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Drug interactions

Dicyclomine + Umeclidinium

Severity: Moderate

Dicyclomine and Umeclidinium: 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 combining it with umeclidinium may increase anticholinergic adverse effects including dry mouth, constipation, urinary retention, blurred vision and tachycardia. Systemic umeclidinium exposure is low, but additive effects are possible in vulnerable patients.

What this interaction means in plain words

Dicyclomine and Umeclidinium 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; Umeclidinium belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Avoid unnecessary duplication of anticholinergic therapy, and monitor for urinary retention, constipation and eye symptoms, particularly in older patients.

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 Umeclidinium?

MediHelp rates the interaction as moderate. Dicyclomine and Umeclidinium 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 combining it with umeclidinium may increase anticholinergic adverse effects including dry mouth, constipation, urinary retention, blurred vision and tachycardia. Systemic umeclidinium exposure is low, but additive effects are possible in vulnerable patients.

How serious is the interaction between Dicyclomine and Umeclidinium?

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 unnecessary duplication of anticholinergic therapy, and monitor for urinary retention, constipation and eye symptoms, particularly in older patients.

What other medicines interact with Umeclidinium?

MediHelp also lists interactions of Umeclidinium with, for example, Tiotropium, Aclidinium, Atropine iv /. The full list is on the Umeclidinium page.

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