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At a glance

Solifenacin Succinate is a muscarinic receptor antagonist used for the treatment of overactive bladder (OAB) symptoms such as frequent urination, urgent need to urinate, and inability to control urination.

Indications
  • Overactive bladder (OAB) – urgency, increased urinary frequency, urge incontinence
Pharmacology

Solifenacin blocks M2 and M3 muscarinic receptors in the bladder, relaxing the detrusor muscle, increasing bladder capacity, and reducing urinary urgency and frequency.

Dosage

Adult Dose (Oral):

  • Starting: 5 mg once daily
  • If needed and tolerated: 10 mg once daily
  • With CYP3A4 inhibitors (ketoconazole, ritonavir): Max 5 mg/day
  • Severe renal impairment (CrCl <30): Max 5 mg/day
  • Moderate hepatic impairment (Child-Pugh B): Max 5 mg/day
Side effects

Common Side Effects:

  • Dry mouth (very common: 11-22%)
  • Constipation, nausea, dyspepsia
  • Abdominal pain, blurred vision
  • Urinary tract infection
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; use only if clearly needed; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use in uncontrolled narrow-angle glaucoma, urinary retention, gastric retention
  • Caution in clinically significant bladder outflow obstruction, GI obstructive disorders
  • Severe renal or moderate hepatic impairment: Do not exceed 5 mg
  • May affect driving ability (blurred vision, drowsiness)
Overdose effects

Overdose may cause severe anticholinergic effects; highest dose 280 mg/5 hours caused mental status changes; activated charcoal; gastric lavage (within 1 hour); physostigmine, benzodiazepines, beta-blockers, catheterization; caution in QT-prolongation risk.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Solifenacin Succinate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.