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Drug interactions

Darifenacin + Dosulepin

Severity: Moderate

Darifenacin and Dosulepin: 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

Dosulepin is a tricyclic antidepressant with significant anticholinergic effects. With darifenacin it can cause additive dry mouth, constipation, urinary retention, tachycardia and confusion.

What this interaction means in plain words

Darifenacin and Dosulepin 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.

Darifenacin belongs to Genitourinary; Dosulepin belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Monitor for anticholinergic adverse effects, particularly in older adults. Reduce the dose or choose a less anticholinergic antidepressant 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?

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 Darifenacin with Dosulepin?

MediHelp rates the interaction as moderate. Darifenacin and Dosulepin 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. Dosulepin is a tricyclic antidepressant with significant anticholinergic effects. With darifenacin it can cause additive dry mouth, constipation, urinary retention, tachycardia and confusion.

How serious is the interaction between Darifenacin and Dosulepin?

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 adverse effects, particularly in older adults. Reduce the dose or choose a less anticholinergic antidepressant if effects are troublesome.

What other medicines interact with Darifenacin?

MediHelp also lists interactions of Darifenacin with, for example, Atazanavir, Bethanechol, Clarithromycin. The full list is on the Darifenacin page.

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