I have large, dilated pupils. They are both about the same size. I have not had any other symptoms with this, but I am still concerned about this situation. I do take the following medications: zoloft, neurontin, and enalapril. I also take prilosec otc and ibuprofen every day. I am concerned about my long term usage of ibuprofen, but I use it to help ease the pain associated with severe TMJ. Regards, Kevin