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Prescription medicine · generic available

Tetracaine hydrochloride

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Tetracaine hydrochloride key facts

Used for
Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic. (source)
Prescription or over the counter
Prescription (Rx) · some products also sold over the counter
Generic available
Yes
Typical pharmacy cost
$4.68 per mL (tetracaine hydrochloride 5 mg/mL; NADAC)
Latest FDA recall
April 13, 2022 (Class II)

Sources: FDA label (July 3, 2026); FDA NDC Directory (October 30, 2026); CMS NADAC (November 4, 2026); FDA enforcement reports (October 27, 2026). Not medical advice.

Quick answers

What is Tetracaine hydrochloride used for?
The FDA-approved label (Tetracaine Hydrochloride, Sportpharm LLC, July 3, 2026) says: “Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic. Tetracaine hydrochloride ophthalmic solution, 0.5%, is an ester local anesthetic indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic.” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
What are the side effects of Tetracaine hydrochloride?
The “Adverse Reactions” section of the FDA label (Tetracaine Hydrochloride, Sportpharm LLC, July 3, 2026) begins: “The following serious ocular adverse reactions are described elsewhere in the labeling: Corneal Injury with Intracameral Use [see Warnings and Precautions (5.1)] Corneal Toxicity [see Warnings and Precautions (5.2)] Corneal Injury Due to Insensitivity [see Warnings and Precautions (5.3)] The following adverse reactions have been identified following use of tetracaine hydrochloride ophthalmic solution, 0.5%.” … This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Tetracaine hydrochloride have a boxed warning?
No. None of the 9 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Tetracaine hydrochloride?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Tetracaine hydrochloride been recalled?
FDA enforcement reports list 1 recall of products of this medicine; the newest started April 13, 2022 (Class II). A recall usually concerns specific lots, not every product.
Who makes Tetracaine hydrochloride?
9 companies list prescription products of Tetracaine hydrochloride in the FDA NDC Directory, including Sportpharm LLC, Somerset Therapeutics, LLC and Bausch Health US, LLC.

What Tetracaine hydrochloride is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic. Tetracaine hydrochloride ophthalmic solution, 0.5%, is an ester local anesthetic indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic.

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

Label quoted: the one for the most common form (solution, ophthalmic), Tetracaine Hydrochloride, Sportpharm LLC; it covers 2 products in the FDA NDC Directory. The side effects, interactions, dosage and pregnancy quotes below come from this same label.

The FDA has 9 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

The label quoted above has no boxed warning.

0 of 9 FDA labels for this medicine have a boxed warning.

Tetracaine hydrochloride side effects

Quoted from the “Adverse Reactions” section of the FDA-approved label. Tell your doctor about any side effect that worries you.

The following serious ocular adverse reactions are described elsewhere in the labeling: Corneal Injury with Intracameral Use [see Warnings and Precautions (5.1)] Corneal Toxicity [see Warnings and Precautions (5.2)] Corneal Injury Due to Insensitivity [see Warnings and Precautions (5.3)] The following adverse reactions have been identified following use of tetracaine hydrochloride ophthalmic solution, 0.5%.

Read more of this section

Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Ocular Adverse Reactions Transient stinging, burning, and conjunctival redness, eye irritation, eye pain, ocular discomfort. Ocular adverse events: transient stinging, burning, conjunctival redness, eye irritation, eye pain, ocular discomfort. (6) To report SUSPECTED ADVERSE REACTIONS, contact Somerset Therapeutics, LLC at +1 800-417-9175 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

Tetracaine hydrochloride dosage

Quoted from the “Dosage and Administration” section of the FDA-approved label. Your own dose is the one your doctor prescribes: do not change it on your own.

One drop topically in the eye(s) as needed. One drop topically in the eye(s) as needed. (2)

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

Tetracaine hydrochloride in pregnancy

Quoted from the pregnancy part of the FDA-approved label. Ask your doctor before you take any medicine while pregnant or planning a pregnancy.

Risk Summary There are no adequate and well-controlled studies with tetracaine hydrochloride ophthalmic solution, 0.5% in pregnant women. Animal developmental and reproductive toxicity studies with tetracaine hydrochloride have not been reported in the published literature.

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

When Tetracaine hydrochloride should not be used

Quoted from the “Contraindications” section of the FDA-approved label.

Tetracaine hydrochloride ophthalmic solution, 0.5% should not be used in patients with a history of hypersensitivity to any component of this preparation. Tetracaine hydrochloride ophthalmic solution, 0.5% should not be used in patients with a history of hypersensitivity to any component of this preparation. (4)

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

Tetracaine hydrochloride overdose

Quoted from the “Overdosage” section of the FDA-approved label. If someone may have taken too much, call Poison Help at 1-800-222-1222 (or 911 in an emergency).

Prolonged use of a topical ocular anesthetic including tetracaine hydrochloride ophthalmic solution, 0.5% may produce permanent corneal opacification and ulceration with accompanying visual loss.

— FDA label: Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026. Read the full label on DailyMed →

Forms and how it is given

Dosage formsSolution · Solution/ drops
RouteOphthalmic
Prescription products11 in the FDA NDC Directory

What pharmacies pay (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.

This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.

NADAC per unit for Tetracaine hydrochloride, by strength and form
Strength and formGeneric or brandPharmacies pay
tetracaine hydrochloride 5 mg/mL
solution
Generic $4.68 per mL
tetracaine hydrochloride 5 mg/mL
solution/ drops
Generic $4.68 per mL

NADAC list of November 4, 2026; these prices took effect on October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.

Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
  • ANDA: Abbreviated New Drug Application: how a generic version is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA208135
TETRACAINE HYDROCHLORIDE
Alcon LabsFebruary 29, 2016 1, latest February 28, 2022
2022: Labeling
NDA210821
TETRACAINE HYDROCHLORIDE
Bausch Lomb IrelandMarch 12, 2019 1, latest February 22, 2022
2022: Labeling

Generic approvals (1)

  • ANDA217227Somerset Theraps LLC · December 20, 2024

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

From FDA enforcement reports, matched by the product’s NDC code. A recall usually covers specific lots only: check the lot number on your package and ask your pharmacist. Do not stop a medicine on your own.

  1. April 13, 2022 · Class II · Terminated · D-1113-2022

    cGMP deviations: Temperature abuse

    Tetracaine Hydrochloride Ophthalmic Solution, 0.5%, 4 mL bottle, Rx only, MFG: Alcon Surgical Inc., NDC 0065-0741-14 — Mckesson Medical-Surgical Inc. Corporate Office

What do the recall classes mean?

Class I: The most serious type: there is a reasonable chance that using the product will cause serious health problems or death.
Class II: Using the product may cause temporary or medically reversible health problems, or the chance of serious problems is remote.
Class III: Using the product is not likely to cause health problems (for example a labeling or packaging issue).

Official identifiers

RxCUI (RxNorm)1547771
SPL set ID of the quoted label90ffa320-652b-442f-97fa-6d618439db79
FDA labels (SPL)9
FDA applicationsNDA208135, NDA210821, 1 ANDA
Active ingredients (FDA)TETRACAINE

Next steps

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Tetracaine Hydrochloride, Sportpharm LLC, effective July 3, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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