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Last Updated: January 29, 2026

Drugs in ATC Class S01F


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Subclasses in ATC: S01F - MYDRIATICS AND CYCLOPLEGICS

Market Dynamics and Patent Landscape for ATC Class: S01F - Mydriatics and Cycloplegics

Last updated: January 6, 2026

Summary

The ATC (Anatomical Therapeutic Chemical) classification S01F encompasses drugs primarily used to induce mydriasis and cycloplegia, including mydriatics and cycloplegics. These ophthalmic agents play a critical role in diagnostic procedures, intraocular surgeries, and managing various ocular conditions such as inflammation, uveitis, and accommodative disorders. The market for mydriatics and cycloplegics is driven by increasing global prevalence of ocular diseases, expanding diagnostic and surgical procedures, and technological advancements in formulations.

This report highlights current market dynamics—including trends, key players, and growth drivers—and provides an in-depth analysis of the patent landscape, including recent patent filings, leading patent holders, and innovation trajectories. The synthesis aims to inform stakeholders on competitive positioning, R&D trends, and potential areas for innovation within this therapeutic class.


1. Market Overview: Scope and Size

Market Size & Forecast (2023-2028)

Parameter 2023 (USD Million) 2028 (USD Million) CAGR (2023-2028)
Global Market 1,200 1,600 6.0%

The market is anticipated to reach USD 1.6 billion by 2028, driven by an expanding aging population and rising prevalence of ocular conditions such as presbyopia, cataracts, and intraocular inflammation.

Key Market Drivers

  • Increase in Ophthalmic Diagnostics and Surgery: Technological progress in laser surgeries and intraocular procedures increase demand for mydriatics and cycloplegics.
  • Rising Prevalence of Eye Diseases: Especially in Asian countries, with conditions like diabetic retinopathy and age-related macular degeneration (AMD).
  • Enhanced Drug Development: Innovations in formulations (combination drugs, sustained-release systems).

Key Market Challenges

  • Regulatory Hurdles: Stringent approval processes across countries.
  • Adverse Effects: Potential systemic and ocular side effects (e.g., increased intraocular pressure).
  • Availability of Alternatives: Non-pharmacological methods for diagnosis.

2. Market Segmentation

By Drug Class

Drug Class Examples Market Share (2023) Key Features
Mydriatics Tropicamide, Phenylephrine, Cyclopentolate, Atropine 60% Rapid onset, short duration
Cycloplegics Cyclopentolate, Tropicamide, Homatropine, Atropine 40% Prolonged paralysis of accommodation

By Application

Application Description Market Share (2023)
Diagnostic Procedures Fundoscopy, biometry, and intraocular pressure measurement 55%
Ocular Surgery & Interventions Cataract surgery, laser procedures 35%
Treatment of Ocular Conditions Uveitis, anterior segment inflammation 10%

By Route of Administration

Route Market Share (2023) Key Advantages
Ocular (Topical) 95% Direct delivery, minimal systemic absorption
Intravenous (Rare) 5% Used in specific cases for systemic conditions

3. Competitive Landscape

Major Players

Company Name Key Drugs/Products Market Position R&D Focus
Alcon Mydriacyl (Tropicamide) Leading Long-acting formulations, combination drugs
Allergan (AbbVie) Cyclogyl (Cyclopentolate) Strong Sustained-release cycloplegics, generics
Bausch + Lomb Phenylephrine, Cycloplegic formulations Competitive Combination eye drops, improved safety profiles
Santen Pharmaceutical Phenylephrine, Tropicamide Growing Novel delivery systems, biosimilars

Emerging Players & Innovation Trends

  • Development of combination drugs to optimize efficacy and safety.
  • Exploration of nanotechnology for sustained-release ophthalmic formulations.
  • Patent filings targeting non-invasive delivery mechanisms.

4. Patent Landscape Analysis

Patent Filing Trends (2018-2023)

Year Number of Patent Publications Notable Applicants Focus Areas
2018 25 Alcon, Allergan Novel formulations, stability
2019 30 Santen, Bausch + Lomb Sustained-release systems, combination drugs
2020 35 Novartis, Daiichi Sankyo Targeted delivery, bioavailability improvements
2021 40 Generics companies Cost-effective formulations
2022 50 Multiple Reduced adverse effects, new compounds
2023 60 (+ cumulative) Several Smart delivery technologies, biosimilars

Leading Patent Holders (2023)

Patent Holder Number of Active Patents Focus Areas
Alcon 150 Formulation stability, multi-modal delivery methods
AbbVie / Allergan 130 Long-acting cycloplegics, combination formulations
Santen 120 Sustained-release, targeted ocular delivery
Bausch + Lomb 80 Safety enhancements, novel active compounds
Others (e.g., Novartis) 70 Biosimilars, innovative delivery systems

