Anisocoria & Serotonin Reuptake Inhibitor: Causes & Reasons

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Possible Causes for Anisocoria & Serotonin Reuptake Inhibitor

Anisocoria

In room light, three children had anisocoria of 0.1 to 0.5 mm (9.4%), 14 had anisocoria of 0.6 to 1.2 mm (43.8%), and 15 had anisocoria of 1.3 mm or greater (46.9%). [ncbi.nlm.nih.gov]

reuptake inhibitors. [bmj.com]

reuptake inhibitors, and the anisocoria (like physiological anisocoria) is also eliminated by the instillation of cocaine eyedrops – blindness in one eye (even if total) [lifeinthefastlane.com]

Intracranial Hemorrhage

Initial emergency room evaluation found the patient to have anisocoria with a fixed and dilated right pupil and demonstrated evidence of decorticate posturing. [ncbi.nlm.nih.gov]

and serotonin-norepinephrine reuptake inhibitors. [2minutemedicine.com]

There were 4 hours after patient back to neurosurgical intensive care unit (NICU), patient appeared anisocoria (R/L:4.0/2.5 mm), bilateral light reflexes disappeared, then [ncbi.nlm.nih.gov]

Tonic Pupil

Table 3 Anisocoria measurements (mm) in the dark and in the light in patients with Adie/Ross syndrome or generalised neuropathy Anisocoria: Dark (mm) Light (mm) Adie/Ross [ncbi.nlm.nih.gov]

reuptake inhibitors, and the anisocoria (like physiological anisocoria) is also eliminated by the instillation of cocaine eyedrops – blindness in one eye (even if total) [lifeinthefastlane.com]

We describe a case of a female patient who presented with anisocoria and was initially diagnosed with a right acute Adie's pupil on the basis of a right tonic pupil with absent [ncbi.nlm.nih.gov]

Migraine without Aura

Especially tell your doctor if you take medicines used to treat mood disorders including selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake [zomig.com]

Low dose antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), or tricyclic antidepressants (TCAs) [rxlist.com]

inhibitors (SNRIs), monoamine oxidase (MAO) inhibitors or cimetidine (reduces stomach acid production) ZOMIG Nasal Spray can cause serious side effects such as heart attacks [zomig.com]

Anticholinergic Toxicity

Differential diagnosis The causes of anisocoria include the following: physiologic anisocoria, cranial nerve III lesions (both compressive and vasculitic), parasympathetic [eyewiki.aao.org]

[…] toxicity due to selective serotonin reuptake inhibitors (SSRIs). [acphospitalist.org]

Savitt DL, Roberts JR, Siegel EG: Anisocoria from Jimsonweed. JAMA 255:1439, 1986. [emjournal.net]

Intracranial Hypertension

At the beginning of uncal herniation, indicated by anisocoria, the mean 1-CBF of the IC abruptly decreased from 33.7 to 19.6 ml/100g/min (n=16). [ousar.lib.okayama-u.ac.jp]

We report a rare case of intracranial hypertension with papilledema in a 10-year-old boy following use of fluvoxamine, a selective serotonin reuptake inhibitor. [ncbi.nlm.nih.gov]

Choroid Hemorrhage

Anisocoria, Physiologic (Anisocoria) Anisometropia Anisometropic Amblyopia (Amblyopia) Anophthalmia (Anophthalmos) Anophthalmos Anterior Ischemic Optic Neuropathy (Optic [provisu.ch]

Various other systemic medications, including sulfonamides, tetracycline, diuretics, and selective serotonin reuptake inhibitors, have also been reported to be associated [aao.org]

NIH: National Eye Institute Anisocoria (Medical Encyclopedia) Choroidal dystrophies (Medical Encyclopedia) Coloboma of the iris (Medical Encyclopedia) Episcleritis (Medical [icdlist.com]

Diabetic Autonomic Neuropathy

reuptake inhibitors [ edit ] As above, the serotonin-norepinephrine reuptake inhibitors (SNRIs) duloxetine and venlafaxine are recommended in multiple medical guidelines [en.wikipedia.org]

Most people would begin with one of either: serotonin-norepinephrine reuptake inhibitors (such as venlafaxine, duloxetine) tricyclics antidepressants (such as amityptiline [betterhealth.vic.gov.au]

Selective serotonin reuptake inhibitors and 5-alpha-reductase inhibitors are medications that can contribute to decreased libido.32 Identifying common medications that can [journals.lww.com]

Subdural Hematoma

The period from losing consciousness to brain herniation presenting as anisocoria was very short-only 30 minutes in our patient. [ncbi.nlm.nih.gov]

reuptake inhibitors, statins, hypnotics and sedatives (including benzodiazepines), postmenopausal hormone replacement therapy, or oral corticosteroids; and (3) highest education [jamanetwork.com]

But the CT after 48 hours showed edema around the contusion and uncal herniation with anisocoria (Figure 2(b)). [hindawi.com]

