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Drug interactions

Solifenacin + Vemurafenib

Severity: Moderate

Solifenacin and Vemurafenib: 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

Vemurafenib can prolong the QT interval in a concentration-dependent way, and solifenacin has a modest QT effect at higher doses. Together the risk of serious ventricular arrhythmia may rise.

What this interaction means in plain words

Solifenacin and Vemurafenib 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.

Solifenacin belongs to Genitourinary; Vemurafenib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT interval prolongation; vemurafenib also weakly induces CYP3A4, which may lower solifenacin exposure.

What to do

Obtain ECG and electrolytes at baseline and during treatment, and correct hypokalemia or hypomagnesemia. Choose an alternative bladder agent if QTc becomes prolonged.

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 Solifenacin with Vemurafenib?

MediHelp rates the interaction as moderate. Solifenacin and Vemurafenib 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. Vemurafenib can prolong the QT interval in a concentration-dependent way, and solifenacin has a modest QT effect at higher doses. Together the risk of serious ventricular arrhythmia may rise.

How serious is the interaction between Solifenacin and Vemurafenib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain ECG and electrolytes at baseline and during treatment, and correct hypokalemia or hypomagnesemia. Choose an alternative bladder agent if QTc becomes prolonged.

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.

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