Disopyramide and Pilocarpine interaction

Disopyramide and Pilocarpine: both prescribing labels flag 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 Disopyramide (Norpace) label · effective 2026-08-24

Major

…anticholinergic activity, disopyramide phosphate should not be used in patients with glaucoma, myasthenia gravis, or urinary retention unless adequate overriding measures are taken; these consist of the topical application of potent miotics (e.g., pilocarpine) for patients with glaucoma, and catheter drainage or operative relief for patients with urinary retention.

Warningsnames PilocarpineView label on DailyMed

From the Pilocarpine (Pilocarpine hydrochloride) label · effective 2026-01-23

Moderate

These effects should be considered when anticholinergic properties may be contributing to the therapeutic effect of concomitant medication (e.g., atropine, inhaled ipratropium).

Drug interactionsby drug classView label on DailyMed
Minor

Pilocarpine might antagonize the anticholinergic effects of drugs used concomitantly.

Drug interactionsby drug classView 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.