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Drug interactions

Fesoterodine + Scopolamine

Severity: Moderate

Fesoterodine 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

Fesoterodine is an antimuscarinic for overactive bladder, so adding scopolamine duplicates anticholinergic effects. This raises the risk of dry mouth, constipation, urinary retention, blurred vision and cognitive impairment.

What this interaction means in plain words

Fesoterodine 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.

Fesoterodine belongs to Genitourinary; Scopolamine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive muscarinic receptor antagonism.

What to do

Avoid duplicate antimuscarinic therapy where possible, and monitor for anticholinergic effects and cognition if both are required.

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 Scopolamine?

MediHelp rates the interaction as moderate. Fesoterodine 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. Fesoterodine is an antimuscarinic for overactive bladder, so adding scopolamine duplicates anticholinergic effects. This raises the risk of dry mouth, constipation, urinary retention, blurred vision and cognitive impairment.

How serious is the interaction between Fesoterodine 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 duplicate antimuscarinic therapy where possible, and monitor for anticholinergic effects and cognition if both are required.

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.

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

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