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Drug interactions

Perphenazine + Tiotropium

Severity: Minor

Perphenazine and Tiotropium: minor 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

Perphenazine has weak to moderate anticholinergic activity that may add to the antimuscarinic effects of tiotropium. Dry mouth, constipation and urinary retention may be more frequent.

What this interaction means in plain words

Perphenazine and Tiotropium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Perphenazine belongs to Central Nervous System; Tiotropium belongs to Respiratory.

Evidence level: Low

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Monitor for anticholinergic symptoms, especially in older patients or those with glaucoma or urinary retention.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Perphenazine with Tiotropium?

MediHelp rates the interaction as minor. Perphenazine and Tiotropium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Perphenazine has weak to moderate anticholinergic activity that may add to the antimuscarinic effects of tiotropium. Dry mouth, constipation and urinary retention may be more frequent.

How serious is the interaction between Perphenazine and Tiotropium?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic symptoms, especially in older patients or those with glaucoma or urinary retention.

What other medicines interact with Tiotropium?

MediHelp also lists interactions of Tiotropium with, for example, Glycopyrrolate inhaled, Indacaterol-glycopyrronium, Revefenacin. The full list is on the Tiotropium page.

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

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