atropine

Brand Name :

Atropine PO,Atreza,Saltropine

Synonyms :

atropine

Class :

Antispasmodic agents, Anticholinergic agents,Antidote

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No data available for drug.

Atropine belongs to the anticholinergics class. It blocks the action of the acetylcholine. It is a neurotransmitter in the parasympathetic nervous system. It is responsible for rest and digest function of body.

Atropine binds and inhibits the muscarinic receptors in the parasympathetic nervous system and blocks the effects of acetylcholine. This can increase the activity of sympathetic nervous system and fight to flight response.

DRUG INTERACTION

atropine

&

  • Pembrolizumab / Berahyaluronidase
  • Bumetanide Intranasal
  • Gemcitabine intravesical
  • Rilzabrutinib
  • Zopapogene
  • Aceclidine
  • aluminium hydroxide
  • benzralizumab (Rx)
  • Rituximab
  • Trimetrexate Glucuronate
  • Mirdametinib
  • Suzetrigine
  • Potassium acid phosphate
  • Acellular Tissue Engineered Vessel
  • crinecerfont (pending approval from FDA)
  • Revumenib
  • pembrolizumab (Rx)
  • azathioprine (Rx)
  • Gemcitabine (Rx)
  • Seladelpar
  • Atezolizumab / Hyaluronidase-tqjs
  • Axatilimab-csfr
  • Afamitresgene Autoleucel
  • Lazertinib
  • Ocrelizumab / Hyaluronidase ocsq
  • Lebrikizumab
  • naloxone intranasal
  • clomiphene
  • patisiran
  • imetelstat
  • phenylephrine ophthalmic
  • myoinositol
  • vasicinone
  • soda lime
  • fisetin
  • Reynoutria Japonica
  • Coco Monoethanolamide
  • Betadex
  • lithopone
  • cyperus rotundus
  • papaya juice
  • 1-naphthaleneacetic acid
  • Nordazepam
  • Glechoma hederacea
  • Alternanthera sessilis
  • nicofetamide
  • napthol asol
  • cocamidopropyl betaine
  • musa x paradisiaca
  • dicyclomine/mefenamic acid
  • Sorghum
  • Manganese citrate
  • tovorafenib
  • mefenamic acid/paracetamol
  • eschscholzia californica
  • canna indica root
  • tranexamic acid/mefenamic acid
  • dexverapamil
  • sitogluside
  • secalciferol
  • cefatrizine
  • Sedum Acre
  • Flurogestone
  • Fluocortin
  • Bifendate
  • piprozolin
  • aminacrine undecylate
  • ethylenediamine mandelate
  • pelubiprofen
  • hesperetin
  • butethamine
  • epitiostanol
  • androstenediol
  • Nitroxoline
  • Iocarmic acid
  • Capobenic acid
  • dordaviprone (investigational drug)
  • Vitexin
  • Friluglanstat (investigational drug)
  • scorias spongiosa
  • Luseogliflozin
  • indoxacarb
  • prademagene zamikeracel
  • fidanacogene elaparvovec-dzkt
  • albifylline
  • idanpramine
  • araneus diadematus
  • Sulfamazone
  • Lycosa tarantula
  • malotilate
  • Ethacizine
  • Namilumab
  • Latrunculin B
  • stachyose
  • platinic oxide
  • iopronic acid
  • calcium chloride / potassium chloride/lactic acid/ sodium chloride/sodium hydroxide/sodium lactate solution
  • citric acid/ sodium bicarbonate/ sodium carbonate anhydrous
  • vadadustat
  • permethrin medical grade cis/trans isomers 25/75
  • lutetium, isotope of mass 177
  • human normal immunoglobulin
  • sacrosidase
  • apadamtase alfa, recombinant
  • acetyl hexapeptide-8 amide
  • pemivibart (Investigational)
  • govorestat
  • Zanidatamab
  • sotatеrcеpt
  • MV 140 vaccine
  • leuprorelin implant
  • cinchocaine hydrochloride/fluocortolone hexanoate/fluocortolone pivalate
  • Beautyberry
  • risedronate/calcium/vitamin D3
  • rhubarb extract/senna leaf/sulphur purified/wood charcoal
  • boric acid/kaolin/methyl salicylate/peppermint oil/thymol
  • docosahexaenoic acid/eicospentaenoic acid
  • aluminium hydroxide/magnesium hydroxide/simethicone
  • gentamicin/hydrocortisone
  • succinylcholine
  • sinefungin
  • letibotulinumtoxinA
  • coal tar/coconut oil/salicylic acid
  • camphor/camphor oil white/capsicum oleoresin /menthol/methyl salicylate
  • thioglycolic acid
  • acetic acid auricular
  • roluperidone
  • hydrocortisone/crotamiton topical
  • nystatin/chlorhexidine
  • aluminium chloride hexahydrate
  • ketoprofen topical
  • Chlormethine
  • podophyllotoxin
  • urea/lactic acid
  • autologous chondrocytes implant
  • afelimomab
  • gepotidacin
  • fludroxycortide
  • fentanyl transdermal
  • erythromycin/zinc acetate
  • dibotermin alfa powder
  • desferrioxamine mesilate
  • choline salicylate/magnesium salicylate
  • castor oil/peru balsam/trypsin
  • betamethasone/dexchlorpheniramine maleate
  • benzalkonium chloride solution/cetrimide
  • barzolvolimab
  • ascorbic acid / calcium laevulinate / nicotinamide / calcium pantothenate / calcium chloride / riboflavine / pyridoxine hydrochloride / thiamine hydrochloride
  • argipressin
  • arachis oil refined/chlorobutanol hemihydrate
  • arachis oil/eucalyptol/nutmeg oil/terpineol
  • ammonium chloride/diphenhydramine hydrochloride/levomenthol
  • amino acid mixture d / calcium chloride dihydrate / glucose monohydrate / glycine / magnesium chloride hexahydrate / olive oil / potassium chloride / sodium acetate trihydrate / sodium glycerophosphate pentahydrate / soya-bean oil
  • biotin/colecalciferol/copper (ii)sulfate dried/ cyanocobalamine/ dl-alpha tocopherol acetate/dibasic calcium phosphate anhydrous/folic acid/iron (ii)sulfate dried/ lecithin/ magnesium sulfate dried/ nicotinamide/ pyridoxine hydrochloride/ riboflavin
  • ampicillin sodium / cloxacillin sodium
  • undecylenic acid, undecylenate salts, zincundecate
  • omeprazole/sodium bicarbonate
  • efgartigimod alfa/hyaluronidase
  • xylometazoline/ipratropium
  • cefepime and enmetazobactam
  • isotonic sodium chloride
  • bee venom allergen injection
  • fentanyl intranasal
  • alglucosidase alfa
  • triprolidine/pseudoephedrine
  • pegademase bovine
  • castor oil and peru balsam
  • camphor/eucalyptus oil/menthol
  • oxyquinoline/sodium lauryl sulfate
  • somatorelin
  • menotrophin injection
  • menadiol
  • hylan g-f 20
  • cefepime and taniborbactum
  • water avens
  • camphor/menthol
  • acoramidis
  • elafibranor
  • arrowroot
  • miconazole nitrate/hydrocortisone
  • vildagliptin/metformin
  • dobesilic acid
  • aroxybutynin and atomoxetine
  • hygromycin
  • linvoseltamab
  • nemolizumab
  • aceprometazine
  • limaprost
  • oxazolam
  • trimegestone
  • teceleukin
  • beauty berry
  • dinotefuran
  • imiprothrin
  • transfluthrin
  • thymalfasin
  • technetium Tc 99m tilmanocept
  • glepaglutide
  • marstacimab
  • pixantrone
  • Andiroba
  • arabinoxylan
  • arenaria rubra
  • etripamil
  • jequirity
  • jiaogulan
  • dusquetide
  • rolipram
  • tradipitant
  • sinfungin
  • diclofenac/omeprazole
  • brinzolamide and timolol maleate
  • wormseed
  • wormwood
  • wood sorrel
  • carmellose sodium
  • ibandronic acid
  • cinnarizine and dimenhydrinate
  • ursodeoxycholic acid
  • rhubarb extract/salicylic acid
  • butamirate citrate
  • fumitory
  • taheebo
  • uva ursi
  • vervain
  • coleus
  • coltsfoot
  • crampbark
  • plantain
  • potassium nitrate and silver nitrate
  • gelsemium
  • gentian
  • glucomannan
  • walnut
  • meadowsweet
  • midomafetamine
  • pennyroyal
  • periwinkle
  • betony
  • bitter orange
  • bladderwrack
  • bloodroot
  • emu oil
  • garcinia
  • yellow dock
  • burdock
  • dehydroepiandrosterone
  • aucubin
  • jasmone
  • resacetophenone
  • ecamsule ditriethanolamine
  • feclobuzone
  • fenoprop triethanolamine
  • verdyl acetate
  • caffeic acid
  • cyclamen aldehyde
  • dicetyldimonium chloride
  • wogonin
  • impacarzine
  • laurylpyridinium chloride
  • stepronin
  • matrine
  • sakuranin
  • cannabichromene
  • sandalore
  • sabinene
  • oxypaeoniflora
  • ethylhexyl pelargonate
  • acrylonitrile
  • allyl alcohol
  • dipalmitoylethyl hydroxyethylmonium methosulfate
  • butidrine
  • clothiapine
  • propanediol dicaprylate
  • buchu
  • undecanol
  • enilconazole
  • xymenynic acid
  • angelica
  • nizubaglustat
  • resomelagon
  • ulecaciclib
  • apple cider vinegar
  • bacopa
  • barley grass
  • dandelion
  • deer velvet
  • dolomite
  • bugleweed
  • bupleurum
  • glyceryltrinitrate
  • pociredir
  • asnuciclib
  • actalycabtagene autoleucel
  • butantan–dengue vaccine
  • travoprost/timolol
  • furosemide/potassium chloride
  • amylamine
  • jaborandi
  • patritumab deruxtecan
  • jackfruit
  • sterculia
  • ascorbigen
  • ashitaba
  • androstenetrione
  • andrachne
  • cosibelimab
  • racecadotril
  • neomycin/chlorhexidine
  • octocog alfa
  • cetrimide
  • ispaghula husk
  • polyhexanide
  • octenidine
  • polygeline
  • heparinoid
  • jewelweed
  • boldo
  • anizatrectinib
  • alpinia
  • henbane
  • cynanchum vincetoxicum root and sulfur
  • boditrectinib
  • izumerogant
