Medication · antimuscarinic urinary

Supplements and Solifenacin.

Every documented pair, every citation. Below: 1 documented pair grouped by mechanism.

Solifenacin, sold under the brand names Vesicare, Vesomni, is an antimuscarinic agent for urinary urgency or overactive bladder.

Solifenacin is an antimuscarinic agent for urinary urgency or overactive bladder. The class blocks muscarinic acetylcholine receptors in the detrusor muscle, reducing involuntary contraction. UK prescribing includes solifenacin, tolterodine, oxybutynin, and mirabegron (technically a beta-3 agonist but in the same prescribing space). The supplement surface includes additive anticholinergic burden, which matters most in older patients given the cognitive decline signal that has emerged in long anticholinergic exposure data. Supplements with anticholinergic potential at high doses (some choline pathway compounds in reverse, certain antiemetic herbals) warrant care. Dry mouth. Constipation. Urinary retention. All three scale with dose. The NICE NG123 guideline pushes for review of indication and dose every six to twelve months, given the cognitive burden picture.

Below are the 1 documented pair we have explicitly assessed against Solifenacin in the Distil database: 1 amber. The pairs cluster around 1 mechanism: Cholinergic vs anticholinergic (opposing). Every call is cited to either a clinical reference (PMID) or the British National Formulary. Anything not on this list is either still to be assessed or beyond our database scope. The checker beneath surfaces assessments by supplement, and the missing-item form at the bottom of the page routes any uncatalogued supplement into our next curation pass.

Documented interactions

Cholinergic vs anticholinergic (opposing)

Amber Huperzine A

Huperzine A raises acetylcholine while solifenacin blocks it, so each can work against the other. Huperzine A may make solifenacin less effective for bladder symptoms, and solifenacin may blunt any benefit from huperzine A. It is not dangerous, but the two are pulling in opposite directions, so it is worth a word with your prescriber.

PMID 29350336 · PMID 18425924 · BNF: Solifenacin

Reviewer-flagged: awaiting clinical-reviewer sign-off.

What this list does not say. Pairs not flagged here are not implicitly safe. They are either not yet in our database, or fall outside our inclusion scope (food-supplement interactions only; for drug-drug interactions, the BNF is authoritative). Use the checker below to surface any supplement, and submit a missing item if you take something we have not catalogued.

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For adults over 18. This tool gives evidence-graded information, not medical advice. Always discuss changes with your GP, especially if you take any medication, are pregnant, breastfeeding, or have a serious health condition.

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