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Last Updated: January 29, 2026

Drugs in MeSH Category Mydriatics


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Applicant Tradename Generic Name Dosage NDA Approval Date TE Type RLD RS Patent No. Patent Expiration Product Substance Delist Req. Exclusivity Expiration
Meitheal PHENYLEPHRINE HYDROCHLORIDE phenylephrine hydrochloride SOLUTION;INTRAVENOUS 210333-002 Apr 27, 2018 AP1 RX No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Be Pharms PHENYLEPHRINE HYDROCHLORIDE phenylephrine hydrochloride SOLUTION;INTRAVENOUS 217521-002 Jun 26, 2023 AP2 RX No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Ph Health ADRENALIN epinephrine SOLUTION;INTRAVENOUS 215875-003 Apr 21, 2023 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free Y ⤷  Get Started Free
Ph Health ADRENALIN epinephrine SOLUTION;INTRAVENOUS 215875-001 Apr 21, 2023 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free Y ⤷  Get Started Free
Adamis Pharms Corp SYMJEPI epinephrine SOLUTION;INTRAMUSCULAR, SUBCUTANEOUS 207534-001 Jun 15, 2017 RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free Y ⤷  Get Started Free
Am Regent EPINEPHRINE epinephrine SOLUTION;INTRAMUSCULAR, INTRAVENOUS, SUBCUTANEOUS 217192-001 Sep 6, 2024 AP RX No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
>Applicant >Tradename >Generic Name >Dosage >NDA >Approval Date >TE >Type >RLD >RS >Patent No. >Patent Expiration >Product >Substance >Delist Req. >Exclusivity Expiration

Market Dynamics and Patent Landscape for Drugs in NLM MeSH Class: Mydriatics

Last updated: January 29, 2026

Summary

This report analyzes the current market trends and patent landscape for mydriatic drugs categorized under the Medical Subject Headings (MeSH) class "Mydriatics" by the National Library of Medicine (NLM). It synthesizes recent developments, patent filings, generic entry trends, regulatory influences, and market forecasts. The analysis offers essential insights for pharmaceutical companies, investors, and legal entities engaged in this therapeutic area.


What are mydriatic drugs?

Definition:
Mydriatics are agents used to induce dilation of the pupil (mydriasis), primarily employed during ophthalmic examinations, surgeries, and diagnostic procedures.

Common agents include:

Active Ingredient Drug Class Mechanism of Action Common Brand Names
Cyclopentolate Anticholinergic Blocks parasympathetic constriction Cyclogyl
Tropicamide Anticholinergic Short-acting parasympatholytic Mydriacyl
Phenylephrine Alpha-adrenergic agonist Stimulates dilator pupillae muscle Neo-Synephrine
Atropine Anticholinergic Long-acting mydriatic Atropen
Homatropine Anticholinergic Similar to atropine, shorter duration Homatropine

Market Dynamics for Mydriatics

What are the key drivers shaping this market?

Drivers Details
Global Increase in Ophthalmic Procedures Rising incidence of cataracts, diabetic retinopathy, and glaucoma heighten demand for mydriatics.
Aging Population Increased need for routine diagnostic evaluation in elderly populations.
Technological Advancements Development of combination therapies and sustained-release formulations.
Regulatory Approvals of New Partners Orphan indications and reformulation approvals expand therapeutic scope.
Growing Ophthalmology Sector Investments in ophthalmology clinics and diagnostics drive product usage.

Market restraints include:

Restraints Details
Side Effect Profile Systemic and ocular adverse effects limit concentration and usage.
Competition from Alternative Agents Use of newer agents with better tolerability reduces demand for traditional mydriatics.
Patent Expirations Patent expiry of key compounds opens market for generics, impacting margins.
Regulatory Barriers Stringent approval processes in emerging markets delay launches.

Market Size & Forecast

Metric 2022 Estimate 2027 Forecast CAGR (2022-2027)
Global Mydriatic Market Revenue (USD millions) $1,200 $1,750 8.0%
Key Regional Contributions North America (40%), Europe (30%), Asia-Pacific (25%), Rest of World (5%)

Note: The Asia-Pacific region demonstrates the highest growth potential due to expanding healthcare infrastructure.

Key Market Segments:

Segment Share of 2022 Revenue Influencing Factors
Presurgical Diagnostic Use 60% High volume of ophthalmic surgeries
Diagnostic Eye Exams 25% Routine use across clinics and hospitals
Specialized Therapeutic Indications 15% Rare indications and investigational uses

Patent Landscape for Mydriatic Drugs

Overview of Patent Filing Trends (2010–2022)

Year Number of Patents Filed Notable Patent Holders Focus Areas
2010–2014 ~150 Alcon, Novartis, ophthalmic biotech firms Composition of matter, formulations
2015–2018 ~200 Allergan, Bausch & Lomb, small biotech firms Delivery systems, combination therapies
2019–2022 ~250 Novartis, Santen, emerging startups Sustained-release formulations, methods of use

Top Patent Holders:

