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Drug interactions

Fesoterodine + Oxybutynin

Severity: Moderate

Fesoterodine and Oxybutynin: 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 are antimuscarinic agents for overactive bladder, so combining them duplicates therapy and increases dry mouth, constipation, blurred vision, urinary retention and cognitive effects without a well-established benefit.

What this interaction means in plain words

Fesoterodine and Oxybutynin 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.

Fesoterodine belongs to Genitourinary; Oxybutynin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Therapeutic duplication with additive muscarinic receptor blockade.

What to do

Avoid using two antimuscarinic bladder agents together; optimize one drug or switch class. If combined, monitor for retention and anticholinergic effects.

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 Fesoterodine with Oxybutynin?

MediHelp rates the interaction as moderate. Fesoterodine and Oxybutynin 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 are antimuscarinic agents for overactive bladder, so combining them duplicates therapy and increases dry mouth, constipation, blurred vision, urinary retention and cognitive effects without a well-established benefit.

How serious is the interaction between Fesoterodine and Oxybutynin?

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 using two antimuscarinic bladder agents together; optimize one drug or switch class. If combined, monitor for retention and anticholinergic effects.

What other medicines interact with Oxybutynin?

MediHelp also lists interactions of Oxybutynin with, for example, Bethanechol, Clozapine, Potassium chloride. The full list is on the Oxybutynin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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