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Vesicare Information
Introduction
Vesicare ® is a prescription medication used to manage symptoms of an over‑active bladder (OAB). The formulation contains the active compound solifenacin, a selective muscarinic‑receptor antagonist that reduces involuntary bladder contractions. In the United Kingdom the drug is supplied by Astellas Pharma and is listed under the therapeutic group “Diuretics” in the provided data set, although its primary pharmacology relates to antimuscarinic activity. Vesicare is indicated for adults who experience urgency, frequency, or urge incontinence that interfere with daily life.
What is Vesicare?
Vesicare is the brand name for a tablet formulation that contains solifenacin succinate as the sole active ingredient. The product is manufactured by Astellas Pharma and marketed worldwide for the treatment of OAB. In some regulatory regions the same molecule is sold under alternative brand names, most commonly the generic designation “solifenacin.” The tablets are film‑coated, available in 5 mg and 10 mg strengths, and are taken orally once daily.
How Vesicare Works
Solifenacin selectively blocks the M3 subtype of muscarinic receptors located in the detrusor muscle of the bladder. By inhibiting the binding of acetylcholine, the drug reduces the strength and frequency of involuntary detrusor contractions that trigger urgency and urge incontinence. The antagonistic effect begins within a few hours after ingestion, reaches peak plasma concentration in approximately 3–5 hours, and has an elimination half‑life of about 45–68 hours, allowing once‑daily dosing. Clearance is primarily hepatic via cytochrome P450 3A4 metabolism, with renal excretion of metabolites.
Conditions Treated with Vesicare
- Over‑active bladder (OAB) – characterised by urinary urgency, increased daytime frequency (≥8 voids/24 h), and urge incontinence. OAB affects an estimated 2–3 million adults in the UK, with prevalence increasing with age.
- Urge urinary incontinence – the involuntary loss of urine associated with a sudden, compelling urge to void. Solifenacin improves bladder storage capacity and decreases incontinence episodes.
These indications are approved by the Medicines and Healthcare products Regulatory Agency (MHRA) and are reflected in the Summary of Product Characteristics (SmPC).
Who is Vesicare For?
Vesicare is intended for adult patients (≥18 years) in the UK who have a confirmed diagnosis of OAB or urge urinary incontinence and for whom behavioural therapy alone has been insufficient. Typical clinical scenarios include:
- Persistent urgency or frequency despite pelvic‑floor muscle training.
- Patients reporting at least one episode of urge incontinence per day.
- Individuals whose quality of life is significantly impacted by bladder symptoms (e.g., sleep disruption, social embarrassment).
The medication is not recommended for:
- Patients with urinary retention, significant bladder outlet obstruction, or severe hepatic impairment.
- Individuals taking strong CYP3A4 inhibitors (e.g., clarithromycin, ketoconazole) unless dose adjustment is made.
- Pregnant or breastfeeding women, as safety data are lacking.
Risks, Side Effects, and Interactions
Common
- Dry mouth
- Constipation
- Blurred vision
- Nasal congestion
These events are reported in ≥1 % of users and are usually mild to moderate in intensity.
Rare
- Dyspepsia (up to .5 %)
- Skin rash or pruritus
- Elevated liver enzymes
Rare adverse reactions may require clinical review but are generally self‑limiting.
Serious
- Acute urinary retention
- Severe constipation leading to intestinal obstruction
- Cardiac arrhythmias (QT‑interval prolongation, especially in patients with existing cardiac disease)
Any serious event warrants immediate medical attention and discontinuation of therapy.
Clinically relevant drug‑drug interactions
- CYP3A4 inhibitors (e.g., ketoconazole, erythromycin) – increase solifenacin plasma concentrations; dose reduction to 5 mg is advised.
- CYP3A4 inducers (e.g., rifampicin, carbamazepine) – may reduce efficacy; consider alternative therapy.
- Anticholinergic burden – concurrent use of other antimuscarinic agents (e.g., antihistamines, certain antidepressants) can amplify dry‑mouth and constipation.
Patients should provide a full medication list to their prescriber to assess interaction risk.
Practical Use: Dosing, Missed Dose, Overdose
- Initial dose: 5 mg once daily, taken with or without food.
- Dose escalation: If tolerated, the dose may be increased to 10 mg once daily after at least 4 weeks of therapy.
- Renal or hepatic impairment: Start at 5 mg; avoid doses above 5 mg in severe impairment.
Missed dose – If a dose is forgotten, take it as soon as remembered unless the next scheduled dose is within 12 hours; in that case, skip the missed dose and resume the regular schedule. Do not double‑dose.
