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Drug interactions

Dicyclomine + Scopolamine

Severity: Moderate

Dicyclomine and Scopolamine: 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

Dicyclomine is an antimuscarinic antispasmodic, so adding scopolamine duplicates anticholinergic activity. This increases the risk of dry mouth, constipation, urinary retention, tachycardia, blurred vision and confusion.

What this interaction means in plain words

Dicyclomine and Scopolamine 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; Scopolamine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive muscarinic receptor antagonism.

What to do

Avoid concurrent use where possible. If both are needed, monitor for anticholinergic toxicity and reduce the dose of one agent as needed.

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 Scopolamine?

MediHelp rates the interaction as moderate. Dicyclomine and Scopolamine 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 is an antimuscarinic antispasmodic, so adding scopolamine duplicates anticholinergic activity. This increases the risk of dry mouth, constipation, urinary retention, tachycardia, blurred vision and confusion.

How serious is the interaction between Dicyclomine and Scopolamine?

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 concurrent use where possible. If both are needed, monitor for anticholinergic toxicity and reduce the dose of one agent as needed.

What other medicines interact with Scopolamine?

MediHelp also lists interactions of Scopolamine with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Scopolamine page.

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