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Drug interactions

Scopolamine + Umeclidinium-vilanterol

Severity: Moderate

Scopolamine and Umeclidinium-vilanterol: 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 antimuscarinic, and scopolamine is a systemic anticholinergic. Together they may add anticholinergic effects such as dry mouth, urinary retention, blurred vision, constipation and confusion.

What this interaction means in plain words

Scopolamine and Umeclidinium-vilanterol 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.

Scopolamine belongs to Respiratory; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive muscarinic receptor antagonism.

What to do

Monitor for anticholinergic effects, especially in older patients or those with glaucoma or urinary retention. Consider an alternative antiemetic if effects emerge.

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-vilanterol?

MediHelp rates the interaction as moderate. Scopolamine and Umeclidinium-vilanterol 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 antimuscarinic, and scopolamine is a systemic anticholinergic. Together they may add anticholinergic effects such as dry mouth, urinary retention, blurred vision, constipation and confusion.

How serious is the interaction between Scopolamine and Umeclidinium-vilanterol?

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 effects, especially in older patients or those with glaucoma or urinary retention. Consider an alternative antiemetic if effects emerge.

What other medicines interact with Umeclidinium-vilanterol?

MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol page.

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