contributory factors and the prompt cessation of the nightmares on stopping timolol indicates the drops as the most probable cause. Busy outpatient clinics may not allow sufficient time to enquire about these less well known adverse effects, which may result in unnecessary investigations in some elderly patients to rule out psychiatric disorders. An awareness of the possible CNS side effects on the part of general practitioners and treating ophthalmologists may save precious time and resources for the health system and avoid anxiety for the patient.

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