  • zavondemstat
  • abuta
  • fadogia agrestis
  • fly agaric mushroom
  • meptazinol
  • methoxyflurane
  • tramadol/dexketoprofen
  • betaine/polyhexanide
  • filgotinib
  • inosine acedoben dimepranol
  • alverine citrate
  • hyoscine butylbromide
  • senna+ ispaghula
  • cabbage palm
  • cajeput oil
  • calanus oil
  • calamint
  • canada balsam
  • carnosine
  • alverine citrate/simeticone
  • dihydroartemisinin/piperaquine
  • mebeverine/ispaghula
  • calcipotriol
  • tacalcitol
  • triethyl citrate/ethyl linoleate
  • sodium dilauramidoglutamide lysine
  • fazamorexant
  • avibactam tomilopil and ceftibuten
  • drostanolone
  • tigilanol tiglate
  • isorhynchophylline
  • rhynchophylline
  • crisugabalin
  • epigallocatechin gallate
  • clomocycline
  • corynoxeine
  • isocorynoxeine
  • Culmerciclib
  • Neladenoson
  • ambrein
  • hexylcaine
  • phensuximide
  • resencatinib (investigational)
  • rolusafine
  • pumecitinib
  • arhalofenic acid
  • berdazimer sodium
  • benzquinamide
  • clidinium
  • sulfametopyrazine
  • fulzerasib (Investigational Drug)
  • rovadicitinib (Investigational Drug)
  • Upleganan (Investigational Drug)
  • menthyl ethylamido oxalate
  • quaternium-90 montmorillonite
  • unecritinib (investigational drug)
  • etohexadiol
  • guaiol
  • proximadiol
  • verdinexor
  • sofnobrutinib
  • talbutal
  • ethoxzolamide
  • propiomazine
  • enprofylline
  • phenmetrazine
  • merigolix
  • pralurbactam
  • neracorvir
  • vonifimod
  • apaziquone hydroquinone
  • darizmetinib
  • zandelisib
  • xininurad
  • ritivixibat
  • amiselimod phosphate (investigational drug)
  • emzeltrectinib (investigational drug)
  • ficonalkib
  • cinalukast
  • ulobetasol
  • candoxatril
  • nitrofural
  • acetyldigitoxin
  • bentiromide
  • dextrothyroxine
  • chlorotrianisene
  • remikiren
  • pipobroman
  • vidarabine
  • immune globulin intravenous, human-stwk
  • spermine
  • serine
  • N-acetyl glucosamine
  • valine
  • adenine
  • asparagine
  • citrulline
  • adinazolam
  • interferon alfacon-1
  • interferon alfa-n1
  • felypressin
  • birch triterpenes
  • pyridoxal phosphate
  • technetium Tc-99m arcitumomab
  • beta-alanine
  • dihomo-gamma-linolenic acid
  • urea/hydrocortisone
  • R21/Matrix-M vaccine
  • povidone-iodine (ophthalmic)
  • pheniramine
  • hydrocortisone rectal
  • chloroxylenol/pramoxine/zinc acetate
  • chloroxylenol/pramoxine
  • dextrose/sucrose/vitamin C/zinc sulphate
  • furazolidone/metronidazole/dicyclomine
  • ergocalciferol (vitamin D2)
  • benoxaprofen (discontinued)
  • teicoplanin
  • carbomer
  • chromic chloride / iron (ii) chloride tetrahydrate / potassium iodide / manganese chloride / sodium fluoride / sodium selenite pentahydrate / sodium molybdate dihydrate / zinc chloride/ cupric chloride
  • bufylline
  • lidocaine/prilocaine
  • opium tincture, squill oxymel
  • dibrompropamidine
  • metronidazole/tetracycline/bismuth subsalicylate
  • agnus- castus
  • velaglucerase alfa
  • alendronic acid / colecalciferol
  • bimatoprost / timolol
  • efbemalenograstim alfa
  • dried ferrous sulfate/folic acid
  • dried ferrous sulfate / sodium ascorbate
  • nirogacestat
  • soya-bean oil, medium-chain triglycerides
  • demeclocycline hydrochloride and triamcinolone acetonide
  • fusidic acid / hydrocortisone acetate
  • macrogol
  • storax, benzoin
  • nomegestrol acetate/estradiol
  • flumetasone pivalate/ clioquinol
  • berdazimer topical (Pending FDA Approval)
  • buflomedil
  • butobarbital
  • andexanet alfa
  • methoxypolyethylene glycol-epoetin beta
  • viscum abietis
  • pramoxine vaginal
  • bupivacaine implant
  • cromolyn sodium, inhaled
  • pneumococcal vaccine 20-valent
  • bimatoprost ophthalmic implant
  • tick-borne encephalitis vaccine
  • chloroprocaine ophthalmic
  • travoprost intraocular implant (Pending FDA approval)
  • typhoid polysaccharide vaccine
  • sodium phosphate
  • human papillomavirus vaccine, nonavalent
  • peanut immunotherapy epicutaneous (FDA approval pending)
  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
  • oral mucoadhesive
  • clindamycin vaginal
  • whole blood (Blood Component)
  • fibrinogen/thrombin
  • levothyroxine/liothyronine
  • ipratropium intranasal
  • metronidazole vaginal
  • cyamemazine
  • brinase
  • reviparin
  • ulinastatin
  • saruplase
  • acepromazine
  • emylcamate
  • methionine
  • amino acids and electrolytes in dextrose with calcium
  • slippery elm
  • camostat
  • hemoglobin crosfumaril
  • moperone
  • chlormidazole
  • brilaroxazine
  • palopegteriparatide
  • diazepam buccal
  • benegrastim (pending for FDA approval)
  • COVID-19 vaccine, adjuvanted-Novavax
  • vestronidase alfa-vjbk
  • tebipenem (Pending FDA Approval)
  • tislelizumab (Pending FDA Approval)
  • zolbetuximab (Pending FDA Approval)
  • zoliflodacin (pending FDA approval)
  • zibotentan and dapagliflozin
  • fluorine F18 DCFPyL
  • debamestrocel
  • givinostat
  • amubarvimab and romlusevimab(Pending FDA Approval)
  • sabizabulin(Pending FDA approval)
  • fexapotide(Phase 3 Clinical trial)
  • diatrizoic acid
  • drotaverine
  • diethyl phthalate
  • enclomiphene
  • epalrestat
  • ethamsylate
  • flupirtine
  • imidurea
  • sodium glycolate
  • feracrylum
  • ethacridine
  • furazolidone/metronidazole
  • ozagrel hydrochloride
  • leptazol
  • l-glutamic acid /vitamin B complex
  • etizolam
  • etizolam/propranolol
  • ethoheptazine citrate
  • etophylline and theophylline
  • etophylline
  • finger millet
  • drotaverine/mefenamic acid
  • dichloroxylenol
  • pneumococcal 7-valent vaccine
  • diclofenac and metaxalone
  • dipivefrin ophthalmic
  • enbucrilate
  • potassium citrate and citric acid
  • potassium gluconate
  • aclarubicin
  • alfuzosin/dutasteride
  • adrenochrome monosemicarbazone
  • selenium sulfide topical
  • sertaconazole
  • amorolfine cream
  • amsacrine
  • amylmetacresol
  • sulfonated phenolics in aqueous solution
  • technetium Tc-99m sulfur colloid
  • raltitrexed
  • romiplostim
  • acediasulfone
  • azulene
  • acebrophylline
  • clonazepam/escitalopram oxalate
  • allylestrenol
  • andrographolide
  • artemotil
  • technetium Tc-99m sestamibi
  • rubidium Rb-82
  • somapacitan
  • sodium sulfate, magnesium sulfate and potassium sulfate
  • almitrine
  • gramicidin
  • nikethamide
  • technetium Tc-99m sodium pertechnetate
  • betiatide
  • prilocaine/epinephrine
  • amlexanox
  • acetaminophen/salicylamide/phenyltoloxamine
  • neomycin topical
  • zilucoplan
  • antazoline and xylometazoline
  • toripalimab
  • iron isomaltoside
  • meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • tetradecyl Sulfuric Acid
  • benzoyl peroxide, clindamycin phosphate, adapalene
  • ethylephedrine
  • actarit
  • pyrantel tartrate
  • tenofovir disoproxil fumarate or tenofovir DF
  • melitracen
  • amitriptylinoxide(Phase 4 Clinical Trials)
  • threonine
  • ditiocarb zinc
  • epicriptine
  • levallorphan
  • kinetin
  • laurocapram
  • pentagastrin
  • parthenolide
  • nicoboxil
  • protionamide
  • prulifloxacin
  • proscillaridin
  • tizanidine and rofecoxib
  • tolnaftate, gentamicin, chinoform and betamethasone valerate
  • pine bark extract
  • pipenzolate methylbromide
  • bephenium hydroxynaphthoate
  • niclosamide
  • pyrvinium
  • pipenzolate methylbromide/phenobarbitone
  • piracetam/ginkgo biloba/vinpocetine
  • benzyl benzoate/disulfiram
  • benzyl benzoate
  • loperamide/simethicone
  • piroctone olamine
  • sodium fusidate
  • piroxicam topical/capsaicin/menthol/methyl salicylate
  • sodium metabisulfite
  • sodium lauryl sulfate
  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
  • triamterene / benzthiazide
  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
  • sucralfate/tinidazole/povidone iodine
  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
  • aminophylline, ephedrine and phenobarbitone
  • artesunate, sulphadoxine and pyrimethamine
  • finasteride/tamsulosin
  • flavoxate/ofloxacin
  • fenofibrate/metformin
  • lignocaine, hydrocortisone topical and allantoin
  • linoleic acid and sodium lactate
  • troxerutin
  • meclizine/nicotinic acid
  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
  • ketoconazole/cetrimide
  • ketoconazole/zinc pyrithione
  • lercanidipine/atenolol
  • levocetirizine/montelukast/ambroxol
  • levarterenol
  • levocetirizine/phenylpropanolamine 
  • indapamide/amlodipine
  • itopride/methyl polysiloxane
  • mebendazole/levamisole
  • eberconazole/mometasone
  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
atropine + 

