Interactions

Drug-Drug

• Will ↑ neuromuscular blockade from succinylcholine-type neuromuscular blocking agents

• May ↑ effects of other cholinesterase inhibitors or other cholinergic agonists , including bethanechol

• May ↓ effectiveness of anticholinergic medications

• Blood levels and effects may be ↑ by ketoconazole , paroxetine , amitriptyline , fluvoxamine , or quinidine

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