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Drug interactions

Desipramine + Dicyclomine

Severity: Moderate

Desipramine and Dicyclomine: 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

Desipramine has antimuscarinic activity, although weaker than some other tricyclics. Together with dicyclomine, it may cause additive dry mouth, constipation, urinary retention and cognitive effects.

What this interaction means in plain words

Desipramine and Dicyclomine 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.

Desipramine belongs to Central Nervous System; Dicyclomine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive muscarinic receptor blockade.

What to do

Monitor for anticholinergic effects, especially in older patients, and reduce doses or choose alternatives if bothersome. Avoid in patients with urinary retention or narrow-angle glaucoma.

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 Desipramine with Dicyclomine?

MediHelp rates the interaction as moderate. Desipramine and Dicyclomine 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. Desipramine has antimuscarinic activity, although weaker than some other tricyclics. Together with dicyclomine, it may cause additive dry mouth, constipation, urinary retention and cognitive effects.

How serious is the interaction between Desipramine and Dicyclomine?

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, especially in older patients, and reduce doses or choose alternatives if bothersome. Avoid in patients with urinary retention or narrow-angle glaucoma.

What other medicines interact with Dicyclomine?

MediHelp also lists interactions of Dicyclomine with, for example, Clozapine, Henbane, Imipramine. The full list is on the Dicyclomine page.

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