Severity : Serious Use Alternative
anticholinergic agents increase the efficacy of glycopyrrolate

clozapine 

may increase the constipating effect of anticholinergic agents

secretin 

may decrease the therapeutic effect of anticholinergic agents

agmatine

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

mibefradil

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

donepezil

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

rivastigmine

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

labetalol 

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

amantadine 

may diminish the excretion rate of amantadine

cimetropium 

may increase the anticholinergic effect of anticholinergic agents

eluxadoline 

may increase the constipating effect of anticholinergic agents

glycopyrrolate 

may increase the anticholinergic effect of anticholinergic agents

macimorelin 

may decrease the diagnostic effect of atropine

oxatomide 

may increase the anticholinergic effect of anticholinergic agents

potassium chloride 

may increase the ulcerogenic effect of anticholinergic agents

potassium citrate 

may increase the ulcerogenic effect of anticholinergic agents

revefenacin 

may increase the anticholinergic effect of anticholinergic agents

tiotropium 

may increase the anticholinergic effect of anticholinergic agents

umeclidinium 

may increase the anticholinergic effect of anticholinergic agents

aclidinium 

it increases the effect of anticholinergic agents

tiotropium 

they increase the anticholinergic effect of tiotropium

cimetropium 

anticholinergic agents increase the efficacy of cimetropium

eluxadoline 

anticholinergic agents increase the effect of constipation of eluxadoline

anticholinergic agents increase the efficacy of glycopyrrolate

ipratropium 

it increases the effect of anticholinergic agents

oxatomide 

it increases the effect of anticholinergic agents

potassium chloride 

anticholinergic agents increase the ulcer-producing effect of potassium chloride

pramlintide 

it increases the effect of anticholinergic agents

umeclidinium 

it increases the effect of anticholinergic agents

aclidinium 

it increases the effect of anticholinergic agents

umeclidinium 

it increases the effect of anticholinergic drugs

cimetropium 

anticholinergic agents increase the effect of cimetropium

eluxadoline 

it increases the effect of constipation of anticholinergic agents

ipratropium 

it increases the effect of anticholinergic agents

potassium chloride 

it increases the effect of ulcer formation of anticholinergic agents

potassium citrate 

it increases the effect of anticholinergic agents

revefenacin 

it increases the effect of anticholinergic agents

tiotropium 

anticholinergic agents increase the effect of tiotropium

cefiderocol

may diminish the rate of excretion which results in higher serum level

cephalothin

may diminish the rate of excretion which results in higher serum level

cefmetazole

may diminish the rate of excretion which results in higher serum level

ceftizoxime

may diminish the rate of excretion which results in higher serum level

cefonicid

may diminish the rate of excretion which results in higher serum level

donepezil (Rx)

