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The underlying mechanism is pupillary block caused by pupil dilatation, which is attributed to the significant anticholinergic and serotonergic side effects of these antidepressants

[DOI] [PMC free article] [PubMed] [Google Scholar] 90.Cawthorn WP, Scheller EL, Learman BS, Parlee SD, Simon BR, Mori H, Ning X, Bree AJ, Schell B, Broome DT, Soliman SS, DelProposto JL, Lumeng CN, Mitra A, Pandit SV, Gallagher KA, Miller JD, Krishnan V, Hui SK, Bredella MA, Fazeli PK, Klibanski A, Horowitz MC, Rosen CJ, MacDougald OA

Ramai D, Dang-Ho KP, Lewis C, Fields PJ, Ofosu A, Barakat M, Aamar A, Ofori E, Lai J, Lanke G, Dhaliwal A, Reddy M, Gasperino J

Insulin levels are low