section name header

Pronunciation

so-li-FEN-a-sin audio

Indications

REMS

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed (90%).

Distribution: Extensively distributed to tissues.

Protein Binding: 98%.

Metabolism/Excretion: Extensively metabolized by the CYP3A4 isoenzyme. 69% excreted in urine as metabolites, 22% in feces.

Half-life: Tablets — 45–68 hr; Suspension — 26 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: palpitations, QT interval prolongation, tachycardia.

EENT: blurred vision.

GI: constipation, dry mouth, abdominal pain, dyspepsia, nausea.

GU: urinary tract infection.

MS: muscle weakness.

Neuro: confusion, drowsiness, hallucinations, headache.

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS AND ANGIOEDEMIA).

Interactions

Drug-Drug:

Route/Dosage

Overactive Bladder

Renal Impairment

Hepatic Impairment

Neurogenic Detrusor Overactivity

Renal Impairment

Hepatic Impairment

Implementation

US Brand Names

VESIcare, VESIcare LS

Classifications

Therapeutic Classification: urinary tract antispasmodics

Pharmacologic Classification: anticholinergics

Availability

(Generic available)

Time/Action Profile

ROUTEONSETPEAKDURATION
Oralunknown3–8 hr24 hr

Assessment

Pot. Nursing Diagnoses

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*