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Drug interactions

Hyoscyamine + Solifenacin

Severity: Moderate

Hyoscyamine 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

Both drugs are antimuscarinics, so the combination increases anticholinergic burden. Dry mouth, constipation, urinary retention, tachycardia and cognitive impairment are more likely.

What this interaction means in plain words

Hyoscyamine 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.

Hyoscyamine belongs to Genitourinary; Solifenacin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive antimuscarinic pharmacodynamic effects.

What to do

Avoid concurrent use where possible; otherwise use the lowest effective doses and monitor for anticholinergic toxicity.

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 Hyoscyamine with Solifenacin?

MediHelp rates the interaction as moderate. Hyoscyamine 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. Both drugs are antimuscarinics, so the combination increases anticholinergic burden. Dry mouth, constipation, urinary retention, tachycardia and cognitive impairment are more likely.

How serious is the interaction between Hyoscyamine 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: Avoid concurrent use where possible; otherwise use the lowest effective doses and monitor for anticholinergic toxicity.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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