Can I take antidepressants if I have glaucoma?

Tricyclic antidepressants, benzodiazepines and topiramate should be avoided in patients diagnosed with glaucoma or at risk. Clinicians should be aware of the possible psychotropic drug induced glaucoma and monitor at risk patients closely in order to prevent this condition.

What medications worsen glaucoma?

Sulfa-based agents such as topiramate, acetazolamide and hydrochlorothiazide are among the few drugs that can induce “non-pupillary block” acute angle closure glaucoma. Lee et al.,25 have reported that sulfa-based drugs can cause shallowing of the anterior chamber, choroidal effusion, increased intraocular pressure.

Do antidepressants affect your eyes?

One of the most common eye-related side effects of antidepressants and anti-anxiety medications is blurred vision. Selective serotonin reuptake inhibitors (SSRIs) like Zoloft, Prozac, Lexapro, etc. directly affect the pupil and ciliary muscle function of the eye and can make it difficult to focus on near objects.

Do antidepressants make glaucoma worse?

Agents from several different classes of antidepressants (e.g. amitriptyline, imipramine, mianserin hydrochloride, paroxetine, fluoxetine, fluvoxamine, citalopram, escitalopram) have been reported to be associated with increased intraocular pressure and risk for glaucoma [8,9,10].

Can you take sertraline with glaucoma?

SSRIs (applies to Zoloft) glaucoma This effect can potentially narrow the eye angle resulting in increased intraocular pressure and angle closure glaucoma, especially in predisposed patients. These drugs should be used with caution in patients with angle-closure glaucoma or history of glaucoma.

Which drugs should not be given in a patient with acute angle closure glaucoma?

Sulfa-based drugs (acetazolamide, hydrochlorothiazide, cotrimoxazole, and topiramate) can cause acute angle closure glaucoma by ciliary body edema with anterior rotation of the iris-lens diaphragm. Iridotomy is not effective.

What medications affect eye pressure?

Certain classes of drugs are known to cause eye problems. These include diuretics (water pills), antihistamines, antidepressants, drugs that lower cholesterol, beta-blockers and birth control pills. “Antihistamines often cause a very significant dry-eye syndrome,” Andreoli says.

Do all antidepressants cause dry eyes?

Not all antidepressants work this way. Tricyclic antidepressants do, but SSRIs don’t. Even so, SSRIs can also cause dry eyes.