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Drug interactions

Henbane + Tiotropium-olodaterol

Severity: Moderate

Henbane and Tiotropium-olodaterol: 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

Henbane contains hyoscyamine and scopolamine, which are antimuscarinic alkaloids, and can add to tiotropium's anticholinergic effects. This may cause dry mouth, tachycardia, urinary retention and confusion, and henbane has a narrow safety margin.

What this interaction means in plain words

Henbane and Tiotropium-olodaterol 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 muscarinic antagonism from plant tropane alkaloids.

What to do

Advise against henbane use with tiotropium. Monitor for anticholinergic toxicity if exposure occurs.

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 Henbane with Tiotropium-olodaterol?

MediHelp rates the interaction as moderate. Henbane and Tiotropium-olodaterol 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. Henbane contains hyoscyamine and scopolamine, which are antimuscarinic alkaloids, and can add to tiotropium's anticholinergic effects. This may cause dry mouth, tachycardia, urinary retention and confusion, and henbane has a narrow safety margin.

How serious is the interaction between Henbane and Tiotropium-olodaterol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise against henbane use with tiotropium. Monitor for anticholinergic toxicity if exposure occurs.

What other medicines interact with Tiotropium-olodaterol?

MediHelp also lists interactions of Tiotropium-olodaterol with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Tiotropium-olodaterol page.

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