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Drug interactions

Atomoxetine + Solifenacin

Severity: Moderate

Atomoxetine and Solifenacin: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Atomoxetine can cause tachycardia and has been associated with QT prolongation in overdose or in poor metabolizers, while solifenacin may prolong QT at high doses. The combination may add modestly to arrhythmia risk in susceptible patients.

What this interaction means in plain words

Atomoxetine and Solifenacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Atomoxetine belongs to Central Nervous System; Solifenacin belongs to Genitourinary.

Evidence level: Low

Why it happens

Possible additive QT prolongation and heart-rate effects.

What to do

Check for other QT risk factors and consider an ECG in patients with cardiac disease. Monitor heart rate and palpitations.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Atomoxetine with Solifenacin?

MediHelp rates the interaction as moderate. Atomoxetine and Solifenacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Atomoxetine can cause tachycardia and has been associated with QT prolongation in overdose or in poor metabolizers, while solifenacin may prolong QT at high doses. The combination may add modestly to arrhythmia risk in susceptible patients.

How serious is the interaction between Atomoxetine and Solifenacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check for other QT risk factors and consider an ECG in patients with cardiac disease. Monitor heart rate and palpitations.

What other medicines interact with Solifenacin?

MediHelp also lists interactions of Solifenacin with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Solifenacin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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