Generally, anisocoria is caused by impaired dilation (a sympathetic response) or impaired constriction (a parasympathetic response) of pupils. An injury or lesion in either pathway may result in changes in pupil size.
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Generic Neupro. You cannot currently buy a generic Neupro (rotigotine) product. However, this may change after the first patent expires in March 2019, unless new patents or lawsuits are filed. Although rotigotine is considered the generic name for Neupro, it is not actually a generic version of the drug.