Drug interactions
Clomipramine + Glycopyrrolate
Severity: Moderate
Clomipramine and Glycopyrrolate: 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 drugs have anticholinergic activity, so combined use may worsen dry mouth, constipation, urinary retention, blurred vision and tachycardia. Anticholinergic burden is especially important in older patients.
What this interaction means in plain words
Clomipramine and Glycopyrrolate 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.
Clomipramine belongs to Central Nervous System; Glycopyrrolate belongs to Respiratory.
Why it happens
Additive antimuscarinic effects at peripheral and central cholinergic receptors.
What to do
Monitor for anticholinergic effects such as urinary retention, ileus and heat intolerance. Reduce the dose of one drug or choose an alternative if effects are troublesome.
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 Clomipramine
- Arsenic trioxide + Clomipramine Contraindicated
- Clomipramine + Dofetilide Contraindicated
- Clomipramine + Droperidol Contraindicated
- Clomipramine + Isocarboxazid Contraindicated
- Clomipramine + Methylene blue Contraindicated
- Clomipramine + Pentamidine Contraindicated
Other interactions of Glycopyrrolate
- Glycopyrrolate + Potassium chloride Major
- Amitriptyline + Glycopyrrolate Moderate
- Atropine + Glycopyrrolate Moderate
- Bethanechol + Glycopyrrolate Moderate
- Chlorpromazine + Glycopyrrolate Moderate
- Clozapine + Glycopyrrolate Moderate
Frequently asked questions
Can I take Clomipramine with Glycopyrrolate?
MediHelp rates the interaction as moderate. Clomipramine and Glycopyrrolate 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 drugs have anticholinergic activity, so combined use may worsen dry mouth, constipation, urinary retention, blurred vision and tachycardia. Anticholinergic burden is especially important in older patients.
How serious is the interaction between Clomipramine and Glycopyrrolate?
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 effects such as urinary retention, ileus and heat intolerance. Reduce the dose of one drug or choose an alternative if effects are troublesome.
What other medicines interact with Clomipramine?
MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.
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