Vesicare

    Vesicare (solifenacin) Dosage and Side Effects

    VESICARE is used in the treatment of overactive bladder in adults with symptoms of frequent and urgent need to urinate (urinary frequency, urinary urgency) with urine leakage (urge urinary incontinence).

    Warnings and Precautions

    Before you use VESICARE, talk to your doctor or pharmacist if you:

    • Have stomach problems affecting passage and digestion of food, or severe constipation.
    • Have glaucoma.
    • Have difficulty urinating, or weak urine stream.
    • Have heart disease.
    • Have a rare heart problem called QT/QTc prolongation or family history of QT/QTc prolongation.
    • Have kidney or liver problems.
    • Have reduced ability to sweat.
    • Are pregnant or planning to become pregnant. Women who might get pregnant should use an effective birth control method while taking VESICARE.
    • Are breastfeeding or plan to breastfeed.

    VESICARE should not be given to children or adolescents.

    VESICARE may cause blurred vision and drowsiness. Do not drive a car or operate any machinery, or engage in any activities that requires accurate vision and full attention.

    In hot weather, VESICARE can cause heat prostration (fever and heat stroke due to decreased sweating). Do not stay long in a hot environment while taking the drug. If you have any symptoms of heat prostration, keep yourself cool and drink a lot of water.

    Angioedema (the symptoms include swelling of face or tongue, difficulty breathing) and anaphylactic reactions (the symptoms include hives, difficulty breathing, abdominal cramps, rapid heartbeat and feeling faint), which could be lifethreatening, have been reported in some patients taking VESICARE. If you experience any of these symptoms, stop taking VESICARE and see your doctor immediately.

    Side Effects

    Most common side effects: dry mouth and constipation.

    Common side effects: dry eyes, urinary retention, blurred vision, nausea, abdominal pain, indigestion, urinary tract infection.

    The following sides effects have been reported with the use of VESICARE in worldwide post-marketing experience, although the frequency of events or a causal relationship with VESICARE could not always be confirmed:

    Acid reflux, angioedema (swelling of face or tongue, difficulty breathing), anaphylactic reactions (hives, difficulty breathing, abdominal cramps, rapid heartbeat and feeling faint), decreased appetite, delirium, dizziness, fast or irregular heartbeat, feeling sleepy, glaucoma, hallucination, headache, high potassium levels, hypersensitivity reactions, intestinal blockage, itchiness, kidney ailment, liver problems, muscle weakness, voice disorder, severe skin scaling and redness, itching (exfoliative dermatitis), severe skin rash, itchiness and fever (erythema multiforme), swelling in the lower limbs and vomiting.

    Tell your doctor or pharmacist if you have any side effects while taking VESICARE.

    Interactions with this medication

    Before and while taking VESICARE you should tell your doctor about your other medications, even if the medicine you bought without prescription including vitamins and herbal supplements.

    VESICARE is known to have drug interactions with the following drugs: Drug known to prolong the QT/QTc interval and/or cause torsade de pointes, drugs that decrease electrolyte levels, anticholinergic drugs, drugs that stimulate the motility of the gut such as metoclopramide, ketoconazole, clarithromycin, erythromycin, diclofenac, nefazodone, verapamil.

    Drinking grapefruit juice with VESICARE may increase your blood level of solifenacin.

    Proper Use of this medication

    Usual dose:

    5 mg daily. The daily dose may be increased to 10 mg following consultation with your doctor. Swallow the tablet whole with water.

    VESICARE tablets can be taken with or without food.

    Overdose:

    In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

    Missed dose:

    If a dose is missed, the next tablet should be taken as planned. Doses should not be doubled to make up for a missed dose.

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    The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.