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Low-Dose Atropine Drops for Childhood Myopia: What Indian Parents Should Know

White dropper bottle on a white marble surface
Key Takeaways (Quick Overview)

Low-dose atropine eye drops are used to slow the progression of myopia in children. India's CDSCO has authorised a 0.05% atropine drop for children aged 6 to 12. The drops slow worsening but do not reverse existing power or replace glasses, and they should only be used on an eye doctor's prescription and with follow-up.

If your child's spectacle power goes up every year, you have probably heard about atropine eye drops. Low-dose atropine is one of the most discussed ways of slowing myopia (short-sightedness) in children, and India now has an approved product made for this purpose. This guide explains what the approval covers and how to think about the drops for your own child.

What was approved in India

India's Central Drugs Standard Control Organisation (CDSCO) granted marketing authorisation to a 0.05% atropine sulfate eye drop for slowing myopia in children aged 6 to 12. According to the published report, the approval rested on a randomised, double-blind trial of 190 children at 11 sites in India over 12 months. It was announced in April 2025, and the drops are available only on prescription.

What the drops can and cannot do

  • They aim to slow progression. The goal is a lower final power in adulthood, because higher myopia carries more risk of retinal and other eye problems later in life.
  • They do not reverse power. Your child will still need glasses, and the existing number will not disappear.
  • They do not work equally for everyone. Evidence varies by concentration. A recent review of randomised trials describes the short-term benefit of the very lowest 0.01% strength as uncertain, which is one reason an eye doctor should choose and monitor treatment.

Possible side effects

Atropine widens the pupil and relaxes focusing. Some children notice glare in bright light or slight difficulty with close work, especially at higher strengths. Tell your doctor if your child struggles with reading or complains about light, as the plan may need to change.

Questions to ask your eye doctor

  • How fast has my child's power changed over the last year?
  • Is my child a suitable candidate, and at what strength?
  • How often should we return, and how will we know if it is working?
  • How long is treatment likely to last, and how should it be stopped?

Habits still matter

Daily outdoor time, regular breaks from close-up work and up-to-date glasses remain the foundation of myopia care. Please do not buy or use atropine drops without a prescription. Our guide to myopia in children covers the early signs to watch for, and a comprehensive eye examination is the right starting point.

Getting checked in Andheri West

Divyajyoti Eye Hospital is at Jyoti Apartment, Ground Floor, opposite the 7 Bungalows Bus Depot, J.P. Road, Andheri (West), Mumbai 400053. The OPD runs Monday to Saturday, 5:00 PM to 8:30 PM, and is closed on Sunday. Call +91-7777018301 or +91-88505 65588, or send an enquiry through our contact page.

Frequently asked questions

Can atropine drops remove my child's glasses?

No. Low-dose atropine aims to slow the increase in power. It does not reverse existing myopia, so your child will still need glasses.

At what age can children use low-dose atropine?

The product approved in India is for children aged 6 to 12. Your eye doctor will decide whether drops suit your child and at which strength.

Can I buy atropine drops without a prescription?

Please do not. The drops need a doctor's prescription and follow-up visits to confirm that they are working and are being tolerated.

Sources and further reading

This page is for general information and does not replace a consultation. Your own examination findings determine what is right for your eyes.

Topics Covered:
low dose atropine myopia atropine eye drops children India myopia control child spectacle power increasing Myatro XL pediatric myopia Andheri West