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Drug interactions

Maprotiline + Solifenacin

Severity: Moderate

Maprotiline 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

Maprotiline can prolong the QT interval and has substantial antimuscarinic activity. Combining it with solifenacin increases the risk of arrhythmia and of anticholinergic toxicity such as retention, confusion and constipation.

What this interaction means in plain words

Maprotiline 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.

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

Evidence level: Low

Why it happens

Additive QT prolongation and additive antimuscarinic effects.

What to do

Avoid combining where an alternative is available. If used together, monitor the ECG and anticholinergic symptoms, particularly in older patients.

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 Maprotiline with Solifenacin?

MediHelp rates the interaction as moderate. Maprotiline 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. Maprotiline can prolong the QT interval and has substantial antimuscarinic activity. Combining it with solifenacin increases the risk of arrhythmia and of anticholinergic toxicity such as retention, confusion and constipation.

How serious is the interaction between Maprotiline 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 combining where an alternative is available. If used together, monitor the ECG and anticholinergic symptoms, particularly in older patients.

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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