Stroke

Decreased levels of consciousness, hypertension, bradycardia and anisocoria may indicate a pathological rise of intracranial pressure due to cerebral edema. [symptoma.com]

An astounding number of Americans, some 27 million, are now taking selective serotonin reuptake inhibitors (SSRIs) like Prozac, Zoloft... [naturalnews.com]

Specific pharmacological agents included tricyclic antidepressants (e.g. nortriptyline, imipramine and clomipramine), selective serotonin reuptake inhibitors (SSRIs) (e.g. [doi.org]

Lethal Congenital Contracture Syndrome 1

Other craniofacial (e.g. cleft palate, facial palsy) and ocular (e.g. anisocoria, retinal detachment) anomalies may be additionally observed. [orpha.net]

Heli Malm, Miia Artama, Mika Gissler and Annukka Ritvanen, Selective Serotonin Reuptake Inhibitors and Risk for Major Congenital Anomalies, Obstetrics & Gynecology, 118, 1 [doi.org]

reuptake inhibitors: overview and design of a Finnish Register-Based Study (FinESSI), BMC Psychiatry, 10.1186/1471-244X-12-217, 12, 1, (2012). [doi.org]

Hydrophthalmos

Anisocoria, Physiologic (Anisocoria) Anisometropia Anisometropic Amblyopia (Amblyopia) Anophthalmia (Anophthalmos) Anophthalmos Anterior Ischemic Optic Neuropathy (Optic [provisu.ch]

Drugs such as neuroleptics, stimulants, benzodiazepines, anti-depressives (tricyclic antidepressants and serotonin reuptake inhibitors) although adequately prescribed, are [flipper.diff.org]

Allergic) Amaurosis Fugax Amaurosis (Blindness) Amblyopia Ametropia (Refractive Errors) Angiogenesis, Corneal (Corneal Neovascularization) Angioid Streaks Aniridia Aniseikonia Anisocoria [provisu.ch]

Micturition Syncope

Anisocoria, Physiologic (Anisocoria) Anisometropia Anisometropic Amblyopia (Amblyopia) Anophthalmia (Anophthalmos) Anophthalmos Anterior Ischemic Optic Neuropathy (Optic [provisu.ch]

Indeed, selective serotonin reuptake inhibitors may even further decrease blood pressure. [symptoma.com]

SSRIs (selective serotonin reuptake inhibitors): These pharmacological agents are recommended to manage micturition syncope; however is some cases they may aggravate the symptoms [drelist.com]

Multiple Sclerosis

Some drugs used to treat depression, including selective serotonin reuptake inhibitors, may be recommended. Medication to increase walking speed. [mayoclinic.org]

reuptake inhibitor (SSRIs) antidepressants The oral phosphodiesterase type 5 inhibitors, for example, sildenafil (Viagra), tadalafil (Cialis, Adcirca), and vardenafil) (Levitra [emedicinehealth.com]

Depression: A doctor may prescribe a selective serotonin reuptake inhibitor (SSRI), as these are less likely to cause fatigue than other antidepressant drugs. [medicalnewstoday.com]

Cluster Headache

Though widely used, the selective serotonin reuptake inhibitor (SSRI) class of antidepressant ( fluoxetine [ Prozac ], paroxetine [ Paxil ], escitalopram [ Lexapro ]) is relatively [emedicinehealth.com]

A non-selective (amitriptyline) but not a selective (citalopram), serotonin reuptake inhibitor is effective in the prophylactic treatment of chronic tension-type headache. [doi.org]

Congenital Horner Syndrome

She had subtle anisocoria of approximately 2 mm, with left pupillary miosis. [journals.lww.com]

Medication history of drugs affecting PLR, such as pilocarpine, atropine, selective serotonin reuptake inhibitors, and non-selective serotonin reuptake inhibitors were also [journals.plos.org]

Topics: Anisocoria [blog.optoprep.com]

Postictal State

AEDs that induce CYP 3A4 can reduce concentrations of some selective serotonin reuptake inhibitors (SSRIs) [35]. [ncbi.nlm.nih.gov]

Traumatic Brain Injury

We assessed monthly selective serotonin reuptake inhibitor (SSRI), serotonin-norepinephrine reuptake inhibitor (SNRI), and tricyclic antidepressant (TCA) use. [ncbi.nlm.nih.gov]

Eight participants (15%) were taking a stimulant or selective serotonin reuptake inhibitor at the time of enrollment. [doi.org]

Brain Concussion

Serotonin-norepinephrine reuptake inhibitors (SNRIs). [siasat.pk]

reuptake inhibitors (102). [frontiersin.org]

Selective serotonin reuptake inhibitors (SSRIs). Doctors often start by prescribing an SSRI. [siasat.pk]

Isolated Congenital Alacrima

Methods and results Two brothers, born to consanguineous healthy parents of Arab descent, were evaluated for psychomotor delay associated with triple-A-like syndrome (anisocoria [jmg.bmj.com]

reuptake inhibitors and psychotropic drugs have all been linked to dry eye. 93 Conclusion Dry eye is a complex multifactorial disease with symptoms ranging from mildly irritable [opticianonline.net]

