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Interazioni tra farmaci

Clozapine + Glycopyrrolate

Gravità: Moderata

Clozapine and Glycopyrrolate: moderate interaction.

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Sintesi

Clozapine has substantial anticholinergic activity, and glycopyrrolate adds peripheral anticholinergic effects. The combination can worsen constipation, potentially leading to ileus or bowel obstruction, and can cause urinary retention, dry mouth and tachycardia.

Cosa significa questa interazione in parole semplici

Clozapine and Glycopyrrolate 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.

Clozapine belongs to Central Nervous System; Glycopyrrolate belongs to Respiratory.

Livello di evidenza: Moderate

Perché avviene

Additive antimuscarinic effects on gastrointestinal and other smooth muscle and glandular tissue.

Cosa fare

Monitor bowel function and urinary symptoms and use a bowel regimen as needed. Use the lowest effective glycopyrrolate dose and stop it if signs of obstruction develop.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Clozapine with Glycopyrrolate?

MediHelp rates the interaction as moderate. Clozapine and Glycopyrrolate 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. Clozapine has substantial anticholinergic activity, and glycopyrrolate adds peripheral anticholinergic effects. The combination can worsen constipation, potentially leading to ileus or bowel obstruction, and can cause urinary retention, dry mouth and tachycardia.

How serious is the interaction between Clozapine and Glycopyrrolate?

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 bowel function and urinary symptoms and use a bowel regimen as needed. Use the lowest effective glycopyrrolate dose and stop it if signs of obstruction develop.

What other medicines interact with Clozapine?

MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Irinotecan, Pimozide. The full list is on the Clozapine page.

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