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Drug interactions

Darifenacin + Umeclidinium-vilanterol

Severity: Moderate

Darifenacin and Umeclidinium-vilanterol: 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 umeclidinium and darifenacin are antimuscarinic agents, so combined use can add anticholinergic effects such as dry mouth, constipation, urinary retention and blurred vision. Systemic exposure from inhaled umeclidinium is low, so the effect is usually modest.

What this interaction means in plain words

Darifenacin and Umeclidinium-vilanterol 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; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Monitor for urinary retention, constipation, narrow-angle glaucoma symptoms and dry mouth. Reduce or stop one agent if anticholinergic effects become 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 Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Darifenacin and Umeclidinium-vilanterol 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 umeclidinium and darifenacin are antimuscarinic agents, so combined use can add anticholinergic effects such as dry mouth, constipation, urinary retention and blurred vision. Systemic exposure from inhaled umeclidinium is low, so the effect is usually modest.

How serious is the interaction between Darifenacin and Umeclidinium-vilanterol?

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 urinary retention, constipation, narrow-angle glaucoma symptoms and dry mouth. Reduce or stop one agent if anticholinergic effects become troublesome.

What other medicines interact with Umeclidinium-vilanterol?

MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol page.

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