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Drug interactions

Glycopyrrolate + Umeclidinium-vilanterol

Severity: Moderate

Glycopyrrolate and Umeclidinium-vilanterol: 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

Glycopyrrolate is an antimuscarinic, and umeclidinium is a long-acting antimuscarinic, so combined use duplicates therapy. This may increase dry mouth, urinary retention, constipation and tachycardia.

What this interaction means in plain words

Glycopyrrolate and Umeclidinium-vilanterol 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.

Glycopyrrolate belongs to Respiratory; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive antimuscarinic effects from two anticholinergic agents.

What to do

Avoid the combination where possible; if glycopyrrolate is needed for another indication, monitor for anticholinergic effects and urinary retention.

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 Glycopyrrolate with Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Glycopyrrolate and Umeclidinium-vilanterol 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. Glycopyrrolate is an antimuscarinic, and umeclidinium is a long-acting antimuscarinic, so combined use duplicates therapy. This may increase dry mouth, urinary retention, constipation and tachycardia.

How serious is the interaction between Glycopyrrolate and Umeclidinium-vilanterol?

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 the combination where possible; if glycopyrrolate is needed for another indication, monitor for anticholinergic effects and urinary retention.

What other medicines interact with Umeclidinium-vilanterol?

MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol page.

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