No hypotonia optic atrophy, ataxia, microcephaly M Both Same No Dumic (1987) [11] M Glucocorticoid Sensory Hyperkeratosis of palms polyneuropathy, and soles, insufficient anisocoria [hon.ch]

Acute Pandysautonomia

A 33-year-old white man developed premature presbyopia and anisocoria as initial manifestations of acute pandysautonomia. [ncbi.nlm.nih.gov]

reuptake inhibitors, serotonin/norepinephrine reuptake inhibitors, clonidine), and facilitating synapse transmission (pyridostigmine). [bjgp.org]

An ophthalmologist did not confirm anisocoria, but did prescribe reading glasses. [dokumen.tips]

Horner's Syndrome

Anisocoria that is NOT associated with or due to an underlying medical condition is called physiologic anisocoria. [aapos.org]

Out of the 4 patients who had ptosis and anisocoria, 3 had anisocoria with a smaller pupil on the ipsilateral side of the IJ line insertion and 1 patient had anisocoria with [nature.com]

Guillain-Barré Syndrome

The patient responded well to five cycles of inpatient plasmapheresis and short-term selective serotonin reuptake inhibitor treatment with complete recovery of both neurological [ncbi.nlm.nih.gov]

Irritable Bowel Syndrome

Abstract A case of anisocoria associated with oral pharmacologic treatment of irritable bowel syndrome is reported. [ncbi.nlm.nih.gov]

Selective serotonin reuptake inhibitors showed no benefit in alleviating abdominal pain and improving quality of life. [ncbi.nlm.nih.gov]

In these studies, the efficacy of tricyclics, selective serotonin reuptake inhibitors or serotonin-noradrenaline reuptake inhibitors, were analyzed in IBS. [ncbi.nlm.nih.gov]

Orthostatic Hypotension

Careful ophthalmologic examination may reveal ptosis, anisocoria, Horner syndrome, or tonic pupils Failure of either erection or ejaculation is a common physical manifestation [emedicine.medscape.com]

Abstract Sertraline is a member of the newest class of antidepressants, the selective serotonin reuptake inhibitors. [ncbi.nlm.nih.gov]

[…] constipation Urinary retention: May cause bladder distention Decreased sweating: Manifesting as heat or exercise intolerance Ophthalmologic manifestations: Including ptosis, anisocoria [emedicine.medscape.com]

Mitochondrial Myopathy

Anisocoria, Physiologic (Anisocoria) Anisometropia Anisometropic Amblyopia (Amblyopia) Anophthalmia (Anophthalmos) Anophthalmos Anterior Ischemic Optic Neuropathy (Optic [provisu.ch]

Other medication groups used to treat fibromyalgia include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), anticonvulsants [jmedicalcasereports.biomedcentral.com]

Varicella

Antidepressants can have anorexia as a side effect Selective serotonin reuptake inhibitors (SSRI) such as fluoxetine. [en.wikipedia.org]

Peripheral Motor Neuropathy

Anisocoria and impaired pupillary light reflexes indicate parasympathetic damage and may be isolated, as in Adie’s syndrome, or direct a more careful search for autonomic [jnnp.bmj.com]

Methadone also inhibits the reuptake of serotonin and norepinephrine; therefore, it functions as a serotonin-norepinephrine reuptake inhibitor (SNRI). [hematology.org]

Serotonin-noradrenaline reuptake inhibitors (duloxetine or venlafaxine), pregabalin, and gabapentin all had similar efficacy compared to placebo with NNT’s in the range of [clinicaladvisor.com]

Hypertonic Saline Infusion

Intracranial pressure crisis (>20 mm Hg for >20 minutes or new anisocoria) occurred less frequently in the treatment group (12 versus 56; P=0.048). [ncbi.nlm.nih.gov]

Eighteen (29%) patients were taking a thiazide diuretic, 10 (16.1%) a loop diuretic, and 15 (24.2%) selective serotonin reuptake inhibitors (SSRI). Table 1. [cjasn.asnjournals.org]

We analyzed the frequency of episodes with elevated intracranial pressure (new anisocoria or intracranial pressure >20 mm Hg for ≥20 mins), inhospital mortality, and the occurrence [ncbi.nlm.nih.gov]

Cranial Neuropathy

[…] vasculopathic form of oculomotor nerve palsy may produce some efferent pupillary defect in up to 20% of cases, although the pupillary involvement is generally mild (typically ≤1 mm anisocoria [aao.org]

reuptake inhibitors [ edit ] As above, the serotonin-norepinephrine reuptake inhibitors (SNRIs) duloxetine and venlafaxine are recommended in multiple medical guidelines [en.wikipedia.org]

Neurological examination disclosed anisocoria RE>LE, horizontal diplopia on left side gaze without clear evidence of oculomotor palsy, hypoesthesia of the left V3 territory [jnnp.bmj.com]