may decrease the therapeutic effect of anticholinergic agents

prabotulinumtoxinA

may decrease the therapeutic effect of anticholinergic agents

nabilone

may increase the anticholinergic effect of anticholinergic agents

cannabidiol

may increase the anticholinergic effect of anticholinergic agents

remifentanil

may decrease the therapeutic effect of anticholinergic agents

hydrocodone/pseudoephedrine

may decrease the therapeutic effect of anticholinergic agents

codeine

may decrease the therapeutic effect of anticholinergic agents

morphine

may decrease the therapeutic effect of anticholinergic agents

hydrochlorothiazide

may increase the serum concentration of anticholinergic agents

metolazone

may increase the serum concentration of anticholinergic agents

quinethazone

may increase the serum concentration of anticholinergic agents

trichlormethiazide

may increase the serum concentration of anticholinergic agents

topiramate 

may increase the toxic effect of anticholinergic agents

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

pancuronium

may increase the risk of adverse effect of other cholinergic antagonists 

botulinum toxin

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

abobotulinumtoxinA

may increase the risk of adverse effect of other cholinergic antagonists 

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

mepenzolate

may increase the risk of adverse effect of other cholinergic antagonists 

homatropine (ophthalmic)

may increase the risk of adverse effect of other cholinergic antagonists 

methscopolamine

may increase the risk of adverse effect of other cholinergic antagonists 

fecal microbiota, live-jslm

may reduce the effect of gastrointestinal drugs

vedolizumab

may reduce the effect of gastrointestinal drugs

adalimumab

may reduce the effect of gastrointestinal drugs

natalizumab

may reduce the effect of gastrointestinal drugs

bismuth subgallate

may reduce the effect of gastrointestinal drugs

fecal microbiota, live-jslm

may reduce the effect of gastrointestinal drugs

vedolizumab

may reduce the effect of gastrointestinal drugs

adalimumab

may reduce the effect of gastrointestinal drugs

natalizumab

may reduce the effect of gastrointestinal drugs

bismuth subgallate

may reduce the effect of gastrointestinal drugs

prucalopride

may reduce the therapeutic effect

nabilone

may increase the tachycardic effect

cannabidiol

may increase the tachycardic effect

nabilone

May enhance the tachycardic effect

cannabidiol

May enhance the tachycardic effect

eluxadoline

may enhance the adverse/toxic effect

naldemedine

may enhance the adverse/toxic effect

metamizole

may enhance the adverse/toxic effect

piroxicam

may enhance the adverse/toxic effect

remifentanil

may enhance the adverse/toxic effect

hydrocodone/pseudoephedrine

may enhance the adverse/toxic effect

codeine

may enhance the adverse/toxic effect

morphine

may enhance the adverse/toxic effect

cyclopentolate

may increase the risk of adverse effects

atropine

may increase the risk of adverse effects

mepenzolate

may increase the risk of adverse effects

homatropine (ophthalmic)

may increase the risk of adverse effects

methscopolamine

may increase the risk of adverse effects

remifentanil

may increase the risk of adverse effects of opioid agonists

hydrocodone/pseudoephedrine

may increase the risk of adverse effects of opioid agonists

codeine

may increase the risk of adverse effects of opioid agonists

morphine

may increase the risk of adverse effects of opioid agonists

droxidopa

may have an increased hypertensive effect when combined with alpha1-agonists

castor oil 

it may diminish the therapeutic efficacy when combined with castor oil

hexoprenaline 

When atropine is used together with hexoprenaline, the potential for hypertension to occur may be elevated

isoflurophate 

When atropine is used together with isoflurophate, this leads to a reduction in the therapeutic effectiveness of atropine

givinostat 

When atropine is used together with givinostat, this leads to enhanced risk or seriousness of Qtc prolongation

ramosetron 

the combination of atropine and ramosetron may increase the chances of constipation

profenamine 

When atropine is used together with profenamine, this leads to enhanced risk or seriousness of adverse events

procaterol 

atropine: it may increase the severity of hypertension with procaterol

mibefradil

atropine: it may increase the risk or severity of QTc prolongation

ibandronate

atropine: it may increase the risk or severity of QTc prolongation

trazodone

atropine: it may increase the risk or severity of QTc prolongation

isradipine

atropine: it may increase the risk or severity of QTc prolongation

treprostinil

atropine: it may increase the risk or severity of QTc prolongation

benzquinamide 

the risk or extent of adverse effects can be raised when atropine is combined with benzquinamide

diazoxide 

When atropine is used together with diazoxide, this leads to reduction in diazoxide’s antihypertensive effects

lorpiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

lumateperone

may reduce the therapeutic effect of anti-Parkinson drugs

lurasidone

may reduce the therapeutic effect of anti-Parkinson drugs

paliperidone

may reduce the therapeutic effect of anti-Parkinson drugs

perphenazine

may reduce the therapeutic effect of anti-Parkinson drugs

chlorpromazine

may reduce the therapeutic effect of anti-Parkinson drugs

haloperidol

may reduce the therapeutic effect of anti-Parkinson drugs

pimozide

may reduce the therapeutic effect of anti-Parkinson drugs

promazine

may reduce the therapeutic effect of anti-Parkinson drugs

zuclopenthixol

may reduce the therapeutic effect of anti-Parkinson drugs

pimozide

may reduce the therapeutic effect of anti-Parkinson drugs

risperidone

may reduce the therapeutic effect of anti-Parkinson drugs

promazine

may reduce the therapeutic effect of anti-Parkinson drugs

thioridazine

may reduce the therapeutic effect of anti-Parkinson drugs

zuclopenthixol

may reduce the therapeutic effect of anti-Parkinson drugs

amisulpride

may reduce the therapeutic effect of anti-Parkinson drugs

sulpiride

may reduce the therapeutic effect of anti-Parkinson drugs

sultopride

may reduce the therapeutic effect of anti-Parkinson drugs

sequelerin

may reduce the therapeutic effect of anti-Parkinson drugs

aripiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

aripiprazole lauroxil

may reduce the therapeutic effect of anti-Parkinson drugs

asenapine

may reduce the therapeutic effect of anti-Parkinson drugs

brexpiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

fenoterol 

may enhance the risk or severity of hypertension when combined

carbachol ophthalmic 

may decrease the cholinergic effect of cholinergic agents

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

pancuronium

may increase the risk of adverse effect of other cholinergic antagonists 

botulinum toxin

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

abobotulinumtoxinA

may increase the risk of adverse effect of other cholinergic antagonists 

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

mepenzolate

may increase the risk of adverse effect of other cholinergic antagonists 

homatropine (ophthalmic)

may increase the risk of adverse effect of other cholinergic antagonists 

methscopolamine

may increase the risk of adverse effect of other cholinergic antagonists 

benazepril

may reduce the therapeutic effect

captopril

may reduce the therapeutic effect

cilazapril

may reduce the therapeutic effect

enalapril

may reduce the therapeutic effect

enalaprilat

may reduce the therapeutic effect

neostigmine

reduce the therapeutic effect

isoflurophate

reduce the therapeutic effect

memantine/donepezil

reduce the therapeutic effect

donepezil (Rx)

