Drug General Information (ID: DDII0E4HWX)
  Drug Name Fluphenazine Drug Info Umeclidinium Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antipsychotic Agents Bronchodilators
  Structure

 Mechanism of Fluphenazine-Umeclidinium Interaction (Severity Level: Moderate)
     Additive anticholinergic effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Fluphenazine Umeclidinium
      Mechanism Anticholinergic effects
Muscarinic acetylcholine receptor  Antagonist
Anticholinergic effects
Muscarinic acetylcholine receptor  Antagonist
      Key Mechanism Factor 1
Factor Name Muscarinic acetylcholine receptor M Structure Sequence
Protein Family G-protein coupled receptor 1 family
Protein Function
The muscarinic acetylcholine receptor mediates various cellular responses, including inhibition of adenylate cyclase, breakdown of phosphoinositides and modulation of potassium channels through the action of G proteins. Primary transducing effect is Pi turnover.
    Click to Show/Hide
      Mechanism Description
  • Additive anticholinergic effects by the combination of Fluphenazine and Umeclidinium 

Recommended Action
      Management Topical and inhaled anticholinergic preparations should preferably not be used in combination with other anticholinergic agents or agents with significant anticholinergic effects such as antihistamines, antispasmodics, neuroleptics, phenothiazines, skeletal muscle relaxants, tricyclic antidepressants, and class IA antiarrhythmics (especially disopyramide). Caution is advised if concomitant use cannot be avoided, particularly in the elderly and those with significantly impaired renal and/or hepatic function.

References
1 Cole JM, Sheehan AH, Jordan JK "Concomitant use of ipratropium and tiotropium in chronic obstructive plmonary disease." Ann Pharmacother 46 (2012): 1717-21. [PMID: 23170031]
2 Product Information. Anoro Ellipta (umeclidinium-vilanterol). GlaxoSmithKline, Research Triangle Park, NC.
3 Product Information. Atrovent (ipratropium). Boehringer-Ingelheim, Ridgefield, CT.
4 Product Information. Combivent (albuterol-ipratropium). Boehringer-Ingelheim, Ridgefield, CT.
5 Product Information. Qbrexza (glycopyrrolate topical). Dermira, Inc., Menlo Park, CA.
6 Product Information. Spiriva (tiotropium). Boehringer Ingelheim, Ridgefield, CT.
7 Product Information. Tudorza Pressair (aclidinium). Forest Pharmaceuticals, St. Louis, MO.
8 Product Information. Yupelri (revefenacin). Mylan Specialty, Morgantown, WV.