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Drug interactions

Macimorelin + Solifenacin

Severity: Moderate

Macimorelin 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

Macimorelin modestly prolongs the QT interval, and solifenacin may add to this. Together they could raise the risk of torsades de pointes.

What this interaction means in plain words

Macimorelin 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.

Macimorelin belongs to Endocrine; Solifenacin belongs to Genitourinary.

Evidence level: Low

Why it happens

Additive QT interval prolongation.

What to do

Hold solifenacin for an adequate washout before the macimorelin test where clinically possible. Otherwise avoid testing in patients with other QT risk factors.

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 Macimorelin with Solifenacin?

MediHelp rates the interaction as moderate. Macimorelin 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. Macimorelin modestly prolongs the QT interval, and solifenacin may add to this. Together they could raise the risk of torsades de pointes.

How serious is the interaction between Macimorelin 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: Hold solifenacin for an adequate washout before the macimorelin test where clinically possible. Otherwise avoid testing in patients with other QT risk factors.

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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