reduce the therapeutic effect

donepezil transdermal

reduce the therapeutic effect

cyclopentolate

may increase the risk of adverse effects

pancuronium

may increase the risk of adverse effects

botulinum toxin

may increase the risk of adverse effects

atropine

may increase the risk of adverse effects

abobotulinumtoxinA

may increase the risk of adverse effects

cilazapril

anticholinergic agents decrease the efficacy of other ACE inhibitors

enalapril

anticholinergic agents decrease the efficacy of other ACE inhibitors

enalaprilat

anticholinergic agents decrease the efficacy of other ACE inhibitors

lisinopril

anticholinergic agents decrease the efficacy of other ACE inhibitors

perindopril

anticholinergic agents decrease the efficacy of other ACE inhibitors

nabilone

anticholinergic agents increase the effect of tachycardia of cannabinoid-containing products

cannabidiol

anticholinergic agents increase the effect of tachycardia of cannabinoid-containing products

glucagon 

anticholinergic agents increase the toxicity of glucagon

itopride 

anticholinergic agents decrease the efficacy of itopride

mianserin 

it increases the toxicity of anticholinergic agents

nitroglycerin 

anticholinergic agents diminish the absorption of nitroglycerin

remifentanil

anticholinergic agents increase the toxicity of opioid agents

hydrocodone/pseudoephedrine

anticholinergic agents increase the toxicity of opioid agents

codeine

anticholinergic agents increase the toxicity of opioid agents

morphine

anticholinergic agents increase the toxicity of opioid agents

secretin 

may reduce the therapeutic effect of secretin

topiramate 

anticholinergic agents increase the toxic or adverse effects of topiramate

oxatomide 

it increases the effect of anticholinergic agents

donepezil (Rx)

they decrease the efficacy of anticholinergic agents

prabotulinumtoxinA

they decrease the efficacy of anticholinergic agents

nabilone

anticholinergic agents increase the effect of cannabinoid products

cannabidiol

anticholinergic agents increase the effect of cannabinoid products

fecal microbiota, live-jslm

anticholinergic agents decrease the efficacy of gastrointestinal agents

vedolizumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

adalimumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

natalizumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

bismuth subgallate

anticholinergic agents decrease the efficacy of gastrointestinal agents

bumadizone 

The severity of hypertension can be raised if atropine is taken with bumadizone

cimicoxib 

the risk of hypertension may be increased

racepinephrine 

the risk of hypertension may be increased

diphenhydramine 

due to the anticholinergic activity of diphenhydramine, the effects of anticholinergics (e.g., some psychotropic drugs and atropine) may be intensified, leading to symptoms such as dry mouth, gastrointestinal disturbances (e.g., colic), urinary retention, increased heart rate, and headache

secretin 

anticholinergic agents decrease the efficacy of secretin methacholine

clozapine 

anticholinergic agents increase the constipating effect of clozapine

 

Dosage Forms & Strengths 

Tablet 

0.4mg 

Arrhythmia 

Indicated for Bradyarrhythmia:


0.4 to 1mg intravenous every 2 hours as needed



Anesthesia 

0.4mg to 0.6mg intravenous, subcutaneous, or intramuscularly



 

Dosage Forms & Strengths 

Tablet 

0.4mg 

Arrhythmia 

Indicated for Bradyarrhythmia:


0.02mg/kg/dose intravenous, which can repeat every 5 minutes



 

Refer adult dosing 

Frequency not defined 

Coma 

Delirium 

Drowsiness 

Headache 

Nervousness 

Flushing 

Tachycardia 

Ataxia 

Confusion 

Dizziness 

Hallucinations 

Insomnia 

Arrhythmia 

Hypotension 

Palpitation 

Pulmonary edema 

Constipation 

Bloating 

Dyspnea 

Delayed gastric emptying 

Loss of taste 

Vomiting 

Xerostomia 

Fever 

Urticaria 

Urinary hesitancy and retention 

Anaphylaxis 

Blurred vision 

Ocular pressure increased 

Paralytic ileus 

Nasal dryness 

Rash 

Scarlantiniform rash 

Angle-closure glaucoma 

Dry eyes 

Nausea 

Anhidrosis 

None

Hypersensitivity: Patient who are hypersensitive or allergic to the atropine or the component of it must not use it.

Glaucoma: Atropine may elevate the intraocular pressure and closed angle glaucoma. It is contraindicated with the patient who have this condition.

Gastrointestinal obstruction: Atropine can relax the smooth muscle which can be not good for the obstruction in the GI tract.

Prostatic hypertrophy: Atropine can lead to urinary retention in patient who have prostatic hypertrophy and contraindicated for this patient.

Cardiac arrhythmias: Atropine can worsen cardiac arrhythmias specifically which are related to the ventricular tachycardia.

Myasthenia gravis: Atropine can increase the symptoms of myasthenia gravis.

Pregnancy and breastfeeding: Atropine must be used with caution during the pregnancy and breastfeeding.

Caution:

Elder patients: Elder patient can be more sensitive to the effects of atropine specifically who have conditions associated with CNS like delirium and confusion.

Patients who have cardiac disease: Atropine can increase heart rate and cardiac arrhythmias. Caution must be taken when it is administering in patients who have cardiac disease.

Patients who have liver or kidney disease: Atropine is metabolized in the liver and excreted by kidneys. Caution must be taken when it is administering in patients who have impaired liver or kidney function.

Concurrent use of other medications: Atropine may interact with other medications specifically those who have anticholinergic effects like tricyclic antidepressants, antihistamines, and antipsychotics.

Patients who have hyperthyroidism: Atropine can increase the symptoms of hyperthyroidism like tachycardia and hypertension.

Patients who have Down syndrome:

Patients who have Down syndrome are more sensitive to the CNS effects of the atropine. It can lead to delirium or confusion.

Patients who have ulcerative colitis: Atropine can increase the symptoms of ulcerative colitis. Caution must be taken when it is administering in patients who have this condition.

Pregnancy consideration: Insufficient data available.

 

Lactation: Excretion of the drug in human breast milk is unknown.

 

Pregnancy category:

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.

Category N: There is no data available for the drug under this category.

Pharmacology:

Atropine belongs to the anticholinergic class. It blocks the effect of acetylcholine in the body.

It inhibits the binding of the acetylcholine to the receptors and prevents the stimulation effects on the parasympathetic nervous system.

This can elevate the heart rate, dilation of pupils and reduced the secretion of saliva and relax the smooth muscle in the GI tract and bronchi.

Pharmacodynamics:

Atropine includes the effects of cholinergic receptors in the body. It is a competitive antagonist of acetylcholine at the muscarinic receptors.

It reduces the parasympathetic activity and increases the sympathetic activity. This can lead to different physiological effects like:

Increased heart rate: Atropine blocks the effects of acetylcholine on the heart and leads to an increase in the heart rate.

Bronchodilation: Atropine relaxes the smooth muscle in the bronchi and leads to elevate the airflow and improve the respiration process.

Pupil dilation: Atropine blocks the effects of acetylcholine on the pupillary sphincter muscle and leads to the dilation of pupils.

Decrease the secretions: Atropine reduces the secretion of saliva, sweat, and other bodily fluids.

Decrease the motility of GI tract: Atropine reduces the activity of smooth muscle in the GI tract and leads to reduce the motility and secretion of gastric acid.

Pharmacokinetics:

Absorption:

Atropine can be administered by many routes like oral, IV, IM and subcutaneous. The bioavailability of the oral administration is low and about 25 to 30% are absorbed. The bioavailability of parenterally administered is high bout 100%.

Distribution:

Atropine is distributed widely in the body with a high levels found in the organs like brain, liver and kidney. Atropine does not cross the BBB but at the high dosage or patient who has compromised BBB function, CNS may occur.

Metabolism

Atropine is metabolized mainly in the liver by hydrolysis. It breaks down by the water. The main metabolite is tropic acid, and it is excreted in the urine.

Elimination and Excretion

Atropine and it’s metabolites are excreted mainly in the urine and small amount is eliminated in the feces. The elimination ½ is about 2.5 hours.

