Frequently Asked Questions About VESIcare & OAB
Recognizing key overactive bladder (OAB) symptoms, treatment with VESIcare, and more
Questions about bladder symptoms
Are there other causes of bladder symptoms besides OAB?
A: Yes, bladder symptoms can have many other causes besides OAB. That's why it's important for you to talk to your doctor about your bladder symptoms. He or she can give you the correct diagnosis and suggest options that may help.
Questions about overactive bladder (OAB) symptoms (urgency, frequency, and leakage)
Isn't it normal to have OAB symptoms as you age?
A: No. Overactive bladder (OAB) symptoms of urgency, frequency and leakage are not normal at any age. They may occur more often as people get older, but that doesn't mean it's a normal part of aging, or that they can't be treated. Learn more about OAB symptoms.
What causes OAB symptoms?
A: OAB symptoms such as frequency, urgency, and leakage can be caused by uncontrolled contractions of the bladder muscle. Check out the Interactive Guide to Internal Plumbing for more information.
Talk to your doctor about your OAB symptoms. He or she can give you the correct diagnosis and suggest options that can help.
How common are OAB symptoms?
A: Overactive bladder (OAB) is a common medical condition that may affect 1 in 6 adults—that's more than 33 million Americans! OAB symptoms can occur in adults of any age—men and women alike.
Why don't more people seek help for OAB symptoms?
A: Many people don't realize that overactive bladder is a real medical condition. For some, it takes a while to realize they have OAB symptoms in the first place. They may also feel awkward mentioning to their doctor that they're experiencing urges and leaks. Try the Doctor Conversation Guide if you need help talking to your doctor about your OAB symptoms.
What can be done for OAB symptoms?
A: Once a diagnosis of OAB is made, doctors might suggest Kegel exercises, other lifestyle changes, or a prescription medication like VESIcare. They can all play important roles in an effective treatment plan. Find out more in Treating OAB.
What to ask when considering VESIcare
How does VESIcare work?
A: Medications like VESIcare are thought to work by interacting with natural body chemicals that cause the bladder muscle to contract. Learn more about how VESIcare can help in How VESIcare Works.
How do I take VESIcare?
A: You should take one pill a day swallowed whole with liquid, or as directed by your doctor.
Who should NOT take VESIcare?
A: Do not take VESIcare if you:
- Are not able to empty your bladder (urinary retention)
- Have delayed or slow emptying of your stomach (gastric retention)
- Have an eye problem called "uncontrolled narrow-angle glaucoma"
- Are allergic to solifenacin succinate or any of the ingredients in VESIcare
What should I tell my doctor before starting VESIcare?
A: Tell your doctor about all of your medical conditions, including if you:
- have any stomach or intestinal problems or problems with constipation
- have trouble emptying your bladder or you have a weak urine stream
- have an eye problem called "narrow angle glaucoma"
- have liver problems
- have kidney problems
- have a rare heart problem called "QT prolongation"
- are pregnant or plan to become pregnant. It is not known if VESIcare will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant.
- are breast feeding or plan to breast feed. It is not known if VESIcare passes into your breast milk. You and your doctor should decide if you will take VESIcare or breast feed. You should not do both.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. VESIcare may affect the way other medicines work, and other medicines may affect how VESIcare works.
What are the possible side effects of VESIcare?
A: VESIcare may cause serious side effects including:
- Serious allergic reaction. Stop taking VESIcare and get medical help right away if you have:
- hives, skin rash or swelling
- severe itching
- swelling of your face, mouth or tongue
- trouble breathing
The most common side effects of VESIcare include:
- dry mouth
- constipation. Call your doctor if you get severe stomach area (abdominal) pain or become constipated for 3 or more days.
- urinary tract infection
- blurred vision
- heat exhaustion or heat-stroke. This can happen when VESIcare is used in hot environments. Symptoms may include:
- decreased sweating
- dizziness
- tiredness
- nausea
- increase in body temperature
Tell your doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of VESIcare. For more information, ask your doctor or pharmacist.
Does VESIcare come in more than one dose?
A: Yes. The recommended dose of VESIcare is 5 mg once daily. If the 5-mg dose is well tolerated, your doctor may increase the dose to 10 mg once daily.
Questions about VESIcare
How could VESIcare help OAB symptoms?
A: VESIcare can help control the bladder muscle and is proven to treat overactive bladder (OAB) with symptoms of urges and leaks—day and night (your results may vary).
Is there a generic form of VESIcare?
A: No, VESIcare does not have a generic form. The only way to get the active ingredient in VESIcare is to get a prescription from your doctor.
