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Drug interactions

Maprotiline + Oxybutynin

Severity: Moderate

Maprotiline and Oxybutynin: 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 activity. Combined with oxybutynin it can add to dry mouth, constipation, urinary retention, tachycardia and confusion.

What this interaction means in plain words

Maprotiline and Oxybutynin 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 belongs to Central Nervous System; Oxybutynin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive antimuscarinic effects.

What to do

Monitor for anticholinergic toxicity, especially in the elderly, and use the lowest effective doses.

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 Maprotiline with Oxybutynin?

MediHelp rates the interaction as moderate. Maprotiline and Oxybutynin 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 activity. Combined with oxybutynin it can add to dry mouth, constipation, urinary retention, tachycardia and confusion.

How serious is the interaction between Maprotiline and Oxybutynin?

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 toxicity, especially in the elderly, and use the lowest effective doses.

What other medicines interact with Oxybutynin?

MediHelp also lists interactions of Oxybutynin with, for example, Bethanechol, Clozapine, Potassium chloride. The full list is on the Oxybutynin page.

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