Drug interactions
Atropine iv / + Glycopyrronium
Severity: Moderate
Atropine iv / and Glycopyrronium: moderate 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
Both are antimuscarinics, so their combination adds to anticholinergic effects including tachycardia, dry mouth, urinary retention and reduced gut motility. This is often intentional perioperatively but can lead to excessive effects.
What this interaction means in plain words
Atropine iv / and Glycopyrronium can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Why it happens
Additive muscarinic receptor blockade.
What to do
Avoid unnecessary duplication; monitor heart rate, and watch for urinary retention, ileus and delirium, particularly in elderly patients.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Glycopyrronium
- Clozapine + Glycopyrronium Major
- Abobotulinumtoxina + Glycopyrronium Moderate
- Aclidinium + Glycopyrronium Moderate
- Amantadine + Glycopyrronium Moderate
- Amitriptyline + Glycopyrronium Moderate
- Amoxapine + Glycopyrronium Moderate
Frequently asked questions
Can I take Atropine iv / with Glycopyrronium?
MediHelp rates the interaction as moderate. Atropine iv / and Glycopyrronium can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both are antimuscarinics, so their combination adds to anticholinergic effects including tachycardia, dry mouth, urinary retention and reduced gut motility. This is often intentional perioperatively but can lead to excessive effects.
How serious is the interaction between Atropine iv / and Glycopyrronium?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid unnecessary duplication; monitor heart rate, and watch for urinary retention, ileus and delirium, particularly in elderly patients.
What other medicines interact with Glycopyrronium?
MediHelp also lists interactions of Glycopyrronium with, for example, Clozapine, Abobotulinumtoxina, Aclidinium. The full list is on the Glycopyrronium page.
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