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Temporary diplopia upon hyoscine-N-butyl bromide administration: case report
R Migliorini1, R Malagola, M Mafrici
1Department of Sense Organs, University of Rome "La Sapienza", Rome, Italy.
Clinical Ophthalmology (Auckland, N.Z.)
|June 1, 2013
Summary
Hyoscine-N-butyl bromide, an antispasmodic, can cause temporary vision disturbances like cloudy vision and double vision. This case highlights potential ocular side effects beyond dry mouth from this common medication.
Area of Science:
- Pharmacology
- Ophthalmology
Background:
- Hyoscine-N-butyl bromide is a common antispasmodic drug.
- It belongs to the belladonna alkaloid class, acting on smooth muscles.
- Known side effects include dry mouth, mydriasis, and accommodation disturbances.
Observation:
- A 23-year-old woman experienced adverse effects after oral hyoscine-N-butyl bromide.
- Symptoms included dry mouth, cloudy vision, and temporary diplopia.
- These visual disturbances occurred two hours post-administration.
Findings:
- The case demonstrates hyoscine-N-butyl bromide can induce temporary visual symptoms.
- Ocular side effects like blurred vision and double vision are possible.
- These effects relate to the drug's action on the irido-ciliary complex.
Implications:
- Clinicians should be aware of potential ocular side effects of hyoscine-N-butyl bromide.
- Patients experiencing visual disturbances post-medication should seek medical advice.
- Further research may clarify the incidence and management of these visual effects.
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