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Drug interactions

Dicyclomine + Glycopyrronium tosylate

Severity: Moderate

Dicyclomine 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 has some systemic absorption and may add to the anticholinergic effects of dicyclomine. This can cause dry mouth, blurred vision, urinary retention and constipation.

What this interaction means in plain words

Dicyclomine 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: Moderate

Why it happens

Additive antimuscarinic effects at peripheral cholinergic receptors.

What to do

Monitor for anticholinergic effects such as urinary retention, blurred vision and constipation. Reduce the dicyclomine dose or stop one agent if symptoms develop.

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 Glycopyrronium tosylate?

MediHelp rates the interaction as moderate. Dicyclomine 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 has some systemic absorption and may add to the anticholinergic effects of dicyclomine. This can cause dry mouth, blurred vision, urinary retention and constipation.

How serious is the interaction between Dicyclomine 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 effects such as urinary retention, blurred vision and constipation. Reduce the dicyclomine dose or stop one agent if symptoms develop.

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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