Vision Changes with Anxiolytic Medication: A Patient's Guide - Psychiatry

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Anxiolytic Tablets


I was originally prescribed 10 mg to take at night by my doctor.
Later, the doctor increased the dosage by adding 5 mg of the blue pill to take at noon.
However, I started experiencing blurred vision, where I can see things on the left side but not on the right side!

Yan Yan, 20~29 year old female. Ask Date: 2022/10/23

Dr. Cai Qijin reply Psychiatry


Hello: A small number of individuals taking Aripiprazole may experience blurred vision as a side effect, which is more commonly observed after starting the medication or increasing the dosage.
This side effect typically resolves within 1-2 weeks.
If the side effect persists and affects daily life, it is advisable to return to the clinic and discuss with the physician whether a medication adjustment is necessary.

Reply Date: 2022/10/23

More Info


When it comes to understanding vision changes associated with anxiolytic medications, it’s important to recognize that these medications can have various side effects, including those that affect vision. In your case, you mentioned experiencing blurred vision and difficulty seeing objects on one side, which can be concerning and warrants further exploration.

Anxiolytic medications, such as benzodiazepines or other anti-anxiety drugs, can lead to several visual disturbances. Blurred vision is a common side effect and can occur due to the way these medications affect the central nervous system. The sedative properties of these drugs can lead to decreased alertness and slower reaction times, which may contribute to difficulties in focusing on objects, especially in peripheral vision. This can create a sensation where objects on one side may seem less clear or harder to see.

Additionally, some anxiolytics can cause muscle relaxation, which may affect the muscles that control eye movement and focus. This could explain why you are experiencing difficulty seeing things clearly on one side. If you find that your vision changes are persistent or worsening, it is crucial to consult with your prescribing physician or an eye specialist. They can conduct a thorough evaluation to rule out any underlying conditions that may be contributing to your symptoms.

It’s also worth noting that anxiety itself can lead to visual disturbances. When individuals are anxious, they may experience heightened sensitivity to light or changes in perception, which can exacerbate feelings of discomfort or confusion regarding their vision. This interplay between anxiety and medication side effects can create a complex situation where it’s challenging to determine the root cause of visual changes.

In terms of managing these symptoms, here are a few recommendations:
1. Consult Your Doctor: It’s essential to communicate any new or worsening symptoms to your healthcare provider. They may consider adjusting your medication dosage or switching to a different medication that may have fewer side effects related to vision.

2. Regular Eye Exams: Ensure that you are having regular check-ups with an eye care professional. They can assess your vision and eye health, providing insights into whether your symptoms are related to the medication or if there are other underlying issues.

3. Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in determining the best course of action.

4. Manage Anxiety: Since anxiety can contribute to visual disturbances, consider incorporating relaxation techniques such as mindfulness, deep breathing exercises, or cognitive-behavioral strategies to help manage your anxiety levels.

5. Lifestyle Adjustments: Ensure you are maintaining a healthy lifestyle, including proper hydration, nutrition, and sleep, as these factors can also influence both anxiety and overall eye health.

In conclusion, while it is not uncommon to experience visual changes while on anxiolytic medications, it is crucial to address these symptoms with your healthcare provider. They can help determine whether the changes are medication-related or if there is another underlying issue that needs to be addressed. Your vision is important, and taking proactive steps to understand and manage these changes is essential for your overall well-being.

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