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Drug interactions

Oxybutynin + Prochlorperazine

Severity: Moderate

Oxybutynin and Prochlorperazine: 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

Both drugs have anticholinergic activity, so combined use can increase dry mouth, constipation, urinary retention, blurred vision and confusion. Older patients are especially vulnerable to cognitive effects and heat intolerance.

What this interaction means in plain words

Oxybutynin and Prochlorperazine 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.

Oxybutynin belongs to Genitourinary; Prochlorperazine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive antimuscarinic effects; anticholinergics may also slow gastric motility and modestly alter oral phenothiazine absorption.

What to do

Monitor for anticholinergic toxicity and cognitive changes, especially in older adults. Consider an alternative antiemetic or bladder agent with less anticholinergic burden if symptoms develop.

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 Oxybutynin with Prochlorperazine?

MediHelp rates the interaction as moderate. Oxybutynin and Prochlorperazine 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. Both drugs have anticholinergic activity, so combined use can increase dry mouth, constipation, urinary retention, blurred vision and confusion. Older patients are especially vulnerable to cognitive effects and heat intolerance.

How serious is the interaction between Oxybutynin and Prochlorperazine?

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 and cognitive changes, especially in older adults. Consider an alternative antiemetic or bladder agent with less anticholinergic burden if symptoms develop.

What other medicines interact with Prochlorperazine?

MediHelp also lists interactions of Prochlorperazine with, for example, Dronedarone, Ibutilide, Nilotinib. The full list is on the Prochlorperazine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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