Levbid, Levsin (hyoscyamine) dosing, indications, interactions, adverse effects, and more (2024)

  • abobotulinumtoxinA

    hyoscyamine increases effects of abobotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • aclidinium

    hyoscyamine and aclidinium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • amantadine

    hyoscyamine, amantadine. Mechanism: pharmacodynamic synergism. Use Caution/Monitor. Potential for increased anticholinergic adverse effects.

  • amitriptyline

    hyoscyamine and amitriptyline both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • amoxapine

    hyoscyamine and amoxapine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • anticholinergic/sedative combos

    anticholinergic/sedative combos and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • aripiprazole

    hyoscyamine decreases levels of aripiprazole by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of aripiprazole by pharmacodynamic antagonism. Use Caution/Monitor.aripiprazole increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • atracurium

    atracurium and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • atropine

    atropine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • atropine IV/IM

    atropine IV/IM and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • belladonna alkaloids

    belladonna alkaloids and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • belladonna and opium

    hyoscyamine and belladonna and opium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • benperidol

    hyoscyamine decreases levels of benperidol by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of benperidol by pharmacodynamic antagonism. Use Caution/Monitor.benperidol increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • benztropine

    benztropine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor. Additive anticholinergic adverse effects may be seen with concurrent use.

  • bethanechol

    bethanechol increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • buprenorphine, long-acting injection

    buprenorphine, long-acting injection increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Coadministration of buprenorphine with anticholinergic drugs may increase risk of urinary retention and/or severe constipation, which may lead to paralytic ileus.

  • carbachol

    carbachol increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • cevimeline

    cevimeline increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • chlorpromazine

    hyoscyamine decreases levels of chlorpromazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of chlorpromazine by pharmacodynamic antagonism. Use Caution/Monitor.chlorpromazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • cisatracurium

    cisatracurium and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • clomipramine

    hyoscyamine and clomipramine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • clozapine

    hyoscyamine decreases levels of clozapine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of clozapine by pharmacodynamic antagonism. Use Caution/Monitor.clozapine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • cyclizine

    cyclizine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • cyclobenzaprine

    cyclobenzaprine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • darifenacin

    darifenacin and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • daxibotulinumtoxinA

    hyoscyamine increases effects of daxibotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • desipramine

    hyoscyamine and desipramine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • dicyclomine

    dicyclomine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • diphenhydramine

    diphenhydramine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • donepezil

    donepezil increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • donepezil transdermal

    donepezil transdermal, hyoscyamine.Either decreases effects of the other by pharmacodynamic antagonism. Use Caution/Monitor.

  • dosulepin

    hyoscyamine and dosulepin both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • doxepin

    hyoscyamine and doxepin both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • droperidol

    hyoscyamine decreases levels of droperidol by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of droperidol by pharmacodynamic antagonism. Use Caution/Monitor.droperidol increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • echothiophate iodide

    echothiophate iodide increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • fesoterodine

    fesoterodine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • flavoxate

    flavoxate and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • fluphenazine

    hyoscyamine decreases levels of fluphenazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of fluphenazine by pharmacodynamic antagonism. Use Caution/Monitor.fluphenazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • galantamine

    galantamine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • glycopyrrolate

    glycopyrrolate and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • glycopyrrolate inhaled

    glycopyrrolate inhaled and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • haloperidol

    hyoscyamine decreases levels of haloperidol by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of haloperidol by pharmacodynamic antagonism. Use Caution/Monitor.haloperidol increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • henbane

    henbane and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • homatropine

    homatropine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • huperzine A

    huperzine A increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • hydroxyzine

    hydroxyzine and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • iloperidone

    hyoscyamine decreases levels of iloperidone by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of iloperidone by pharmacodynamic antagonism. Use Caution/Monitor.iloperidone increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • imipramine

    hyoscyamine and imipramine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • incobotulinumtoxinA

    hyoscyamine increases effects of incobotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • ipratropium

    hyoscyamine and ipratropium both decrease cholinergic effects/transmission. Use Caution/Monitor. Due to the poor systemic absorption of ipratropium, interaction unlikely at regularly recommended dosages.

  • letibotulinumtoxinA

    hyoscyamine increases effects of letibotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • levodopa

    hyoscyamine, levodopa. Other (see comment). Use Caution/Monitor. Comment: Anticholinergic agents may enhance the therapeutic effects of levodopa; however, anticholinergic agents can exacerbate tardive dyskinesia. In high dosage, anticholinergics may decrease the effects of levodopa by delaying its GI absorption. .

  • lofepramine

    hyoscyamine and lofepramine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • loxapine

    hyoscyamine decreases levels of loxapine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of loxapine by pharmacodynamic antagonism. Use Caution/Monitor.loxapine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • loxapine inhaled

    loxapine inhaled increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.hyoscyamine decreases levels of loxapine inhaled by pharmacodynamic antagonism. Use Caution/Monitor.

  • maprotiline

    hyoscyamine and maprotiline both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • meclizine

    hyoscyamine and meclizine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • methscopolamine

    hyoscyamine and methscopolamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • metoclopramide intranasal

    hyoscyamine will decrease the level or effect of metoclopramide intranasal by Other (see comment). Use Caution/Monitor. Coadministration of metoclopramide intranasal with drugs that impair GI motility may decrease systemic absorption of metoclopramide. Monitor for reduced therapeutic effect.

