Vesicare Ls

— THERAPEUTIC CATEGORIES —
  • Overactive bladder/enuresis

Vesicare Ls Generic Name & Formulations

General Description

Solifenacin succinate 1mg/mL; oral susp; orange-flavor.

Pharmacological Class

Muscarinic antagonist.

See Also

How Supplied

Tabs—30, 90; Susp—150mL

Generic Availability

NO

Vesicare Ls Indications

Indications

Treatment of neurogenic detrusor overactivity in pediatric patients.

Vesicare Ls Dosage and Administration

Adult

Not applicable.

Children

<2yrs: not established. Take once daily, followed by liquid (eg, water or milk). Base dose on body wt. ≥2yrs: 9–15kg: initially 2mL (max 4mL); >15–30kg: initially 3mL (max 5mL); >30–45kg: initially 3mL (max 6mL); >45–60kg: initially 4mL (max 8mL); >60kg: initially 5mL (max 10mL). Severe renal impairment (CrCl <30mL/min/1.73m2), moderate hepatic impairment (Child-Pugh B), or concomitant strong CYP3A4 inhibitors: do not exceed the recommended initial dose.

Vesicare Ls Contraindications

Contraindications

For tabs: urinary retention. For tabs & susp: gastric retention, uncontrolled narrow-angle glaucoma.

Vesicare Ls Boxed Warnings

Not Applicable

Vesicare Ls Warnings/Precautions

Warnings/Precautions

Significant bladder outlet obstruction, decreased GI motility, high risk or history of QT prolongation, severe hepatic impairment (Child-Pugh C): not recommended. Controlled narrow-angle glaucoma. Monitor for CNS effects esp. after initiation or dose increases; consider dose reduction or discontinuation if occurs. Severe renal or moderate hepatic impairment. Pregnancy. Nursing mothers.

Vesicare Ls Pharmacokinetics

See Literature

Vesicare Ls Interactions

Interactions

Potentiated by strong CYP3A4 inhibitors (eg, ketoconazole). May be antagonized by CYP3A4 inducers. Avoid drugs known to prolong the QT interval. Additive anticholinergic effects with other anticholinergics.

Vesicare Ls Adverse Reactions

Adverse Reactions

Dry mouth, constipation, UTI, blurred vision; CNS effects (eg, headache, confusion, hallucination, somnolence); angioedema and anaphylactic reactions (discontinue if occurs).

Vesicare Ls Clinical Trials

See Literature

Vesicare Ls Note

Not Applicable

Vesicare Ls Patient Counseling

See Literature