Vesicare

Generic Name: solifenacin (sol ee FEN a sin)
Brand Names: VESIcare

What is Vesicare?

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Vesicare reduces muscle spasms of the bladder and urinary tract.

Vesicare is used to treat symptoms of overactive bladder, such as frequent or urgent urination, and incontinence (urine leakage).

Vesicare may also be used for other purposes not listed in this medication guide.

Important information about Vesicare

You should not use Vesicare if you are allergic to solifenacin, or if you have untreated or uncontrolled narrow-angle glaucoma, a blockage in your digestive tract (stomach or intestines), or if you are unable to urinate.

Before using Vesicare, tell your doctor if you have glaucoma, liver disease, kidney disease, a blockage in your stomach or intestines, or a history of "Long QT syndrome."

Avoid becoming overheated or dehydrated during exercise and in hot weather. Vesicare can decrease perspiration and you may be more prone to heat stroke.

Vesicare can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. There are many other medicines that can interact with Vesicare. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Stop using Vesicare and call your doctor if you have serious side effects such as hot and dry skin, extreme thirst, severe stomach pain or constipation, pain or burning when you urinate, or if you stop urinating.

Before taking Vesicare

You should not use Vesicare if you are allergic to solifenacin, or have certain conditions. Be sure your doctor knows if you have:

untreated or uncontrolled narrow-angle glaucoma;
a stomach disorder causing delayed emptying; or
if you are unable to urinate.

Before using Vesicare, tell your doctor if you are allergic to any drugs, or if you have:

glaucoma;
liver disease;
kidney disease;
a blockage in your stomach or intestines; or
a history of "Long QT syndrome."

If you have any of these conditions, you may need a dose adjustment or special tests to safely take Vesicare.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Vesicare passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Vesicare?

Take Vesicare exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Take Vesicare with water.

Vesicare can be taken with or without food.

Store Vesicare at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra Vesicare to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much Vesicare.

Overdose symptoms may include severe constipation or stomach pain, or urinating less than usual or not at all.

What should I avoid while taking Vesicare?

Avoid becoming overheated or dehydrated during exercise and in hot weather. Vesicare can decrease perspiration and you may be more prone to heat stroke.

Vesicare can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Vesicare side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Vesicare and call your doctor at once if you have any of these serious side effects:

hot, dry skin and extreme thirst;
severe stomach pain, or constipation for 3 days or longer;
pain or burning when you urinate; or
urinating less than usual or not at all.

Less serious side effects may include:

dry mouth;
dry eyes, blurred vision;
mild constipation;
nausea, mild stomach pain or upset;
dizziness, tired feeling; or
fever, sore throat, body aches, or other flu symptoms.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Vesicare?

The following drugs can interact with Vesicare. Tell your doctor if you are using any of these:

arsenic trioxide (Trisenox);
chloroquine (Arelan) or halofantrine (Halfan);
droperidol (Inapsine);
HIV/AIDS medicine such as nelfinavir (Viracept) or ritonavir (Norvir);
an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), itraconazole (Sporanox), ketoconazole (Nizoral), pentamidine (NebuPent, Pentam), or troleandomycin (Tao);
narcotic medication such as levomethadyl (Orlaam), or methadone (Dolophine, Methadose);
medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), or thioridazine (Mellaril);
heart rhythm medicine such as amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), disopyramide (Norpace), ibutilide (Corvert), procainamide (Procan, Pronestyl), quinidine (Quinidex, Quin-Release Quin-G), or sotalol (Betapace); or
an antidepressant such as amitriptyline (Elavil, Etrafon), fluoxetine (Prozac), fluvoxamine (Luvox), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), and others.

This list is not complete and there may be other drugs that can interact with Vesicare. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about Vesicare.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Vesicare only for the indication prescribed.
Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.