Can you take Dicyclomine with Palcohol?
1 drug interaction and 23 additional warnings found for the following 2 drugs:
- dicyclomine
- Palcohol (ethanol)
Drug interactions
Moderate drug interactions
Moderate:
dicyclomine ethanol
Applies to: dicyclomine and Palcohol (ethanol)
Ask your doctor before using dicyclomine together with ethanol (alcohol).
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking dicyclomine.
You should be warned not to exceed recommended dosages and to avoid activities requiring mental alertness.
If your doctor prescribes these medications together, you may need a dose adjustment to safely take this combination.
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:
dicyclomine Alcohol (Ethanol)
Applies to: dicyclomine
Ask your doctor before using dicyclomine together with ethanol (alcohol).
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking dicyclomine.
You should be warned not to exceed recommended dosages and to avoid activities requiring mental alertness.
If your doctor prescribes these medications together, you may need a dose adjustment to safely take this combination.
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.
Disease interactions
22 potential interactions Applies to: 20 conditions, including High Blood Pressure, GERD, Arrhythmia, Hyperthyroidism, and Fever.
Arrhythmia
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Arrhythmia.
Antimuscarinic agents block vagal inhibition of the SA nodal pacemaker. These agents should be administered cautiously in patients with tachycardia, congestive heart failure, or coronary artery disease. Premature ventricular depolarization or ventricular tachycardia or fibrillation associated with antimuscarinic drugs is rare.
Autonomic Neuropathy
Major:
dicyclomine
Dicyclomine has a major potential interaction with Autonomic Neuropathy.
Agents with anticholinergic activity can exacerbate many of the manifestations of autonomic neuropathy, including tachycardia, anhidrosis, bladder atony, obstipation, dry mouth and eyes, cycloplegia and blurring of vision, and sexual impotence in males. Therapy with antimuscarinic agents and higher dosages of antispasmodic agents (e.g., dicyclomine or oxybutynin) should be administered cautiously in patients with autonomic neuropathy.
Cardiovascular Conditions and Disorders
Major:
dicyclomine
Dicyclomine has a major potential interaction with Cardiovascular Conditions and Disorders.
Therapy with dicyclomine is contraindicated in patients with unstable cardiovascular status in acute hemorrhage.
Esophageal Obstruction
Major:
dicyclomine
Dicyclomine has a major potential interaction with Esophageal Obstruction.
Anticholinergics are contraindicated in patients with obstructive diseases such as achalasia, esophageal stricture or stenosis, pyloroduodenal stenosis, stenosing peptic ulcer, pyloric obstruction, and paralytic ileus. Anticholinergics may further suppress intestinal motility with resultant precipitation or aggravation of toxic megacolon.
Fever
Minor:
dicyclomine
Dicyclomine has a minor potential interaction with Fever.
Atropine-like agents may increase the risk of hyperthermia in patients with fever by producing anhidrosis. Therapy with atropine-like agents should be administered cautiously in febrile patients.
Gastrointestinal Obstruction
Major:
dicyclomine
Dicyclomine has a major potential interaction with Gastrointestinal Obstruction.
Anticholinergics are contraindicated in patients with obstructive diseases such as achalasia, esophageal stricture or stenosis, pyloroduodenal stenosis, stenosing peptic ulcer, pyloric obstruction, and paralytic ileus. Anticholinergics may further suppress intestinal motility with resultant precipitation or aggravation of toxic megacolon.
GERD
Major:
dicyclomine
Dicyclomine has a major potential interaction with GERD.
Therapy with dicyclomine is contraindicated in patients with reflux esophagitis.
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with GERD.
Antimuscarinic agents decrease gastric motility and relax the lower esophageal sphincter which promotes gastric retention and can aggravate reflux. These drugs should be administered cautiously in patients with gastroesophageal reflux or hiatal hernia associated with reflux esophagitis.
Glaucoma/Intraocular Hypertension
Major:
dicyclomine
Dicyclomine has a major potential interaction with Glaucoma/Intraocular Hypertension.
Anticholinergic agents are contraindicated in patients with primary glaucoma, a tendency toward glaucoma (narrow anterior chamber angle), or adhesions (synechiae) between the iris and lens, as well as for the elderly and others in whom undiagnosed glaucoma or excessive pressure in the eye may be present. Because anticholinergics cause mydriasis, they may exacerbate these conditions.
High Blood Pressure
Minor:
dicyclomine
Dicyclomine has a minor potential interaction with High Blood Pressure.
Cardiovascular effects of anticholinergics may exacerbate hypertension. Therapy with anticholinergic agents should be administered cautiously in patients with hypertension.
Hyperthyroidism
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Hyperthyroidism.
Caution is recommended when using dicyclomine in patients with hyperthyroidism.
Infectious Gastroenteritis
Major:
dicyclomine
Dicyclomine has a major potential interaction with Infectious Gastroenteritis.
