Prescription onlyNo lower cost generic available

Vesicare

(Solifenacin)

  • Pill
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Treats an overactive bladder.

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Prescription onlyNo lower cost generic available

Our pharmacists’ bottom line

Vesicare (Solifenacin) is a good treatment for overactive bladder and doesn’t have as many side effects as similar medications.

  • Vesicare (Solifenacin) is effective at treating overactive bladder by lowering the urge to urinate, and helping to better control urination.
  • Can be taken with or without food.
  • Causes fewer side effects than other medications in the same drug class.
  • Only needs to be taken once a day.
  • Generally not recommended to use in people ages 65 and older since it can cause drowsiness and increase the risk of falls.
  • Can’t be used if you have uncontrolled narrow-angle glaucoma.
  • Not recommended if you have ulcerative colitis or certain other gastrointestinal problems, since Vesicare (Solifenacin) can slow stomach emptying.
  • Has some drug interactions, so make sure your doctor has your complete list of medications.
  • Not available as a generic.

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Side effects for Vesicare (Solifenacin)

From clinical trials of Vesicare / Overactive bladder (5 mg) ( 1794)

  • Dry mouthDry mouth11% for Vesicare vs.4% for placebo
  • ConstipationConstipation5% for Vesicare vs.3% for placebo
  • Vision blurredVision blurred4% for Vesicare vs.2% for placebo
  • Urinary tract infection nosUrinary tract infection nos3% for Vesicare vs.3% for placebo
  • Abdominal pain upperAbdominal pain upper2% for Vesicare vs.1% for placebo
  • NauseaNausea2% for Vesicare vs.2% for placebo
  • FluFlu2% for Vesicare vs.1% for placebo
  • DizzinessDizziness2% for Vesicare vs.2% for placebo
  • IndigestionIndigestion1% for Vesicare vs.1% for placebo
  • FatigueFatigue1% for Vesicare vs.1% for placebo

Manufacturers don’t say how common these side effects are

  • Cough
  • Dry eyes nos
  • Edema lower limb
  • Pharyngitis nos
  • Urinary retention
  • Vomiting nos

What to expect when you take Vesicare (Solifenacin)

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Tips from our pharmacists
  • Might cause dry mouth, constipation, drowsiness, dizziness, and blurry vision.
  • To prevent dry mouth, avoid using mouthwashes with alcohol, chew on sugar-free gum, and take small sips of water as needed.
  • Can be taken with or without food.
  • Let your doctor know if your symptoms don’t get better in two weeks. There could be other causes of your bladder problems or you may need to try a different medicine.
  • Can cause drowsiness, so avoid taking with alcohol or other medicines that make you sleepy.

Risks and Warnings for Vesicare (Solifenacin)

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  • Angioedema, or swelling of the face, lips, tongue, or throat can happen when taking Vesicare (Solifenacin) tablets. Seek medical attention immediately if this happens to you.

Means that some groups have a high risk of experiencing this side effect

Tips from pharmacists and people taking Vesicare (Solifenacin)

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The FDA category for this medication is C. It is advised that you: Weigh risks vs. benefits
Pregnancy
Alcohol
  • Tips from our pharmacists
  • To prevent dry mouth, avoid using mouthwashes with alcohol, chew on sugar-free gum, and take small sips of water as needed.
  • Can cause drowsiness, so avoid taking with alcohol or other medicines that make you sleepy.
Food
  • Upsides and downsides from our pharmacists
  • Can be taken with or without food.
  • Tips from our pharmacists
  • Can be taken with or without food.
Sleep
  • Upsides and downsides from our pharmacists
  • Generally not recommended to use in people ages 65 and older since it can cause drowsiness and increase the risk of falls.
  • Tips from our pharmacists
  • Might cause dry mouth, constipation, drowsiness, dizziness, and blurry vision.
  • Can cause drowsiness, so avoid taking with alcohol or other medicines that make you sleepy.
  • Risks from our pharmacists
  • Vesicare (Solifenacin) can cause drowsiness, confusion, dizziness, hallucinations, or blurred vision. Avoid driving, operating machinery, or doing anything that requires you to be alert until you know how Vesicare (Solifenacin) affects you.