This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Other topics and Adverse effects, Subject name: Anatomy
A patient Rajnish having depressive disorder has taken 25 times the normal dose of amitriptyline. Which of the following is not likely to be observed in this patient? 
Select and explain. 
A. Coma and shock, B. Hot dry skin, C. Hypotension, D. Pinpoint pupil
D: Pinpoint pupil
Answer: D: Pinpoint pupil 
Explanation: (Ref: KDT 6/e p444) Amitriptyline is a TCA like imipramine. It causes mydriasis due to anticholinergic activity. Other adverse effects are also similiar to imipramine.