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Drug interactions

Prochlorperazine + Scopolamine

Severity: Moderate

Prochlorperazine and Scopolamine: 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 antimuscarinic activity, so combined use can cause additive dry mouth, blurred vision, constipation, urinary retention, sedation and confusion. Older patients are especially susceptible.

What this interaction means in plain words

Prochlorperazine and Scopolamine 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.

Prochlorperazine belongs to Central Nervous System; Scopolamine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive antimuscarinic and sedative effects at central and peripheral receptors.

What to do

Monitor for anticholinergic toxicity and cognitive effects, particularly in older adults. Avoid the combination in patients with glaucoma or urinary retention.

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 Prochlorperazine with Scopolamine?

MediHelp rates the interaction as moderate. Prochlorperazine and Scopolamine 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 antimuscarinic activity, so combined use can cause additive dry mouth, blurred vision, constipation, urinary retention, sedation and confusion. Older patients are especially susceptible.

How serious is the interaction between Prochlorperazine and Scopolamine?

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 effects, particularly in older adults. Avoid the combination in patients with glaucoma or urinary retention.

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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