Atropine is administered by many methods like oral, IV, IM and SC. The proper administration route is dependent in the clinical indication and condition of patient.

Atropine is administered IV or IM to get the rapid onset of action in emergency. The IV route is preferred in patient who are critically ill and need immediate treatment. The suggested IV dosage is about 0.5 to 1 mg and repeated for every 3 to 5 minutes to get the effect in adults.

Atropine is administered orally or SC in non-emergency cases. The oral route is used to treat the GI diseases like irritable bowel disease. SC route is used to treat the excessive sweating. The oral dosage is about 0.4 to 0.6 mg for 2 to 4 times a day in adults.

Patient information leaflet

Generic Name: atropine

Why do we use atropine?

Atropine is used for many reasons on the basis of the dosage, route of the administration and clinical indications.

Bradycardia: Atropine is used to treat the slow heart rate. It blocks the effects of vagus nerve and slows down the heart rate. It is used in emergency cases to increase the heart rate and cardiac output.

Anesthesia: Atropine reduces the secretion and prevent the bradycardia during the surgery and anesthesia.

Gastrointestinal disorders: Atropine is used to treat the GI diseases like irritable bowel syndrome. It reduces the smooth muscle spasms and cramping.

Ophthalmology: Atropine is used as an eye drop to dilate the pupil and relax ciliary muscle. It helps in the eye examinations and specific eye conditions like uveitis.

Respiratory disorders: Atropine reduces the secretion and dilation of the airways in patient who has respiratory disease like COPD.

Poisoning: Atropine is used as an antidote in specific types of poisoning like organophosphate insecticide poisoning. It blocks the effects of acetylcholine in the nervous system.

Content loading

atropine

Brand Name :

Atropine PO,Atreza,Saltropine

Synonyms :

atropine

Class :

Antispasmodic agents, Anticholinergic agents,Antidote

Mail Whatsapp PDF Image



No data available for drug.

Dosage Forms & Strengths 

Tablet 

0.4mg 

Arrhythmia 

Indicated for Bradyarrhythmia:


0.4 to 1mg intravenous every 2 hours as needed



Anesthesia 

0.4mg to 0.6mg intravenous, subcutaneous, or intramuscularly



Dosage Forms & Strengths 

Tablet 

0.4mg 

Arrhythmia 

Indicated for Bradyarrhythmia:


0.02mg/kg/dose intravenous, which can repeat every 5 minutes



Refer adult dosing 

DRUG INTERACTION

atropine

&

atropine + 

Severity : Serious Use Alternative
anticholinergic agents increase the efficacy of glycopyrrolate

clozapine 

may increase the constipating effect of anticholinergic agents

secretin 

may decrease the therapeutic effect of anticholinergic agents

agmatine

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

mibefradil

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

donepezil

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

rivastigmine

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

labetalol 

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

amantadine 

may diminish the excretion rate of amantadine

cimetropium 

may increase the anticholinergic effect of anticholinergic agents

eluxadoline 

may increase the constipating effect of anticholinergic agents

glycopyrrolate 

may increase the anticholinergic effect of anticholinergic agents

macimorelin 

may decrease the diagnostic effect of atropine

oxatomide 

may increase the anticholinergic effect of anticholinergic agents

potassium chloride 

may increase the ulcerogenic effect of anticholinergic agents

potassium citrate 

may increase the ulcerogenic effect of anticholinergic agents

revefenacin 

may increase the anticholinergic effect of anticholinergic agents

tiotropium 

may increase the anticholinergic effect of anticholinergic agents

umeclidinium 

may increase the anticholinergic effect of anticholinergic agents

aclidinium 

it increases the effect of anticholinergic agents

tiotropium 

they increase the anticholinergic effect of tiotropium

cimetropium 

anticholinergic agents increase the efficacy of cimetropium

eluxadoline 

anticholinergic agents increase the effect of constipation of eluxadoline

anticholinergic agents increase the efficacy of glycopyrrolate

ipratropium 

it increases the effect of anticholinergic agents

oxatomide 

it increases the effect of anticholinergic agents

potassium chloride 

anticholinergic agents increase the ulcer-producing effect of potassium chloride

pramlintide 

it increases the effect of anticholinergic agents

umeclidinium 

it increases the effect of anticholinergic agents

aclidinium 

it increases the effect of anticholinergic agents

umeclidinium 

it increases the effect of anticholinergic drugs

cimetropium 

anticholinergic agents increase the effect of cimetropium

eluxadoline 

it increases the effect of constipation of anticholinergic agents

ipratropium 

it increases the effect of anticholinergic agents

potassium chloride 

it increases the effect of ulcer formation of anticholinergic agents

potassium citrate 

it increases the effect of anticholinergic agents

revefenacin 

it increases the effect of anticholinergic agents

tiotropium 

anticholinergic agents increase the effect of tiotropium

cefiderocol

may diminish the rate of excretion which results in higher serum level

cephalothin

may diminish the rate of excretion which results in higher serum level

cefmetazole

may diminish the rate of excretion which results in higher serum level

ceftizoxime

may diminish the rate of excretion which results in higher serum level

cefonicid

may diminish the rate of excretion which results in higher serum level

donepezil (Rx)

may decrease the therapeutic effect of anticholinergic agents

prabotulinumtoxinA

may decrease the therapeutic effect of anticholinergic agents

nabilone

may increase the anticholinergic effect of anticholinergic agents

cannabidiol

may increase the anticholinergic effect of anticholinergic agents

remifentanil

may decrease the therapeutic effect of anticholinergic agents

hydrocodone/pseudoephedrine

may decrease the therapeutic effect of anticholinergic agents

codeine

may decrease the therapeutic effect of anticholinergic agents

morphine

may decrease the therapeutic effect of anticholinergic agents

hydrochlorothiazide

may increase the serum concentration of anticholinergic agents

metolazone

may increase the serum concentration of anticholinergic agents

quinethazone

may increase the serum concentration of anticholinergic agents

trichlormethiazide

may increase the serum concentration of anticholinergic agents

topiramate 

may increase the toxic effect of anticholinergic agents

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

pancuronium

may increase the risk of adverse effect of other cholinergic antagonists 

botulinum toxin

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

abobotulinumtoxinA

may increase the risk of adverse effect of other cholinergic antagonists 

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

mepenzolate

may increase the risk of adverse effect of other cholinergic antagonists 

homatropine (ophthalmic)

may increase the risk of adverse effect of other cholinergic antagonists 

methscopolamine

may increase the risk of adverse effect of other cholinergic antagonists 

fecal microbiota, live-jslm

may reduce the effect of gastrointestinal drugs

vedolizumab

may reduce the effect of gastrointestinal drugs

adalimumab

may reduce the effect of gastrointestinal drugs

natalizumab

may reduce the effect of gastrointestinal drugs

bismuth subgallate

may reduce the effect of gastrointestinal drugs

fecal microbiota, live-jslm

may reduce the effect of gastrointestinal drugs

vedolizumab

may reduce the effect of gastrointestinal drugs

adalimumab

may reduce the effect of gastrointestinal drugs

natalizumab

may reduce the effect of gastrointestinal drugs

bismuth subgallate

may reduce the effect of gastrointestinal drugs

prucalopride

may reduce the therapeutic effect

nabilone

may increase the tachycardic effect

cannabidiol

may increase the tachycardic effect

nabilone

May enhance the tachycardic effect

cannabidiol

May enhance the tachycardic effect

eluxadoline

may enhance the adverse/toxic effect

naldemedine

may enhance the adverse/toxic effect

metamizole

may enhance the adverse/toxic effect

piroxicam

may enhance the adverse/toxic effect

remifentanil

may enhance the adverse/toxic effect

hydrocodone/pseudoephedrine

may enhance the adverse/toxic effect

codeine

may enhance the adverse/toxic effect

morphine

may enhance the adverse/toxic effect

cyclopentolate

may increase the risk of adverse effects

atropine

may increase the risk of adverse effects

mepenzolate

may increase the risk of adverse effects

homatropine (ophthalmic)