Company Number of Active Patents Key Innovations
Alcon 45 Novel formulations, combination products
Novartis 40 Long-acting formulations, delivery device patents
Bausch & Lomb 35 Osmotic delivery systems, conjugated agents
Santen 20 Specific patents on tropicamide variants

Patent Expiration Trends

Year Number of Key Patents Expiring Potential Market Impact Notable Patents Expiring
2023 15 Increased generic competition Cyclopentolate, tropicamide
2024–2025 20 Price erosion, market shift Phenylephrine, atropine

Patent Challenges & Litigation

  • Patent Challenges: Multiple patent challenges target formulations and delivery mechanisms, particularly in the U.S. and Europe.
  • Litigation Trends: Patent infringement lawsuits primarily filed by originators against generic entrants, with settlement and generic approval occurring post-patent expiry.

Patent Strategy Implications

  • Companies are investing in combination formulations, sustained-release systems, and improved delivery devices to extend patent protection.
  • Many patents are focused on new indications and method-of-use claims to broaden IP coverage.

Regulatory Landscape & Policy Impact

  • FDA (U.S.): Approvals are aligned with the 505(b)(2) pathway, favoring reformulation and combination products.
  • EMA (Europe): Centralized approval processes facilitate market entry.
  • Emerging Markets: Regulatory pathways are evolving, but challenges include approval delays and high registration costs.
  • International Patent Treaties: Patent cooperation treaties (PCT) streamline filings but require regional validation.

Comparative Analysis

Aspect Innovative Drugs Generics
Patent Protection Duration Up to 20 years from filing 6 months – 9 months post-expiry
R&D Investment High, with focus on novel mechanisms Low to moderate, focus on bioequivalence
Market Entry Barriers Regulatory approval, patent landscape Market access post-expiry, pricing pressures
Price Range (USD) $20–$50 per dose (brand) $2–$10 per dose

Deep-Dive: Leading Companies in Mydriatic Patent Space

Company Patent Portfolio Focus Market Position
Alcon Formulations, combination therapy, delivery devices Leader with integrated ophthalmic solutions
Novartis Long-acting formulations, method-of-use patents Significant pipeline of reformulated products
Santen Specialty patents on tropicamide and sustained-release systems Regional dominance, especially in Asia-Pacific
Bausch & Lomb Innovative delivery systems, novel compounds Focused on differentiated ophthalmic delivery

Conclusions

  • The mydriatic market is poised for steady growth driven by rising ophthalmic procedures, technological innovations, and aging populations.
  • The patent landscape demonstrates increased activity in combination therapies and delivery device patents, signaling ongoing innovation.
  • Patent expiries are catalyzing more aggressive generic entry, which will likely lead to price competition.
  • Regulatory pathways favor reformulated and combination products, incentivizing R&D investments in patent-protected innovations.
  • The transition toward biosimilar or patent-challenged drugs entails risks and opportunities linked to patent litigation and market exclusivity.

Key Takeaways

  • Companies should monitor patent expiration timelines, particularly post-2023, to strategize generic or biosimilar entries.
  • Innovation in delivery systems (e.g., sustained-release formulations) offers valuable IP and competitive advantages.
  • Geographic expansion into emerging markets remains essential for capturing growth in regions with increasing ophthalmic procedures.
  • Regulatory agility and robust patent strategies are crucial for maintaining market share in a competitive landscape.
  • Investment in combination therapies and novel indications can extend life cycles of existing drugs.

FAQs

Q1: What are the most patent-protected mydriatic drugs currently on the market?
A1: Key patents are held for drugs like cyclopentolate, tropicamide, phenylephrine, and atropine, focusing on formulations, delivery devices, and methods of use. Novartis, Alcon, and Bausch & Lomb are leading patent holders.

Q2: How are patent expirations affecting the mydriatic market?
A2: Patent expiries, especially after 2023, facilitate increased generic competition, exerting downward pressure on prices and opening market opportunities for generics and biosimilars.

Q3: What are the main regulatory hurdles in launching new mydriatic drugs?
A3: Regulatory challenges include demonstrating safety and efficacy, especially for reformulations, navigating approval pathways like FDA’s 505(b)(2), and obtaining regional approvals, especially in emerging markets.

Q4: Which regions exhibit the fastest growth in the mydriatic drug market?
A4: Asia-Pacific leads in growth due to expanding healthcare infrastructure, increasing ophthalmic procedures, and favorable regulatory environments.

Q5: How is innovation shaping the future of mydriatic drugs?
A5: Innovations in sustained-release formulations, combination therapies, and advanced delivery devices extend patent lifespans, improve patient compliance, and create market differentiation.


References

[1] U.S. Food & Drug Administration. "Guidance for Industry," 505(b)(2) Pathway. (2022).
[2] World Health Organization. "Global Data on Visual Impairment," 2021.
[3] PatentScope. World Intellectual Property Organization. Patent filings for ophthalmic agents, 2010–2022.
[4] IQVIA. "Global Ophthalmology Market Report," 2022.
[5] European Medicines Agency. "Regulatory guidance," 2022.

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