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Drug interactions

Dicyclomine + Fesoterodine

Severity: Moderate

Dicyclomine and Fesoterodine: 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 block muscarinic receptors, so taking them together adds to anticholinergic effects such as dry mouth, constipation, blurred vision, urinary retention and confusion. Older patients are at particular risk of these effects.

What this interaction means in plain words

Dicyclomine and Fesoterodine 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.

Dicyclomine belongs to Respiratory; Fesoterodine belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive antimuscarinic pharmacodynamic effects at peripheral and central muscarinic receptors.

What to do

Avoid combining where possible, especially in older adults. If both are needed, monitor for urinary retention, constipation, cognitive changes and tachycardia, and use the lowest effective doses.

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 Dicyclomine with Fesoterodine?

MediHelp rates the interaction as moderate. Dicyclomine and Fesoterodine 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 block muscarinic receptors, so taking them together adds to anticholinergic effects such as dry mouth, constipation, blurred vision, urinary retention and confusion. Older patients are at particular risk of these effects.

How serious is the interaction between Dicyclomine and Fesoterodine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible, especially in older adults. If both are needed, monitor for urinary retention, constipation, cognitive changes and tachycardia, and use the lowest effective doses.

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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