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Drug interactions

Quinine + Solifenacin

Severity: Moderate

Quinine 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

Quinine can prolong the QT interval and solifenacin has dose-related QT effects, so combining them may raise the risk of arrhythmia. The risk is greater with electrolyte abnormalities or other QT-prolonging drugs.

What this interaction means in plain words

Quinine 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.

Quinine belongs to Anti Parasitic; Solifenacin belongs to Genitourinary.

Evidence level: Low

Why it happens

Additive prolongation of cardiac repolarization.

What to do

Check the ECG and electrolytes beforehand and monitor the QTc during quinine treatment. Avoid adding further QT-prolonging drugs.

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 Quinine with Solifenacin?

MediHelp rates the interaction as moderate. Quinine 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. Quinine can prolong the QT interval and solifenacin has dose-related QT effects, so combining them may raise the risk of arrhythmia. The risk is greater with electrolyte abnormalities or other QT-prolonging drugs.

How serious is the interaction between Quinine 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 the ECG and electrolytes beforehand and monitor the QTc during quinine treatment. Avoid adding further QT-prolonging drugs.

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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