for Acetylcholine, including Miochol E.
Is Acetylcholine approved by the US FDA?
Yes. The US FDA first approved Acetylcholine on 9 October 1973, according to Drugs@FDA.
Does Acetylcholine need cold chain shipping?
No listed presentation of Acetylcholine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.
Which ATC class is Acetylcholine in?
Acetylcholine is classified under ATC code S01EB09 (Acetylcholine).
References
- Miochol E prescribing information (Bausch & Lomb). U.S. National Library of Medicine, DailyMed. Retrieved 17 March 2023
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