Overdose – Symptoms may include severe dry mouth, constipation, blurred vision, and tachycardia. If an overdose is suspected, seek urgent medical care; supportive measures (e.g., gastric lavage, activated charcoal) are administered according to standard toxicology protocols.
Precautions – Alcohol may exacerbate anticholinergic side effects. Patients with glaucoma, gastrointestinal obstruction, or severe constipation should discuss risk mitigation strategies before initiating therapy.
Buying Vesicare from Our Online Pharmacy
Vesicare can be obtained through our online pharmacy in the UK, which offers a discreet and cost‑effective route to the medication for patients who encounter limited local supply or high retail prices. Key benefits include:
- Affordable pricing – generic solifenacin is sourced near manufacturer cost, reducing the financial barrier for long‑term OAB management.
- Verified quality – all batches are supplied by licensed overseas pharmacies that meet European GMP standards, ensuring potency and safety.
- Guaranteed delivery – packaged securely for privacy, with options for express shipping (7 days) or standard airmail (approximately 3 weeks).
- Online‑only access – our pharmacy broker service works with internationally accredited suppliers, allowing patients to receive medication without the need to travel to a physical dispensary.
The service is designed for individuals who have a valid prescription from a UK‑registered clinician and seek a reliable alternative to conventional pharmacy channels.
FAQ
-
Can Vesicare be taken with food or on an empty stomach?
Yes, solifenacin tablets may be swallowed with or without food. Taking the medication at the same time each day helps maintain consistent plasma levels. -
What is the typical appearance of Vesicare tablets?
Vesicare tablets are film‑coated, round, and colour‑coded: the 5 mg strength is usually white, while the 10 mg strength appears pink. The imprint on the tablet includes the brand name and strength for easy identification. -
Does Vesicare require special storage conditions?
The tablets should be stored at controlled room temperature (15‑30 °C), protected from excess moisture, heat, and direct sunlight. No refrigeration is needed, but they must be kept out of reach of children. -
Can I travel internationally with Vesicare in my luggage?
Yes, the medication can be transported in hand luggage or checked baggage, provided it remains in its original packaging with the pharmacy label. Carry a copy of the prescription and a letter from your prescriber if customs request documentation. -
Are there any known differences between solifenacin formulations sold in the US and the UK?
The active ingredient (solifenacin succinate) is identical across regions. However, inactive excipients such as lactose, magnesium stearate, or colourants may vary slightly to meet local regulatory requirements. These differences rarely affect therapeutic efficacy. -
Is Vesicare listed on any drug‑testing panels for employment or sports?
Solifenacin is not a prohibited substance in standard occupational drug‑testing programs or in competitive sport anti‑doping panels. It should not trigger a positive result. -
What monitoring is recommended during long‑term Vesicare therapy?
Periodic assessment of bladder function, renal and hepatic labs, and evaluation for signs of urinary retention are advised, especially after dose adjustments. Patients should report new or worsening constipation promptly. -
How does Vesicare compare with older antimuscarinic agents like oxybutynin?
Solifenacin has greater selectivity for the M3 receptor, which may result in fewer systemic anticholinergic side effects (e.g., dry mouth) compared with non‑selective agents such as oxybutynin. Clinical trials have demonstrated comparable improvements in OAB symptom scores. -
Can Vesicare be used in patients with mild cognitive impairment?
Anticholinergic drugs can impact cognition, particularly in the elderly. While solifenacin’s selectivity reduces central nervous system penetration, clinicians usually evaluate cognitive status before initiating therapy and monitor for any decline. -
What is the legal status of importing Vesicare for personal use into the UK?
Personal importation of a prescription‑only medicine is permissible under UK law when the medication is for personal use, the quantity does not exceed a three‑month supply, and a valid prescription is held. Importers must ensure the product complies with the MHRA’s safety standards. -
Are there any known ethnic or genetic factors that affect solifenacin metabolism?
Solifenacin is metabolised primarily by CYP3A4; genetic polymorphisms that reduce CYP3A4 activity can increase plasma concentrations, potentially heightening side‑effect risk. No specific ethnic dosing recommendations exist, but clinicians may consider dose reduction in populations with known reduced enzyme activity.
Glossary
- Muscarinic receptor (M3)
- A subtype of acetylcholine receptor located in smooth muscle, including the bladder detrusor. Blocking M3 reduces muscle contraction.
- Anticholinergic burden
- The cumulative effect of taking multiple drugs that possess anticholinergic properties, which can increase the risk of dry mouth, constipation, and cognitive impairment.
- CYP3A4
- A liver enzyme that metabolises many medications, including solifenacin. Inhibitors or inducers of CYP3A4 can alter drug concentrations.
⚠️ Disclaimer
The information provided about Vesicare is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Vesicare for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.