Atropine and Irinotecan interaction

Atropine and Irinotecan: the Irinotecan prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Irinotecan (Camptosar) label · effective 2026-05-12

Major

Early diarrhea may be accompanied by cholinergic symptoms which may be prevented or ameliorated by atropine.

Boxed warningnames AtropineView label on DailyMed
Major

Consider prophylactic or therapeutic administration of 0.25 mg to 1 mg of intravenous or subcutaneous atropine (unless clinically contraindicated).

Warnings and precautionsnames AtropineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.