BMJ Case Reports 2012; doi:10.1136/bcr.08.2011.4697
  • Reminder of important clinical lesson

Transdermal hyoscine induced unilateral mydriasis

  1. Maeve O’Reilly
  1. Palliative Medicine Department, Our Lady’s Children’s Hospital, Dublin, Ireland
  1. Correspondence to Dr Breffni Hannon, breffnilhannon{at}


The authors present a case of unilateral mydriasis in a teenager prescribed transdermal hyoscine hydrobromide (scopolamine) for chemotherapy induced nausea and vomiting. The authors discuss the ocular side-effects associated with this particular drug and delivery system and the potential use of transdermal hyoscine as an antiemetic agent in this group.


  • Competing interests None.

  • Patient consent Not obtained.

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