Drug interactions
Hyoscyamine spray + Perphenazine
Severity: Moderate
Hyoscyamine spray and Perphenazine: 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
Hyoscyamine given as an oral or sublingual spray is absorbed systemically and adds to the anticholinergic effects of perphenazine. Dry mouth, constipation, urinary retention, confusion and tachycardia may be enhanced.
What this interaction means in plain words
Hyoscyamine spray and Perphenazine 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.
Why it happens
Additive antimuscarinic pharmacodynamic effects.
What to do
Monitor for anticholinergic adverse effects, bowel function and urinary retention. Use the lowest effective doses and consider alternatives in older patients.
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?
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Other interactions of Perphenazine
- Ibutilide + Perphenazine Contraindicated
- Perphenazine + Pimozide Contraindicated
- Perphenazine + Thioridazine Contraindicated
- Adagrasib + Perphenazine Major
- Alfentanil + Perphenazine Major
- Amiodarone + Perphenazine Major
Frequently asked questions
Can I take Hyoscyamine spray with Perphenazine?
MediHelp rates the interaction as moderate. Hyoscyamine spray and Perphenazine 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. Hyoscyamine given as an oral or sublingual spray is absorbed systemically and adds to the anticholinergic effects of perphenazine. Dry mouth, constipation, urinary retention, confusion and tachycardia may be enhanced.
How serious is the interaction between Hyoscyamine spray and Perphenazine?
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, bowel function and urinary retention. Use the lowest effective doses and consider alternatives in older patients.
What other medicines interact with Perphenazine?
MediHelp also lists interactions of Perphenazine with, for example, Ibutilide, Pimozide, Thioridazine. The full list is on the Perphenazine page.
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