Photophobia: Causes, Triggers, and How Medications Can Make It Worse

When light feels painful—not just annoying, but truly painful—you’re dealing with photophobia, an abnormal sensitivity to light that can stem from neurological, ocular, or drug-related causes. Also known as light sensitivity, it’s not a disease on its own, but a symptom that points to something else going on—like a migraine, eye inflammation, or a reaction to medication. People with photophobia often squint, close their eyes, or flee into dark rooms when exposed to sunlight, fluorescent lights, or even phone screens. It’s more than discomfort. It’s a signal your nervous system or eyes are overstimulated.

Many common medications can trigger or worsen photophobia. For example, anticholinergic drugs, like Benadryl and some older antidepressants can dilate pupils and reduce tear production, making your eyes more vulnerable to bright light. Fluoroquinolone antibiotics, such as ciprofloxacin and levofloxacin, have been linked to retinal toxicity and light sensitivity in rare cases. Even tretinoin, a topical acne treatment, can make your skin—and eyes—more reactive to UV exposure. If you started a new drug and suddenly can’t stand the sun, it might not be coincidence.

Photophobia often shows up with other conditions. It’s a classic sign of migraine, affecting up to 80% of sufferers during an attack. It can also come with uveitis, corneal abrasions, albinism, or even after LASIK surgery. The connection between your eyes and your brain is tight—what happens in one affects the other. That’s why a simple eye exam isn’t always enough. You might need to look at your full medication list, your sleep patterns, or your history of headaches.

The posts below cover real cases and solutions. You’ll find how certain drugs like doxycycline or scopolamine can affect light sensitivity, how steroid use changes your skin’s reaction to light, and why some people get photophobia after starting SSRIs or statins. You’ll also see how gut health, kidney disease, and even generic drug ingredients can play a hidden role. No fluff. Just clear, practical info from people who’ve lived through it—and the experts who help them.