I'm getting by OK now. Why should I talk to my doctor about taking a prescription medicine like VESIcare?
A: Lack of bladder control may also be a part of other medical issues. You should talk to your doctor about your concerns and how your bladder symptoms may be affecting your daily routine. Discuss what treatment options are best for you. Try the Doctor Conversation Guide for help getting the conversation started.
Does VESIcare start working right away?
A: It may take several weeks for you to experience symptom relief. Keep taking VESIcare as prescribed and talk to your doctor about any questions or concerns you may have. If you're looking for ways to get the most you can from your treatment, try the Vantage ProgramSM from VESIcare for valuable savings* and ongoing support.
Can anyone take VESIcare?
A: No medicine is right for everyone. VESIcare is for adults. Only your doctor can tell you if VESIcare is right for you.
Do not take VESIcare if you:
- Are not able to empty your bladder (urinary retention)
- Have delayed or slow emptying of your stomach (gastric retention)
- Have an eye problem called "uncontrolled narrow-angle glaucoma"
- Are allergic to solifenacin succinate or any of the ingredients in VESIcare
Can I take VESIcare if I am pregnant or breastfeeding?
A: VESIcare has not been studied in pregnant women. It is not known if VESIcare can harm your unborn baby. If you are taking VESIcare and become pregnant or are trying to become pregnant, tell your doctor. It is not known if the active ingredient in VESIcare passes into breast milk, so VESIcare should not be taken while breastfeeding.
Questions about taking VESIcare
What do the pills look like?
A: Click here to view photos of VESIcare 5-mg and VESIcare 10-mg tablets.
Do I take VESIcare with food or on an empty stomach?
A: Either way. You can take VESIcare with food or on an empty stomach.
How should VESIcare be taken?
A: You should take VESIcare with liquid. Swallow the tablet whole. Take one pill a day, or as directed by your doctor.
How should VESIcare be stored?
A: Keep the bottle closed. Store it at room temperature. Keep VESIcare and all other medicines out of the reach of children.
What are the possible side effects of VESIcare?
A: VESIcare may cause serious side effects including:
- Serious allergic reaction. Stop taking VESIcare and get medical help right away if you have:
- hives, skin rash or swelling
- severe itching
- swelling of your face, mouth or tongue
- trouble breathing
The most common side effects of VESIcare include:
- dry mouth
- constipation. Call your doctor if you get severe stomach area (abdominal) pain or become constipated for 3 or more days.
- urinary tract infection
- blurred vision
- heat exhaustion or heat-stroke. This can happen when VESIcare is used in hot environments. Symptoms may include:
- decreased sweating
- dizziness
- tiredness
- nausea
- increase in body temperature
Tell your doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of VESIcare. For more information, ask your doctor or pharmacist.
I took my first dose of VESIcare yesterday and still haven't seen an effect. Is this normal?
A: When you're just getting started with VESIcare, it may take several weeks to see an improvement in your symptoms. Don't give up. Keep taking VESIcare as prescribed and talk to your doctor about any questions or concerns you may have.
What if I miss a dose of VESIcare?
A: If you miss a dose of VESIcare, begin taking VESIcare again the next day. Do not take two doses of VESIcare in the same day.
What if I take too much VESIcare?
A: If you take too much VESIcare or overdose, call your local Poison Control Center or go to an emergency room right away.
Can I take VESIcare while I'm taking other medicines?
A: Before starting on VESIcare, tell your doctor about all the medicines you take including prescription and nonprescription medicines, vitamins, and herbal supplements. While taking VESIcare, tell your doctor or healthcare professional about all changes in the medicines you are taking including prescription and nonprescription medicines, vitamins and herbal supplements. VESIcare may affect the way other medicines work, and other medicines may affect how VESIcare works.
What should I tell my doctor while I am taking VESIcare?
- Tell your doctor about any side effects you may experience from taking VESIcare
- If you have a serious allergic reaction, severe abdominal pain, or become constipated for three or more days, tell your doctor right away
- You should also tell your doctor about any changes in the medicines you are taking
- Tell your doctor if you become pregnant or are trying to become pregnant
Will my insurance cover the cost of VESIcare?
A: Every insurance policy is different, but many plans may cover VESIcare. Check with your insurance company to know your coverage benefits. If you are enrolled in a public health insurance program or need assistance paying for your prescriptions, you may be eligible for prescription benefits from "Astellas Reimbursement Services." You can also join the Vantage ProgramSM from VESIcare. It offers ongoing savings* and resources—all free.
*Subject to eligibility. Restrictions may apply.

