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Drug interactions

Scopolamine + Umeclidinium bromide

Severity: Moderate

Scopolamine and Umeclidinium bromide: 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

Umeclidinium is an inhaled long-acting muscarinic antagonist, and adding scopolamine may increase systemic anticholinergic effects. This can contribute to dry mouth, urinary retention, constipation, tachycardia and worsening of narrow-angle glaucoma.

What this interaction means in plain words

Scopolamine and Umeclidinium bromide 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.

Evidence level: Low

Why it happens

Additive muscarinic receptor blockade.

What to do

Avoid additional anticholinergic agents where possible; monitor for urinary retention, visual symptoms and constipation if both are used.

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 Scopolamine with Umeclidinium bromide?

MediHelp rates the interaction as moderate. Scopolamine and Umeclidinium bromide 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. Umeclidinium is an inhaled long-acting muscarinic antagonist, and adding scopolamine may increase systemic anticholinergic effects. This can contribute to dry mouth, urinary retention, constipation, tachycardia and worsening of narrow-angle glaucoma.

How serious is the interaction between Scopolamine and Umeclidinium bromide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid additional anticholinergic agents where possible; monitor for urinary retention, visual symptoms and constipation if both are used.

What other medicines interact with Scopolamine?

MediHelp also lists interactions of Scopolamine with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Scopolamine page.

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