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Drug interactions

Dicyclomine + Prochlorperazine

Severity: Moderate

Dicyclomine and Prochlorperazine: 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 have anticholinergic activity, so combined use can increase dry mouth, constipation, urinary retention, blurred vision and confusion. Anticholinergics may also slow gastric motility and modestly reduce the absorption of oral phenothiazines.

What this interaction means in plain words

Dicyclomine and Prochlorperazine 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; Prochlorperazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive antimuscarinic effects, with possible reduced oral phenothiazine absorption from slowed gastrointestinal motility.

What to do

Monitor for anticholinergic toxicity, particularly in older patients, and for reduced antiemetic or antipsychotic effect. Avoid combining where other options exist in patients with glaucoma, ileus or urinary retention.

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 Prochlorperazine?

MediHelp rates the interaction as moderate. Dicyclomine and Prochlorperazine 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 have anticholinergic activity, so combined use can increase dry mouth, constipation, urinary retention, blurred vision and confusion. Anticholinergics may also slow gastric motility and modestly reduce the absorption of oral phenothiazines.

How serious is the interaction between Dicyclomine and Prochlorperazine?

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 toxicity, particularly in older patients, and for reduced antiemetic or antipsychotic effect. Avoid combining where other options exist in patients with glaucoma, ileus or urinary retention.

What other medicines interact with Prochlorperazine?

MediHelp also lists interactions of Prochlorperazine with, for example, Dronedarone, Ibutilide, Nilotinib. The full list is on the Prochlorperazine page.

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