  • neostigmine

    neostigmine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • nortriptyline

    hyoscyamine and nortriptyline both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • olanzapine

    hyoscyamine decreases levels of olanzapine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of olanzapine by pharmacodynamic antagonism. Use Caution/Monitor.olanzapine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • olanzapine/samidorphan

    hyoscyamine, olanzapine/samidorphan.Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Coadministration of olanzapine and other drugs with anticholinergic (antimuiscarinic) activity can increase risk for severe gastrointestinal adverse reactions related to hypomotility. .

  • oliceridine

    hyoscyamine increases toxicity of oliceridine by Other (see comment). Use Caution/Monitor. Comment: Anticholinergic drugs may increase risk of urinary retention and/or severe constipation, which may lead to paralytic ileus. Monitor for signs of urinary retention or reduced gastric motility if oliceridine is coadministered with anticholinergics.

  • onabotulinumtoxinA

    hyoscyamine increases effects of onabotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • orphenadrine

    hyoscyamine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin

    hyoscyamine and oxybutynin both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin topical

    hyoscyamine and oxybutynin topical both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin transdermal

    hyoscyamine and oxybutynin transdermal both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • paliperidone

    hyoscyamine decreases levels of paliperidone by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of paliperidone by pharmacodynamic antagonism. Use Caution/Monitor.paliperidone increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • pancuronium

    hyoscyamine and pancuronium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • perphenazine

    hyoscyamine decreases levels of perphenazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of perphenazine by pharmacodynamic antagonism. Use Caution/Monitor.perphenazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • physostigmine

    physostigmine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • pilocarpine

    pilocarpine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • pimozide

    hyoscyamine decreases levels of pimozide by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of pimozide by pharmacodynamic antagonism. Use Caution/Monitor.pimozide increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • prabotulinumtoxinA

    hyoscyamine increases effects of prabotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • pralidoxime

    hyoscyamine and pralidoxime both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • prochlorperazine

    hyoscyamine decreases levels of prochlorperazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of prochlorperazine by pharmacodynamic antagonism. Use Caution/Monitor.prochlorperazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • promethazine

    hyoscyamine decreases levels of promethazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of promethazine by pharmacodynamic antagonism. Use Caution/Monitor.promethazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • propantheline

    hyoscyamine and propantheline both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • protriptyline

    hyoscyamine and protriptyline both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • pyridostigmine

    pyridostigmine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • quetiapine

    hyoscyamine decreases levels of quetiapine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of quetiapine by pharmacodynamic antagonism. Use Caution/Monitor.quetiapine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • rapacuronium

    hyoscyamine and rapacuronium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • rimabotulinumtoxinB

    hyoscyamine increases effects of rimabotulinumtoxinB by pharmacodynamic synergism. Use Caution/Monitor. Drugs with anticholinergic effects may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • risperidone

    hyoscyamine decreases levels of risperidone by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of risperidone by pharmacodynamic antagonism. Use Caution/Monitor.risperidone increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • rocuronium

    hyoscyamine and rocuronium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • scopolamine

    hyoscyamine and scopolamine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • solifenacin

    hyoscyamine and solifenacin both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • succinylcholine

    succinylcholine increases and hyoscyamine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • thioridazine

    hyoscyamine decreases levels of thioridazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of thioridazine by pharmacodynamic antagonism. Use Caution/Monitor.thioridazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • thiothixene

    hyoscyamine decreases levels of thiothixene by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of thiothixene by pharmacodynamic antagonism. Use Caution/Monitor.thiothixene increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • tiotropium

    hyoscyamine and tiotropium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • tolterodine

    hyoscyamine and tolterodine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • trazodone

    hyoscyamine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • trifluoperazine

    hyoscyamine decreases levels of trifluoperazine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of trifluoperazine by pharmacodynamic antagonism. Use Caution/Monitor.trifluoperazine increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • trihexyphenidyl

    hyoscyamine and trihexyphenidyl both decrease cholinergic effects/transmission. Use Caution/Monitor. Potential for additive anticholinergic effects.

  • trimipramine

    hyoscyamine and trimipramine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • trospium chloride

    hyoscyamine and trospium chloride both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • umeclidinium bromide

    umeclidinium bromide and hyoscyamine both decrease cholinergic effects/transmission. Use Caution/Monitor. If possible, avoid coadministration of additional anticholinergic agents

  • vecuronium

    hyoscyamine and vecuronium both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • ziprasidone

    hyoscyamine decreases levels of ziprasidone by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of ziprasidone by pharmacodynamic antagonism. Use Caution/Monitor.ziprasidone increases effects of hyoscyamine by pharmacodynamic synergism. Use Caution/Monitor. Additive anticholinergic effects, possible hypoglycemia.

  • zotepine

    hyoscyamine decreases levels of zotepine by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.hyoscyamine decreases levels of zotepine by pharmacodynamic antagonism. Use Caution/Monitor.

  • Levbid, Levsin (hyoscyamine) dosing, indications, interactions, adverse effects, and more (2024)
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