The use of drugs with antiperistaltic activity (primarily antidiarrheal and antimuscarinic agents, but also antispasmodic agents such as dicyclomine or oxybutynin at high dosages) is contraindicated in patients with diarrhea due to pseudomembranous enterocolitis or enterotoxin-producing bacteria. These drugs may prolong and/or worsen diarrhea associated with organisms that invade the intestinal mucosa, such as toxigenic E. coli, Salmonella and Shigella, and pseudomembranous colitis due to broad-spectrum antibiotics. Other symptoms and complications such as fever, shedding of organisms and extraintestinal illness may also be increased or prolonged. In general, because antiperistaltic agents decrease gastrointestinal motility, they may delay the excretion of infective gastroenteric organisms or toxins and should be used cautiously in patients with any infectious diarrhea, particularly if accompanied by high fever or pus or blood in the stool. Some cough and cold and other combination products may occasionally include antimuscarinic agents for their drying effects and may, therefore, require careful selection when necessary.
Ischemic Heart Disease
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Ischemic Heart Disease.
Antimuscarinic agents block vagal inhibition of the SA nodal pacemaker. These agents should be administered cautiously in patients with tachycardia, congestive heart failure, or coronary artery disease. Premature ventricular depolarization or ventricular tachycardia or fibrillation associated with antimuscarinic drugs is rare.
Liver Disease
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Liver Disease.
Effects of hepatic impairment on pharmacokinetics, safety and efficacy of dicyclomine have not been studied. Dicyclomine should be administered with caution in patients with hepatic impairment.
Moderate:
Palcohol
The ethanol in Palcohol has a moderate potential interaction with Liver Disease.
For IV ethanol, the initial infusion rate for continuous infusion in adults with liver disease is specified irrespective of chronic drinking status. The hepatic-disease regimen should be followed, and ethanol concentrations should be monitored to guide adjustment of the maintenance infusion rate and maintain the target concentration range.
Long QT Syndrome
Moderate:
Palcohol
The ethanol in Palcohol has a moderate potential interaction with Long QT Syndrome.
IV ethanol may prolong the QT interval; this occurred in some subjects at target plasma or serum ethanol concentrations. ECGs should be monitored during treatment and alternative treatments should be considered if QT prolongation is present or arrhythmias develop.
Myasthenia Gravis
Major:
dicyclomine
Dicyclomine has a major potential interaction with Myasthenia Gravis.
Because antimuscarinic agents have anticholinergic effects, they are contraindicated in patients with myasthenia gravis. Their use may be appropriate to reduce adverse muscarinic effects caused by an anticholinesterase agent.
Psychosis
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Psychosis.
Toxic psychosis manifested as confusion, disorientation, agitation, excitation, memory impairment, delusions and hallucinations may develop at toxic and therapeutic dosages of antimuscarinic agents. Therapy with these agents should be administered cautiously in patients with mental disorders receiving antimuscarinic agents for control of drug-induced extrapyramidal effects, especially at the beginning of therapy or during dosage adjustment. Psychiatric deterioration and psychotic flare-ups have also been reported following withdrawal of therapy. Symptoms include delusions, hallucinations, aggression or violent behavior, and suicidal tendencies. In high dosages, antimuscarinic agents may sometimes produce euphorigenic effects. For this reason, it can be a drug of abuse.
Renal Dysfunction
Moderate:
dicyclomine
Dicyclomine has a moderate potential interaction with Renal Dysfunction.
Effects of renal impairment on pharmacokinetics, safety and efficacy of dicyclomine have not been studied. Dicyclomine is substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Dicyclomine should be administered with caution in patients with renal impairment.
Tardive Dyskinesia
Major:
dicyclomine
Dicyclomine has a major potential interaction with Tardive Dyskinesia.
Anticholinergic agents and agents with secondary anticholinergic activity may aggravate tardive dyskinesia or induce previously suppressed symptoms. Therapy with these agents should be avoided, if possible, or administered cautiously in patients with preexisting tardive dyskinesia, particularly in the elderly. If tardive dyskinesia symptoms develop or worsen during treatment with an anticholinergic agent, prompt withdrawal of therapy will provide better chances of improving the condition.
Ulcerative Colitis
Major:
dicyclomine
Dicyclomine has a major potential interaction with Ulcerative Colitis.
Therapy with dicyclomine is contraindicated in patients with severe ulcerative colitis. Antimuscarinic agents, such as dicyclomine may suppress intestinal motility and produce paralytic ileus with resultant precipitation of toxic megacolon. Antimuscarinic agents should be administered cautiously to patients with ulcerative colitis.
Urinary Retention
Major:
dicyclomine
Dicyclomine has a major potential interaction with Urinary Retention.
In general, the use of anticholinergic agents is contraindicated in patients with urinary retention and bladder neck obstruction caused by prostatic hypertrophy. Dysuria may occur and may require catheterization. Also, anticholinergic drugs may aggravate partial obstructive uropathy. Caution is advised even when using agents with mild to moderate anticholinergic activity, particularly in elderly patients.
More resources
dicyclomine
A total of 223 drugs are known to interact with dicyclomine.
- Dicyclomine is in the drug class anticholinergics/antispasmodics.
- Dicyclomine is used to treat Irritable Bowel Syndrome.
Palcohol
A total of 560 drugs are known to interact with Palcohol.
- Palcohol is in the drug class miscellaneous uncategorized agents.
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.