Irinotecan and Scopolamine interaction

Irinotecan and Scopolamine: 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 warningby drug classView label on DailyMed
Moderate

• Diarrhea and Cholinergic Reactions : Early diarrhea (occurring during or shortly after infusion of CAMPTOSAR) is usually transient and may be accompanied by cholinergic symptoms.

Warnings and precautionsby drug classView label on DailyMed
Moderate

It may be accompanied by cholinergic symptoms of rhinitis, increased salivation, miosis, lacrimation, diaphoresis, flushing, and intestinal hyperperistalsis that can cause abdominal cramping.

Warnings and precautionsby drug classView label on DailyMed
Minor

Diarrhea and Cholinergic Reactions Early diarrhea (occurring during or shortly after infusion of CAMPTOSAR) is usually transient and infrequently severe.

Warnings and precautionsby drug classView label on DailyMed
Minor

Early diarrhea and other cholinergic symptoms may be prevented or treated.

Warnings and precautionsby 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.