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Drug interactions

Amantadine + Umeclidinium bromide / vilanterol inhaled

Severity: Minor

Amantadine and Umeclidinium bromide / vilanterol inhaled: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amantadine has anticholinergic properties, and the umeclidinium component of this inhaler is an antimuscarinic. Together they may add to anticholinergic effects such as dry mouth, urinary retention, constipation, blurred vision and confusion, particularly in older patients. Systemic exposure from the inhaler is low, so effects are usually modest.

What this interaction means in plain words

Amantadine and Umeclidinium bromide / vilanterol inhaled have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Monitor for urinary retention, constipation, eye pain or visual changes and confusion, especially in elderly patients. Reduce or stop one agent if anticholinergic effects emerge.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amantadine with Umeclidinium bromide / vilanterol inhaled?

MediHelp rates the interaction as minor. Amantadine and Umeclidinium bromide / vilanterol inhaled have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Amantadine has anticholinergic properties, and the umeclidinium component of this inhaler is an antimuscarinic. Together they may add to anticholinergic effects such as dry mouth, urinary retention, constipation, blurred vision and confusion, particularly in older patients. Systemic exposure from the inhaler is low, so effects are usually modest.

How serious is the interaction between Amantadine and Umeclidinium bromide / vilanterol inhaled?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for urinary retention, constipation, eye pain or visual changes and confusion, especially in elderly patients. Reduce or stop one agent if anticholinergic effects emerge.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

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