Norflex and Spiriva drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Norflex (orphenadrine citrate) and Spiriva (tiotropium bromide monohydrate). Common drug interactions include arthritis among females and dysuria among males.

The phase IV clinical study analyzes what interactions people have when they take Norflex and Spiriva. It is created by eHealthMe based on reports of 41 people who take the same drugs from the FDA, and is updated regularly.

What is Norflex?

Norflex has active ingredients of orphenadrine citrate. It is often used in muscle spasms. eHealthMe is studying from 1,951 Norflex users. Check the latest studies of Norflex.

What is Spiriva?

Spiriva has active ingredients of tiotropium bromide monohydrate. It is often used in chronic obstructive pulmonary disease. eHealthMe is studying from 156,666 Spiriva users. Check the latest studies of Spiriva.



On Jul, 15, 2026

41 people who take Norflex and Spiriva together, and have interactions are studied.

Norflex and Spiriva drug interactions.

What are the common drug interactions of Norflex and Spiriva, by gender? *:

female:

  1. Arthritis (form of joint disorder that involves inflammation of one or more joints)
  2. Arthralgia (joint pain)
  3. Hypotension (abnormally low blood pressure)
  4. Pain in extremity
  5. Sleep apnoea syndrome (a sleep-related disorder in which the effort to breathe is diminished or absent)
  6. Somnolence (a state of near-sleep, a strong desire for sleep)
  7. Anaemia (lack of blood)
  8. Dysphagia (a condition in which swallowing is difficult or painful)
  9. Carpal tunnel syndrome (nerve compression at wrist results numbness weakness, pain , swelling)
  10. Diarrhoea

male:

  1. Dysuria (painful or difficult urination)
  2. Fall
  3. Hypotension (abnormally low blood pressure)
  4. Insomnia (sleeplessness)
  5. Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves)
  6. Nephrolithiasis (calculi in the kidneys)
  7. Osteoarthritis (a joint disease caused by cartilage loss in a joint)
  8. Pain
  9. Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect)
  10. Pulmonary oedema (fluid accumulation in the lungs)

What are the common drug interactions of Norflex and Spiriva, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

  1. Dyspnoea (difficult or laboured respiration)
  2. Headache (pain in head)
  3. Hypertension (high blood pressure)
  4. Middle insomnia (difficulty returning to sleep after awakening either in the middle of the night)
  5. Weight increased

40-49:

  1. Cough
  2. Dyspnoea (difficult or laboured respiration)
  3. Fall
  4. Anxiety
  5. Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
  6. Bursitis (inflammation of a bursa, typically one in the knee, elbow, or shoulder)
  7. Diarrhoea
  8. Insomnia (sleeplessness)
  9. Vomiting
  10. Osteoarthritis (a joint disease caused by cartilage loss in a joint)

50-59:

  1. Bone pain
  2. Breast tenderness
  3. Cardiac arrest
  4. Carpal tunnel syndrome (nerve compression at wrist results numbness weakness, pain , swelling)
  5. Cerumen impaction
  6. Decreased interest
  7. Diverticulum (out pouching of a hollow (or a fluid-filled) structure in the body)
  8. Dysphagia (a condition in which swallowing is difficult or painful)
  9. Ear pain
  10. Epicondylitis (tennis elbow)

60+:

  1. Pain
  2. Dyspnoea (difficult or laboured respiration)
  3. Anhedonia (inability to experience pleasure from activities usually found enjoyable)
  4. Anxiety
  5. Arrhythmia (irregular heartbeat)
  6. Arthritis (form of joint disorder that involves inflammation of one or more joints)
  7. Asthenia (weakness)
  8. Azotaemia (excess of urea or other nitrogenous compounds in the blood)
  9. Blood creatinine increased
  10. Blood glucose increased

What are the existing conditions these people have? *

  1. High Blood Pressure: 13 people, 31.71%
  2. Pain: 5 people, 12.20%
  3. Neuralgia (pain in one or more nerves): 4 people, 9.76%
  4. Migraine (headache): 3 people, 7.32%
  5. Haemodilution (increase in the volume of plasma in relation to red blood cells): 3 people, 7.32%
  6. Fatigue (feeling of tiredness): 3 people, 7.32%
  7. Fabry's Disease (build up of a particular type of fat, called globotriaosylceramide, in the body's cells): 3 people, 7.32%
  8. Constipation: 3 people, 7.32%
  9. Cardiac Disorder: 3 people, 7.32%
  10. Bronchial Disorder: 3 people, 7.32%

* Approximation only. Some reports may have incomplete information.

Do you take Norflex and Spiriva?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Norflex and Spiriva:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Norflex:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Spiriva:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Norflex and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Spiriva and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

How the study uses the data?

The study uses data from the FDA. It is based on orphenadrine citrate and tiotropium bromide monohydrate (the active ingredients of Norflex and Spiriva, respectively), and Norflex and Spiriva (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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