may increase the risk of adverse effects

methscopolamine

may increase the risk of adverse effects

remifentanil

may increase the risk of adverse effects of opioid agonists

hydrocodone/pseudoephedrine

may increase the risk of adverse effects of opioid agonists

codeine

may increase the risk of adverse effects of opioid agonists

morphine

may increase the risk of adverse effects of opioid agonists

droxidopa

may have an increased hypertensive effect when combined with alpha1-agonists

castor oil 

it may diminish the therapeutic efficacy when combined with castor oil

hexoprenaline 

When atropine is used together with hexoprenaline, the potential for hypertension to occur may be elevated

isoflurophate 

When atropine is used together with isoflurophate, this leads to a reduction in the therapeutic effectiveness of atropine

givinostat 

When atropine is used together with givinostat, this leads to enhanced risk or seriousness of Qtc prolongation

ramosetron 

the combination of atropine and ramosetron may increase the chances of constipation

profenamine 

When atropine is used together with profenamine, this leads to enhanced risk or seriousness of adverse events

procaterol 

atropine: it may increase the severity of hypertension with procaterol

mibefradil

atropine: it may increase the risk or severity of QTc prolongation

ibandronate

atropine: it may increase the risk or severity of QTc prolongation

trazodone

atropine: it may increase the risk or severity of QTc prolongation

isradipine

atropine: it may increase the risk or severity of QTc prolongation

treprostinil

atropine: it may increase the risk or severity of QTc prolongation

benzquinamide 

the risk or extent of adverse effects can be raised when atropine is combined with benzquinamide

diazoxide 

When atropine is used together with diazoxide, this leads to reduction in diazoxide’s antihypertensive effects

lorpiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

lumateperone

may reduce the therapeutic effect of anti-Parkinson drugs

lurasidone

may reduce the therapeutic effect of anti-Parkinson drugs

paliperidone

may reduce the therapeutic effect of anti-Parkinson drugs

perphenazine

may reduce the therapeutic effect of anti-Parkinson drugs

chlorpromazine

may reduce the therapeutic effect of anti-Parkinson drugs

haloperidol

may reduce the therapeutic effect of anti-Parkinson drugs

pimozide

may reduce the therapeutic effect of anti-Parkinson drugs

promazine

may reduce the therapeutic effect of anti-Parkinson drugs

zuclopenthixol

may reduce the therapeutic effect of anti-Parkinson drugs

pimozide

may reduce the therapeutic effect of anti-Parkinson drugs

risperidone

may reduce the therapeutic effect of anti-Parkinson drugs

promazine

may reduce the therapeutic effect of anti-Parkinson drugs

thioridazine

may reduce the therapeutic effect of anti-Parkinson drugs

zuclopenthixol

may reduce the therapeutic effect of anti-Parkinson drugs

amisulpride

may reduce the therapeutic effect of anti-Parkinson drugs

sulpiride

may reduce the therapeutic effect of anti-Parkinson drugs

sultopride

may reduce the therapeutic effect of anti-Parkinson drugs

sequelerin

may reduce the therapeutic effect of anti-Parkinson drugs

aripiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

aripiprazole lauroxil

may reduce the therapeutic effect of anti-Parkinson drugs

asenapine

may reduce the therapeutic effect of anti-Parkinson drugs

brexpiprazole

may reduce the therapeutic effect of anti-Parkinson drugs

fenoterol 

may enhance the risk or severity of hypertension when combined

carbachol ophthalmic 

may decrease the cholinergic effect of cholinergic agents

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

pancuronium

may increase the risk of adverse effect of other cholinergic antagonists 

botulinum toxin

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

abobotulinumtoxinA

may increase the risk of adverse effect of other cholinergic antagonists 

cyclopentolate

may increase the risk of adverse effect of other cholinergic antagonists 

atropine

may increase the risk of adverse effect of other cholinergic antagonists 

mepenzolate

may increase the risk of adverse effect of other cholinergic antagonists 

homatropine (ophthalmic)

may increase the risk of adverse effect of other cholinergic antagonists 

methscopolamine

may increase the risk of adverse effect of other cholinergic antagonists 

benazepril

may reduce the therapeutic effect

captopril

may reduce the therapeutic effect

cilazapril

may reduce the therapeutic effect

enalapril

may reduce the therapeutic effect

enalaprilat

may reduce the therapeutic effect

neostigmine

reduce the therapeutic effect

isoflurophate

reduce the therapeutic effect

memantine/donepezil

reduce the therapeutic effect

donepezil (Rx)

reduce the therapeutic effect

donepezil transdermal

reduce the therapeutic effect

cyclopentolate

may increase the risk of adverse effects

pancuronium

may increase the risk of adverse effects

botulinum toxin

may increase the risk of adverse effects

atropine

may increase the risk of adverse effects

abobotulinumtoxinA

may increase the risk of adverse effects

cilazapril

anticholinergic agents decrease the efficacy of other ACE inhibitors

enalapril

anticholinergic agents decrease the efficacy of other ACE inhibitors

enalaprilat

anticholinergic agents decrease the efficacy of other ACE inhibitors

lisinopril

anticholinergic agents decrease the efficacy of other ACE inhibitors

perindopril

anticholinergic agents decrease the efficacy of other ACE inhibitors

nabilone

anticholinergic agents increase the effect of tachycardia of cannabinoid-containing products

cannabidiol

anticholinergic agents increase the effect of tachycardia of cannabinoid-containing products

glucagon 

anticholinergic agents increase the toxicity of glucagon

itopride 

anticholinergic agents decrease the efficacy of itopride

mianserin 

it increases the toxicity of anticholinergic agents

nitroglycerin 

anticholinergic agents diminish the absorption of nitroglycerin

remifentanil

anticholinergic agents increase the toxicity of opioid agents

hydrocodone/pseudoephedrine

anticholinergic agents increase the toxicity of opioid agents

codeine

anticholinergic agents increase the toxicity of opioid agents

morphine

anticholinergic agents increase the toxicity of opioid agents

secretin 

may reduce the therapeutic effect of secretin

topiramate 

anticholinergic agents increase the toxic or adverse effects of topiramate

oxatomide 

it increases the effect of anticholinergic agents

donepezil (Rx)

they decrease the efficacy of anticholinergic agents

prabotulinumtoxinA

they decrease the efficacy of anticholinergic agents

nabilone

anticholinergic agents increase the effect of cannabinoid products

cannabidiol

anticholinergic agents increase the effect of cannabinoid products

fecal microbiota, live-jslm

anticholinergic agents decrease the efficacy of gastrointestinal agents

vedolizumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

adalimumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

natalizumab

anticholinergic agents decrease the efficacy of gastrointestinal agents

bismuth subgallate

anticholinergic agents decrease the efficacy of gastrointestinal agents

bumadizone 

The severity of hypertension can be raised if atropine is taken with bumadizone

cimicoxib 

the risk of hypertension may be increased

racepinephrine 

the risk of hypertension may be increased

diphenhydramine 

due to the anticholinergic activity of diphenhydramine, the effects of anticholinergics (e.g., some psychotropic drugs and atropine) may be intensified, leading to symptoms such as dry mouth, gastrointestinal disturbances (e.g., colic), urinary retention, increased heart rate, and headache

secretin 

anticholinergic agents decrease the efficacy of secretin methacholine

clozapine 

anticholinergic agents increase the constipating effect of clozapine

Atropine belongs to the anticholinergics class. It blocks the action of the acetylcholine. It is a neurotransmitter in the parasympathetic nervous system. It is responsible for rest and digest function of body.

