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Drug interactions

Glycopyrronium + Maprotiline

Severity: Moderate

Glycopyrronium and Maprotiline: 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

Maprotiline is a tetracyclic antidepressant with anticholinergic effects, so with glycopyrronium it can cause additive dry mouth, constipation, urinary retention and tachycardia.

What this interaction means in plain words

Glycopyrronium and Maprotiline 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.

Glycopyrronium belongs to Respiratory; Maprotiline belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive pharmacodynamic antimuscarinic effects.

What to do

Monitor for anticholinergic effects and reduce doses or switch agents if they become troublesome.

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 Glycopyrronium with Maprotiline?

MediHelp rates the interaction as moderate. Glycopyrronium and Maprotiline 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. Maprotiline is a tetracyclic antidepressant with anticholinergic effects, so with glycopyrronium it can cause additive dry mouth, constipation, urinary retention and tachycardia.

How serious is the interaction between Glycopyrronium and Maprotiline?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic effects and reduce doses or switch agents if they become troublesome.

What other medicines interact with Glycopyrronium?

MediHelp also lists interactions of Glycopyrronium with, for example, Clozapine, Abobotulinumtoxina, Aclidinium. The full list is on the Glycopyrronium page.

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