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Drug interactions

Belladonna alkaloids + Cyclizine

Severity: Moderate

Belladonna alkaloids and Cyclizine: 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

Belladonna alkaloids such as atropine and hyoscyamine add to the antimuscarinic effects of cyclizine. This may produce dry mouth, constipation, urinary retention, tachycardia, confusion and heat intolerance.

What this interaction means in plain words

Belladonna alkaloids and Cyclizine 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.

Evidence level: Moderate

Why it happens

Additive muscarinic receptor blockade.

What to do

Monitor for anticholinergic toxicity, especially in elderly patients, and reduce doses or choose a non-anticholinergic antiemetic if symptoms develop.

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?

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 Belladonna alkaloids with Cyclizine?

MediHelp rates the interaction as moderate. Belladonna alkaloids and Cyclizine 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. Belladonna alkaloids such as atropine and hyoscyamine add to the antimuscarinic effects of cyclizine. This may produce dry mouth, constipation, urinary retention, tachycardia, confusion and heat intolerance.

How serious is the interaction between Belladonna alkaloids and Cyclizine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic toxicity, especially in elderly patients, and reduce doses or choose a non-anticholinergic antiemetic if symptoms develop.

What other medicines interact with Cyclizine?

MediHelp also lists interactions of Cyclizine with, for example, Calcium / magnesium / potassium / sodium oxybates, Henbane, Sodium oxybate. The full list is on the Cyclizine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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