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Tetracaine Hydrochloride (TETRACAINE)
Tetracaine Hydrochloride works by blocking sodium channels in nerve cells to prevent pain signals from being transmitted.
Tetracaine Hydrochloride, marketed by Alcon Labs, is a topical ophthalmic anesthetic currently generating revenue in a competitive market dominated by same-class drugs such as lidocaine and procaine. Its key strength lies in its mechanism of action, effectively blocking sodium channels in nerve cells to prevent pain signals, which provides reliable anesthesia for ophthalmic procedures. The primary risk is the key composition patent expiry in 2028, which could lead to increased competition from generics and potentially erode market share.
At a glance
| Generic name | TETRACAINE |
|---|---|
| Sponsor | Alcon Labs |
| Drug class | Ester Local Anesthetic |
| Target | Sodium channel protein type 7 subunit alpha |
| Modality | Small molecule |
| Therapeutic area | Neuroscience |
| Phase | FDA-approved |
| First approval | 2005 |
Mechanism of action
Tetracaine blocks sodium ion channels required for the initiation and conduction of neuronal impulses thereby affecting local anesthesia.
Approved indications
- Topical ophthalmic anesthesia
Common side effects
- Allergic cornea reaction
- Conjunctival redness
- Stinging
- Burning
Key clinical trials
- Comparison of 4 Methods of Eye Drops for Pupil Dilation in Diabetic Patients (NA)
- Durability of Three Monthly Loading Doses With Faricimab in Treatment-naïve Neovascular Age-related Macular Degeneration
- Pain Experience Using Lidocaine Adrenaline Tetracaine (LAT) Gel Versus Lidocaine Infiltration for Laceration Repair in Adults (PHASE4)
- The Impact of Intrapleural Block on Postoperative Pain Caused by Drainage Tubes After Thoracoscopic Surgery (NA)
- Virtual Reality for Port-a-Cath Access (NA)
- Comparative Study of Two Topical Anesthetics Prior to Fractional Nonablative Laser Treatment of the Face (PHASE2,PHASE3)
- IN PATIENTS WITH CORNEAL ABRASIONS TREATED WITH COLLAGEN CORNEAL SHIELDS IN THE EMERGENCY DEPARTMENT SETTING (NA)
- Assessing the Efficacy of a High-Dose Lidocaine-Tetracaine Cream for the Treatment of Peripheral Neuropathic Pain (PHASE1,PHASE2)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Tetracaine Hydrochloride CI brief — competitive landscape report
- Tetracaine Hydrochloride updates RSS · CI watch RSS
- Alcon Labs portfolio CI