Atropine binds and inhibits the muscarinic receptors in the parasympathetic nervous system and blocks the effects of acetylcholine. This can increase the activity of sympathetic nervous system and fight to flight response.

Frequency not defined 

Coma 

Delirium 

Drowsiness 

Headache 

Nervousness 

Flushing 

Tachycardia 

Ataxia 

Confusion 

Dizziness 

Hallucinations 

Insomnia 

Arrhythmia 

Hypotension 

Palpitation 

Pulmonary edema 

Constipation 

Bloating 

Dyspnea 

Delayed gastric emptying 

Loss of taste 

Vomiting 

Xerostomia 

Fever 

Urticaria 

Urinary hesitancy and retention 

Anaphylaxis 

Blurred vision 

Ocular pressure increased 

Paralytic ileus 

Nasal dryness 

Rash 

Scarlantiniform rash 

Angle-closure glaucoma 

Dry eyes 

Nausea 

Anhidrosis 

None

Hypersensitivity: Patient who are hypersensitive or allergic to the atropine or the component of it must not use it.

Glaucoma: Atropine may elevate the intraocular pressure and closed angle glaucoma. It is contraindicated with the patient who have this condition.

Gastrointestinal obstruction: Atropine can relax the smooth muscle which can be not good for the obstruction in the GI tract.

Prostatic hypertrophy: Atropine can lead to urinary retention in patient who have prostatic hypertrophy and contraindicated for this patient.

Cardiac arrhythmias: Atropine can worsen cardiac arrhythmias specifically which are related to the ventricular tachycardia.

Myasthenia gravis: Atropine can increase the symptoms of myasthenia gravis.

Pregnancy and breastfeeding: Atropine must be used with caution during the pregnancy and breastfeeding.

Caution:

Elder patients: Elder patient can be more sensitive to the effects of atropine specifically who have conditions associated with CNS like delirium and confusion.

Patients who have cardiac disease: Atropine can increase heart rate and cardiac arrhythmias. Caution must be taken when it is administering in patients who have cardiac disease.

Patients who have liver or kidney disease: Atropine is metabolized in the liver and excreted by kidneys. Caution must be taken when it is administering in patients who have impaired liver or kidney function.

Concurrent use of other medications: Atropine may interact with other medications specifically those who have anticholinergic effects like tricyclic antidepressants, antihistamines, and antipsychotics.

Patients who have hyperthyroidism: Atropine can increase the symptoms of hyperthyroidism like tachycardia and hypertension.

Patients who have Down syndrome:

Patients who have Down syndrome are more sensitive to the CNS effects of the atropine. It can lead to delirium or confusion.

Patients who have ulcerative colitis: Atropine can increase the symptoms of ulcerative colitis. Caution must be taken when it is administering in patients who have this condition.

Pregnancy consideration: Insufficient data available.

 

Lactation: Excretion of the drug in human breast milk is unknown.

 

Pregnancy category:

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.

Category N: There is no data available for the drug under this category.

Pharmacology:

Atropine belongs to the anticholinergic class. It blocks the effect of acetylcholine in the body.

It inhibits the binding of the acetylcholine to the receptors and prevents the stimulation effects on the parasympathetic nervous system.

This can elevate the heart rate, dilation of pupils and reduced the secretion of saliva and relax the smooth muscle in the GI tract and bronchi.

Pharmacodynamics:

Atropine includes the effects of cholinergic receptors in the body. It is a competitive antagonist of acetylcholine at the muscarinic receptors.

It reduces the parasympathetic activity and increases the sympathetic activity. This can lead to different physiological effects like:

Increased heart rate: Atropine blocks the effects of acetylcholine on the heart and leads to an increase in the heart rate.

Bronchodilation: Atropine relaxes the smooth muscle in the bronchi and leads to elevate the airflow and improve the respiration process.

Pupil dilation: Atropine blocks the effects of acetylcholine on the pupillary sphincter muscle and leads to the dilation of pupils.

Decrease the secretions: Atropine reduces the secretion of saliva, sweat, and other bodily fluids.

Decrease the motility of GI tract: Atropine reduces the activity of smooth muscle in the GI tract and leads to reduce the motility and secretion of gastric acid.

Pharmacokinetics:

Absorption:

Atropine can be administered by many routes like oral, IV, IM and subcutaneous. The bioavailability of the oral administration is low and about 25 to 30% are absorbed. The bioavailability of parenterally administered is high bout 100%.

Distribution:

Atropine is distributed widely in the body with a high levels found in the organs like brain, liver and kidney. Atropine does not cross the BBB but at the high dosage or patient who has compromised BBB function, CNS may occur.

Metabolism

Atropine is metabolized mainly in the liver by hydrolysis. It breaks down by the water. The main metabolite is tropic acid, and it is excreted in the urine.

Elimination and Excretion

Atropine and it’s metabolites are excreted mainly in the urine and small amount is eliminated in the feces. The elimination ½ is about 2.5 hours.

Atropine is administered by many methods like oral, IV, IM and SC. The proper administration route is dependent in the clinical indication and condition of patient.

Atropine is administered IV or IM to get the rapid onset of action in emergency. The IV route is preferred in patient who are critically ill and need immediate treatment. The suggested IV dosage is about 0.5 to 1 mg and repeated for every 3 to 5 minutes to get the effect in adults.

Atropine is administered orally or SC in non-emergency cases. The oral route is used to treat the GI diseases like irritable bowel disease. SC route is used to treat the excessive sweating. The oral dosage is about 0.4 to 0.6 mg for 2 to 4 times a day in adults.

Patient information leaflet

Generic Name: atropine

Why do we use atropine?

Atropine is used for many reasons on the basis of the dosage, route of the administration and clinical indications.

Bradycardia: Atropine is used to treat the slow heart rate. It blocks the effects of vagus nerve and slows down the heart rate. It is used in emergency cases to increase the heart rate and cardiac output.

Anesthesia: Atropine reduces the secretion and prevent the bradycardia during the surgery and anesthesia.

Gastrointestinal disorders: Atropine is used to treat the GI diseases like irritable bowel syndrome. It reduces the smooth muscle spasms and cramping.

Ophthalmology: Atropine is used as an eye drop to dilate the pupil and relax ciliary muscle. It helps in the eye examinations and specific eye conditions like uveitis.

Respiratory disorders: Atropine reduces the secretion and dilation of the airways in patient who has respiratory disease like COPD.

Poisoning: Atropine is used as an antidote in specific types of poisoning like organophosphate insecticide poisoning. It blocks the effects of acetylcholine in the nervous system.

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Both our subscription plans include Free CME/CPD AMA PRA Category 1 credits.

Digital Certificate PDF

On course completion, you will receive a full-sized presentation quality digital certificate.

medtigo Simulation

A dynamic medical simulation platform designed to train healthcare professionals and students to effectively run code situations through an immersive hands-on experience in a live, interactive 3D environment.

medtigo Points

medtigo points is our unique point redemption system created to award users for interacting on our site. These points can be redeemed for special discounts on the medtigo marketplace as well as towards the membership cost itself.
 
  • Registration with medtigo = 10 points
  • 1 visit to medtigo’s website = 1 point
  • Interacting with medtigo posts (through comments/clinical cases etc.) = 5 points
  • Attempting a game = 1 point
  • Community Forum post/reply = 5 points

    *Redemption of points can occur only through the medtigo marketplace, courses, or simulation system. Money will not be credited to your bank account. 10 points = $1.

All Your Certificates in One Place

When you have your licenses, certificates and CMEs in one place, it's easier to track your career growth. You can easily share these with hospitals as well, using your medtigo app.

Our Certificate Courses