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Can you take Dexamethasone / neomycin ophthalmic with Trospium?

1 drug interaction and 12 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

dexAMETHasone ophthalmic trospium

Applies to: dexamethasone / neomycin ophthalmic and trospium

Using dexAMETHasone ophthalmic together with trospium may raise the pressure in your eye, known as intraocular pressure. This may make glaucoma worse in some patients. Contact your doctor if you experience increased side effects or if your condition changes. You may need your eye pressure checked more often if you use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Food/lifestyle interactions

Moderate food/lifestyle interactions

Moderate:

trospium Food/Lifestyle

Applies to: trospium

Trospium should be taken on an empty stomach 1 hour before or 2 hours after a meal unless otherwise directed by your doctor. You may experience reduced absorption of trospium in the presence of food. This will make it easier for your body to absorb the medication.

Disease interactions

11 potential interactions Applies to: 11 conditions, including Ulcerative Colitis, Eye Conditions, Myasthenia Gravis, Urinary Retention, and Cataract.

Alcoholism

Moderate:

trospium

Trospium has a moderate potential interaction with Alcoholism.

The use of alcohol may enhance the drowsiness caused by anticholinergic agents. It is recommended that alcohol should not be consumed within 2 hours of trospium administration. Caution should be exercised when using this agent in alcoholic patients.

Cataract

Major:

dexamethasone / neomycin ophthalmic

The dexAMETHasone ophthalmic in dexamethasone / neomycin ophthalmic has a major potential interaction with Cataract.

Prolonged use of corticosteroids may cause posterior subcapsular cataracts and elevated intraocular pressure, the latter of which may lead to glaucoma and/or damage to the optic nerves. Therapy with ophthalmic corticosteroids should be administered cautiously in patients with a history of cataracts, glaucoma, or increased intraocular pressure. If these agents are used for more than 10 days, the manufacturers recommend that intraocular pressure be routinely monitored, including in children. The equatorial and posterior subcapsular portions of the lens should be examined for changes.

Eye Conditions

Major:

dexamethasone / neomycin ophthalmic

The dexAMETHasone ophthalmic in dexamethasone / neomycin ophthalmic has a major potential interaction with Eye Conditions.

The use of ophthalmic corticosteroids is contraindicated in most viral diseases of the cornea and conjunctiva, including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella; fungal diseases of ocular structures; mycobacterial infections, including tuberculosis, of the eye; and any acute, purulent, untreated ocular infections. Corticosteroids may decrease host resistance to infectious agents, thus prolonging the course and/or exacerbating the severity of the infection while encouraging the development of new or secondary infection. In addition, administration of ophthalmic corticosteroids in severe ocular disease, especially acute herpes simplex keratitis, may lead to excessive corneal and scleral thinning, increasing the risk for perforation. In less serious ocular infections, therapy with ophthalmic corticosteroids may be administered but only with caution and accompanied by appropriate antimicrobial agents. Besides compromising host immune response, corticosteroids may also mask the symptoms of infection, thus hindering the recognition of potential ineffectiveness of the antibiotic therapy. If infection does not improve or becomes worse during administration of an ophthalmic corticosteroid, the drug should be discontinued and other appropriate therapy initiated.

Gastrointestinal Obstruction

Major:

trospium

Trospium has a major potential interaction with Gastrointestinal Obstruction.

The use of trospium is contraindicated in patients with gastric retention. Trospium reduces the tonus of smooth muscle and may decrease gastrointestinal motility, hence it should be used with caution in patients with conditions such as ulcerative colitis, intestinal atony and myasthenia gravis. Caution should be exercised when using this drug in patients with gastrointestinal obstructive disorders as it increases the risk of gastric retention.

Glaucoma, Narrow Angle

Major:

trospium

Trospium has a major potential interaction with Glaucoma, Narrow Angle.

The use of trospium is contraindicated in patients with uncontrolled narrow-angle glaucoma. In those patients being treated for narrow-angle glaucoma, trospium should only be used if the potential benefits outweigh the risks and in that circumstance only with careful monitoring.

Glaucoma/Intraocular Hypertension

Major:

dexamethasone / neomycin ophthalmic

The dexAMETHasone ophthalmic in dexamethasone / neomycin ophthalmic has a major potential interaction with Glaucoma/Intraocular Hypertension.

Prolonged use of corticosteroids may cause posterior subcapsular cataracts and elevated intraocular pressure, the latter of which may lead to glaucoma and/or damage to the optic nerves. Therapy with ophthalmic corticosteroids should be administered cautiously in patients with a history of cataracts, glaucoma, or increased intraocular pressure. If these agents are used for more than 10 days, the manufacturers recommend that intraocular pressure be routinely monitored, including in children. The equatorial and posterior subcapsular portions of the lens should be examined for changes.

Liver Disease

Moderate:

trospium

Trospium has a moderate potential interaction with Liver Disease.

Caution is advised when administering trospium to patients with moderate to severe hepatic impairment. There is no information regarding the effect of severe hepatic impairment on exposure to trospium.

Myasthenia Gravis

Major:

trospium

Trospium has a major potential interaction with Myasthenia Gravis.

The use of trospium is contraindicated in patients with gastric retention. Trospium reduces the tonus of smooth muscle and may decrease gastrointestinal motility, hence it should be used with caution in patients with conditions such as ulcerative colitis, intestinal atony and myasthenia gravis. Caution should be exercised when using this drug in patients with gastrointestinal obstructive disorders as it increases the risk of gastric retention.

Renal Dysfunction

Moderate:

trospium

Trospium has a moderate potential interaction with Renal Dysfunction.

Trospium is known to be substantially excreted by the kidney, and the risk of adverse reactions may be greater in patients with impaired renal function. A reduced dose is recommended in patients with severe renal impairment (CrCl less than 30 mL/minute). The pharmacokinetics of trospium have not been studied in patients with CrCl 30 to 80 mL/min.

Ulcerative Colitis

Major:

trospium

Trospium has a major potential interaction with Ulcerative Colitis.

The use of trospium is contraindicated in patients with gastric retention. Trospium reduces the tonus of smooth muscle and may decrease gastrointestinal motility, hence it should be used with caution in patients with conditions such as ulcerative colitis, intestinal atony and myasthenia gravis. Caution should be exercised when using this drug in patients with gastrointestinal obstructive disorders as it increases the risk of gastric retention.

Urinary Retention

Major:

trospium

Trospium has a major potential interaction with Urinary Retention.

Use of trospium is contraindicated in patients with urinary retention. Administer trospium with caution in patients with clinically significant bladder outflow obstruction because of the risk of urinary retention.

More resources

dexamethasone / neomycin ophthalmic

A total of 145 drugs are known to interact with dexamethasone / neomycin ophthalmic.

trospium

A total of 332 drugs are known to interact with trospium.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.