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Drug interactions

Carbachol + Trimipramine

Severity: Minor

Carbachol and Trimipramine: 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

Carbachol is a cholinergic agonist and trimipramine has antimuscarinic activity, so their effects oppose each other. Carbachol's therapeutic effect, for example in glaucoma, may be reduced, although systemic exposure from ophthalmic use is limited.

What this interaction means in plain words

Carbachol and Trimipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Carbachol belongs to Miscellaneous; Trimipramine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism between cholinergic agonism and muscarinic blockade.

What to do

Monitor for reduced therapeutic response to carbachol, such as intraocular pressure when used for glaucoma.

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 Carbachol with Trimipramine?

MediHelp rates the interaction as minor. Carbachol and Trimipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Carbachol is a cholinergic agonist and trimipramine has antimuscarinic activity, so their effects oppose each other. Carbachol's therapeutic effect, for example in glaucoma, may be reduced, although systemic exposure from ophthalmic use is limited.

How serious is the interaction between Carbachol and Trimipramine?

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 reduced therapeutic response to carbachol, such as intraocular pressure when used for glaucoma.

What other medicines interact with Trimipramine?

MediHelp also lists interactions of Trimipramine with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Trimipramine 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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