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Drug interactions

Belladonna and opium + Cyclizine

Severity: Moderate

Belladonna and opium 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

This combination adds anticholinergic effects from belladonna to sedation and respiratory depression from opium, on top of cyclizine's own sedative and antimuscarinic effects. It can cause marked drowsiness, constipation, urinary retention and slowed breathing.

What this interaction means in plain words

Belladonna and opium 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 antimuscarinic effects and CNS/respiratory depression from opioid and antihistamine.

What to do

Monitor sedation, respiratory rate and bowel and bladder function, and use the lowest effective doses.

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 and opium with Cyclizine?

MediHelp rates the interaction as moderate. Belladonna and opium 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. This combination adds anticholinergic effects from belladonna to sedation and respiratory depression from opium, on top of cyclizine's own sedative and antimuscarinic effects. It can cause marked drowsiness, constipation, urinary retention and slowed breathing.

How serious is the interaction between Belladonna and opium 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 sedation, respiratory rate and bowel and bladder function, and use the lowest effective doses.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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