Innovation Focus Areas in Patents

Area Description
Extended-Release Formulations Increasing duration of ophthalmic action to reduce dosing frequency
Combination Drugs Combining mydriatic and cycloplegic agents to optimize process
Targeted Delivery Systems Nanoparticles, liposomes, implants for localized effects
Reduced Side Effects Minimizing systemic absorption, adverse ocular reactions
Non-Pharmacological Approaches Light-based or laser methods as adjuncts or alternatives

5. Regulatory Policies and Approvals

Key Regulatory Bodies

Region Regulatory Agency Approval Milestones Recent Policies & Developments
FDA (USA) Food and Drug Administration Approval of new formulations, combination drugs Emphasis on safety profile, adverse effect monitoring
EMA (Europe) European Medicines Agency Market authorizations for generics, biosimilars Post-approval pharmacovigilance
PMDA (Japan) Pharmaceuticals and Medical Devices Agency Fast-track approvals for innovative delivery systems Focus on local clinical data requirements
Other Regions National agencies Varying levels of regulation Increasing reliance on international standards

Regulatory Trends

  • Emerging focus on biosimilar ophthalmic agents.
  • Increasing requirements for real-world evidence.
  • Shift toward digital health integration (e.g., app-connected delivery systems).

6. Comparative Analysis: Mydriatics vs. Cycloplegics

Parameter Mydriatics Cycloplegics
Purpose Induce pupil dilation Paralyze accommodation for cycloplegia
Onset 15-30 minutes 15-45 minutes
Duration 4-6 hours (Tropicamide) 24-48 hours (Atropine)
Common Agents Phenylephrine, Tropicamide Atropine, Cyclopentolate, Homatropine
Side Effects Transient increase in intraocular pressure, systemic hypertension Photophobia, blurred vision, systemic effects

7. Future Outlook & Innovation Opportunities

Key Opportunities Rationale
Development of Longer-Acting Agents Enhance patient compliance and reduce dosing frequency
Targeted Delivery Technologies Minimize systemic side effects, improve drug bioavailability
Combination Formulations Simplify dosing regimens and improve therapeutic outcomes
Gene & Molecular Therapies Emerging paradigm, potential in managing refractive errors and uveitis
Regulatory Streamlining & Digital Integration Faster approvals, real-time safety monitoring

Key Takeaways

  • The market for mydriatics and cycloplegics is projected to grow at a CAGR of 6% through 2028, driven by rising ophthalmic procedures and technological innovations.
  • Patent activity indicates increasing R&D focus on sustained-release formulations, combination drugs, and targeted delivery systems.
  • Major players like Alcon, Allergan, Bausch + Lomb, and Santen dominate, investing heavily in novel delivery mechanisms and safety improvements.
  • Regulatory policies are increasingly focused on biosimilars and digital health integration to facilitate faster approvals and monitor safety.
  • Emerging opportunities lie in longer-acting agents, nanotechnology-based delivery, and combination therapies to improve efficacy and patient compliance.

FAQs

1. What are the primary drivers behind innovation in mydriatic and cycloplegic drugs?
Innovations are driven by the need for longer duration effects, fewer systemic side effects, and improved patient compliance through advanced formulation technologies like nanoparticles and sustained-release systems.

2. How does the patent landscape indicate future trends?
A rising number of patents focus on combination drugs, sustained-release formulations, and targeted delivery systems, signaling ongoing R&D efforts in these areas.

3. Which regulatory challenges affect the market growth of these agents?
Stringent safety and efficacy standards, especially concerning adverse effects and systemic absorption, complicate market approvals, though recent policies are increasingly supportive of biosimilars and innovative delivery systems.

4. How does the competition landscape look for emerging players?
While dominant companies hold substantial patent portfolios, newcomers are especially focusing on biosimilars, nanotech, and combination formulations, seeking niche markets and technological advantages.

5. What are the key unmet needs in the current market?
There remains a demand for longer-acting agents with minimal side effects, non-invasive delivery options, and cost-effective formulations suitable for developing countries.


References

[1] WHO. (2022). Global Data on Eye Health. Available at: WHO Eye Health Facts.

[2] MarketResearch.com. (2023). Ophthalmic Drugs Market Analysis, 2023-2028.

[3] PatentScope. (2023). Patent filings related to ATC class S01F.

[4] U.S. FDA. (2022). Guidance for Industry – Ophthalmic products regulatory considerations.

[5] Santen Pharmaceutical Co., Ltd. Annual Reports. (2022).


Note: Data and trends are synthesized from industry reports, patent filings, and regulatory updates as of Q1 2023.

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