Solifenacin

Urology

Urology · Antimuscarinic

Solifenacin

Dose

5 mg PO OD; increase to 10 mg if needed.

Contraindications

  • • Narrow-angle glaucoma
  • • Myasthenia gravis
  • • Significant bladder outflow obstruction

Use

Overactive bladder with urgency/urge incontinence after bladder training.

Monitoring

Post-void residual, cognition in the elderly, anticholinergic burden.

Side effects

  • • Dry mouth
  • • Constipation
  • • Blurred vision
  • • Urinary retention
  • • Confusion in the elderly

Always confirm dose against your local formulary / BNF before prescribing.

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