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Drug interactions

Desipramine + Glycopyrronium tosylate

Severity: Moderate

Desipramine and Glycopyrronium tosylate: 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

Topical glycopyrronium tosylate is applied for axillary hyperhidrosis and has some systemic absorption. With desipramine, additive anticholinergic effects such as dry mouth, blurred vision, urinary retention and constipation may occur.

What this interaction means in plain words

Desipramine and Glycopyrronium tosylate 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.

Evidence level: Low

Why it happens

Additive antimuscarinic effects.

What to do

Monitor for anticholinergic adverse effects and stop the topical agent if urinary retention, severe constipation or visual changes develop. Take extra care in patients with glaucoma or prostatic hypertrophy.

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 Glycopyrronium tosylate?

MediHelp rates the interaction as moderate. Desipramine and Glycopyrronium tosylate 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. Topical glycopyrronium tosylate is applied for axillary hyperhidrosis and has some systemic absorption. With desipramine, additive anticholinergic effects such as dry mouth, blurred vision, urinary retention and constipation may occur.

How serious is the interaction between Desipramine and Glycopyrronium tosylate?

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 and stop the topical agent if urinary retention, severe constipation or visual changes develop. Take extra care in patients with glaucoma or prostatic hypertrophy.

What other medicines interact with Desipramine?

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

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