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Drug interactions

Risperidone + Solifenacin

Severity: Moderate

Risperidone 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 can prolong the QT interval, and risperidone has some anticholinergic effect that may add to that of solifenacin. Older patients may be more prone to constipation, urinary retention and confusion with this combination.

What this interaction means in plain words

Risperidone 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.

Risperidone 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

Monitor for anticholinergic adverse effects and obtain an ECG in patients with cardiac risk factors. Adjust therapy if the QTc lengthens or anticholinergic symptoms appear.

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 Risperidone with Solifenacin?

MediHelp rates the interaction as moderate. Risperidone 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 can prolong the QT interval, and risperidone has some anticholinergic effect that may add to that of solifenacin. Older patients may be more prone to constipation, urinary retention and confusion with this combination.

How serious is the interaction between Risperidone 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: Monitor for anticholinergic adverse effects and obtain an ECG in patients with cardiac risk factors. Adjust therapy if the QTc lengthens or anticholinergic symptoms appear.

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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