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Drug interactions

Homatropine + Umeclidinium-vilanterol

Severity: Moderate

Homatropine 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

Homatropine is an antimuscarinic, and when used systemically in combination cough products it adds to umeclidinium's anticholinergic effects. This may cause dry mouth, constipation, urinary retention, blurred vision and tachycardia.

What this interaction means in plain words

Homatropine 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.

Homatropine belongs to Genitourinary; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive blockade of muscarinic receptors.

What to do

Avoid prolonged concurrent use and monitor for urinary retention, constipation and visual symptoms. Stop the homatropine product if anticholinergic effects emerge.

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 Homatropine with Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Homatropine 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. Homatropine is an antimuscarinic, and when used systemically in combination cough products it adds to umeclidinium's anticholinergic effects. This may cause dry mouth, constipation, urinary retention, blurred vision and tachycardia.

How serious is the interaction between Homatropine 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 prolonged concurrent use and monitor for urinary retention, constipation and visual symptoms. Stop the homatropine product if anticholinergic effects emerge.

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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