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Drug interactions

Glycopyrronium tosylate + Imipramine

Severity: Moderate

Glycopyrronium tosylate and Imipramine: 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

Glycopyrronium tosylate is a topical anticholinergic used for axillary hyperhidrosis, and its systemic absorption is limited but present. With imipramine, additive anticholinergic effects such as dry mouth, urinary retention and blurred vision are possible.

What this interaction means in plain words

Glycopyrronium tosylate and Imipramine 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 antimuscarinic effects.

What to do

Monitor for anticholinergic adverse effects and stop the topical product if urinary retention or marked symptoms occur.

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 tosylate with Imipramine?

MediHelp rates the interaction as moderate. Glycopyrronium tosylate and Imipramine 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 tosylate is a topical anticholinergic used for axillary hyperhidrosis, and its systemic absorption is limited but present. With imipramine, additive anticholinergic effects such as dry mouth, urinary retention and blurred vision are possible.

How serious is the interaction between Glycopyrronium tosylate and Imipramine?

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 adverse effects and stop the topical product if urinary retention or marked symptoms occur.

What other medicines interact with Imipramine?

MediHelp also lists interactions of Imipramine with, for example, Dronedarone, Isocarboxazid, Phenelzine. The full list is on the Imipramine page.

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