Drug General Information (ID: DDILSKB09J)
  Drug Name Glycopyrronium Drug Info Bethanechol Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Topical Agents Parasympathomimetics
  Structure

 Mechanism of Glycopyrronium-Bethanechol Interaction (Severity Level: Moderate)
     Antagonize the effect of cholinergic agents Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Glycopyrronium Bethanechol
      Mechanism Anticholinergic effects
Muscarinic acetylcholine receptor  Antagonist
Cholinergic effects
Muscarinic acetylcholine receptor  Agonist
      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
  • Antagonize the effect of Bethanechol when combined with Glycopyrronium 

Recommended Action
      Management It may be appropriate to avoid concomitant use of anticholinergic agents and cholinergic agents, depending on the needs of the patient. If concurrent use is necessary, the patient should be monitored for reduced pharmacologic effects of both drugs.

References
1 Benjamin KW "Toxicity of ocular medications." Int Ophthalmol Clin 19 (1979): 199-255. [PMID: 376469]
2 Product Information. Salagen Tablets (pilocarpine). Boehringer-Ingelheim, Ridgefield, CT.