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Drug interactions

Glucagon intranasal + Ipratropium

Severity: Moderate

Glucagon intranasal and Ipratropium: 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

Glucagon reduces gastrointestinal motility, and anticholinergics such as ipratropium do likewise. Together they may increase gastrointestinal adverse effects such as constipation or ileus, though inhaled ipratropium has low systemic exposure.

What this interaction means in plain words

Glucagon intranasal and Ipratropium 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.

Evidence level: Low

Why it happens

Additive inhibition of gastrointestinal motility via anticholinergic and glucagon effects.

What to do

Glucagon is typically given as a single emergency dose, so no routine change is needed. Monitor for gastrointestinal symptoms if used repeatedly.

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 Glucagon intranasal with Ipratropium?

MediHelp rates the interaction as moderate. Glucagon intranasal and Ipratropium 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. Glucagon reduces gastrointestinal motility, and anticholinergics such as ipratropium do likewise. Together they may increase gastrointestinal adverse effects such as constipation or ileus, though inhaled ipratropium has low systemic exposure.

How serious is the interaction between Glucagon intranasal and Ipratropium?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Glucagon is typically given as a single emergency dose, so no routine change is needed. Monitor for gastrointestinal symptoms if used repeatedly.

What other medicines interact with Ipratropium?

MediHelp also lists interactions of Ipratropium with, for example, Aclidinium, Benztropine, Bethanechol. The full list is on the Ipratropium page.

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