Drug & supplement interaction

Dimethylsulfoxide (dmso) + Bethanechol Chloride

Bethanechol Chloride brand name: Urecholine.

Moderate Interaction
The bottom line Moderate

Dimethylsulfoxide (dmso) has a moderate interaction with Bethanechol Chloride. Theoretically, DMSO might increase the risk of cholinergic adverse effects when taken with cholinergic drugs.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Interaction report

Dimethylsulfoxide (dmso) and Bethanechol Chloride

Here is the interaction we found between these two, with the evidence behind it.

Moderate

CHOLINERGIC DRUGS

Why this applies to Bethanechol Chloride

Bethanechol Chloride falls under CHOLINERGIC DRUGS — the group Dimethylsulfoxide (dmso) interacts with.

Theoretically, DMSO might increase the risk of cholinergic adverse effects when taken with cholinergic drugs.
In vitro and animal research suggests that DMSO inhibits acetylcholinesterase activity.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the idea behind this pairing. Bethanechol works by stimulating the same receptors that the chemical messenger acetylcholine does, which is what helps your bladder squeeze and empty. Lab and animal studies hint that DMSO may slow down acetylcholinesterase, the enzyme that normally breaks down acetylcholine. If that holds true in people, you could end up with a bit more cholinergic activity on board, meaning bethanechol's effects might feel stronger.

In real life that could look like extra sweating, watery eyes, drooling, stomach cramping, diarrhea, flushing, or a slower heartbeat. I want to be honest, though: this is theoretical, based on early lab work, not solid human data. So don't panic. Just loop in your pharmacist or doctor before combining them, especially if you notice any of those symptoms.

References
  1. Jacob SW, Herschler R. Pharmacology of DMSO. Cryobiology 1986;23:14-27. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Dimethylsulfoxide (dmso) Also Interacts With Other Medications

Dimethylsulfoxide (dmso) has 338 moderate known drug interactions in our database — the Bethanechol Chloride one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Dimethylsulfoxide (dmso)

Covers the 2,830 medications we’ve checked against Dimethylsulfoxide (dmso). Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Bethanechol Chloride

This page covers Dimethylsulfoxide (dmso) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bethanechol Chloride page lists 38 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Bacopa (moderate), Bael (moderate), Betel Nut (moderate) and Boxwood (moderate).

By severity: 1 major · 27 moderate · 10 minor.

From our pharmacist’s overview on the Bethanechol Chloride page

“Anyone taking bethanechol chloride (Urecholine) for urinary retention should read this list carefully, starting with activated charcoal, the lone major-rated entry among the 38 ingredients here. Charcoal can bind bethanechol in the gut and sharply cut how much reaches your system, a real problem for a drug that has to get a sluggish bl…”

Reviewed by 2 · Jul 18, 2026

Open the Bethanechol Chloride interaction page

How much people look this up

Where Dimethylsulfoxide (dmso) and Bethanechol Chloride Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Dimethylsulfoxide (dmso)
Top half

#571 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Bethanechol Chloride
Steady interest

#1,664 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Dimethylsulfoxide (dmso)

What is Dimethylsulfoxide (dmso)?

Dimethylsulfoxide (dmso)
  • Muscle and joint pain
  • Arthritis
  • Sprains and strains
  • Interstitial cystitis (bladder pain)
  • Skin penetration enhancer for other medicines

DMSO is a colorless liquid solvent that people apply to the skin for pain and inflammation, and it is FDA-approved (as a prescription) only for interstitial cystitis placed directly into the bladder. Most over-the-counter uses for pain and arthritis have limited or low-quality evidence, and DMSO can carry impurities or push other chemicals through your skin. Talk to your pharmacist or doctor before using it, and avoid industrial-grade products.

Read the full Dimethylsulfoxide (dmso) monograph & all interactions
Medication

About Bethanechol

What Is Bethanechol Used For?

Brand name: Urecholine

Bethanechol Chloride Tablets are used to treat urinary retention — when the bladder holds urine but can't release it properly — in two specific situations: after surgery or childbirth (acute postoperative or postpartum nonobstructive urinary retention), and when weak bladder muscle caused by nerve problems (neurogenic atony) prevents normal emptying.

These are functional problems, meaning there's no physical blockage — the bladder simply isn't contracting the way it should.

See full Bethanechol drug information
Keep checking

Other Drugs & Dimethylsulfoxide (dmso)

Browse every other medication we’ve checked against Dimethylsulfoxide (dmso) — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
338Moderate
0Minor
2,491No known interaction
Moderate

338 interactions

Showing 60 of 338 moderate interactions — see all 338 on the Dimethylsulfoxide (dmso) page.

No interaction 2,491 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Pharmacist Counseling Corner

Taking Dimethylsulfoxide (dmso) and Bethanechol Chloride Together: Common Questions

Can you take Dimethylsulfoxide (dmso) with Bethanechol Chloride?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Dimethylsulfoxide (dmso) and Bethanechol Chloride interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Bethanechol Chloride and Dimethylsulfoxide (dmso)?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.