¿Puedo tomar Solifenacina y hierba de San Juan juntas?

Por qué sucede esto

St John's Wort is a 'liver enzyme inducer'. This means it speeds up the process by which your liver breaks down certain medicines. Because it makes your body process solifenacin much faster than usual, the levels of the medicine in your blood drop, preventing it from working properly.

You should avoid taking St John's Wort while you are prescribed solifenacin. If you are already taking both, do not stop the herbal remedy suddenly; instead, speak to your doctor or pharmacist. They can advise you on how to stop the supplement safely and may need to monitor your bladder symptoms or adjust your medication.

Glaucoma

Do not take solifenacina if you have narrow-angle glaucoma, as it can increase the pressure in your eyes and worsen the condition.

Retención urinaria

Do not take solifenacina if you have difficulty emptying your bladder (urinary retention), as it may make this problem worse.

Depresión

If you are taking St John's wort for low mood, be aware that antidepressants can occasionally increase thoughts of self-harm or suicide, particularly when first starting treatment. Seek urgent medical help if your mood worsens.

Interacciones de medicamentos

St John's wort significantly reduces the effectiveness of many essential medicines, including the contraceptive pill, blood thinners (like warfarin), and transplant medications. Do not start it without a pharmacist checking all your other medicines.

Síndrome serotoninérgico

Taking St John's wort with other antidepressants or triptans for migraine can cause serotonin syndrome, a potentially life-threatening reaction involving high body temperature, agitation, and muscle rigidity.

Fotosensibilidad

La hierba de San Juan puede hacer que su piel sea mucho más sensible a la luz solar, lo que puede provocar quemaduras solares graves o reacciones cutáneas incluso con una exposición limitada.

Alcohol

It is best to avoid or strictly limit alcohol while taking solifenacin. Both alcohol and solifenacin can cause drowsiness and blurred vision; combining them increases the risk of these side effects and may impair your coordination.

It is best to avoid or strictly limit alcohol while taking St John's Wort. Combining the two can increase drowsiness and dizziness, and may worsen the side effects of the herbal remedy.

Jugo de Toronja

El jugo de pomelo puede aumentar el nivel de solifenacina en su sangre, lo que puede incrementar el riesgo de efectos secundarios como sequedad bucal, estreñimiento y visión borrosa. Es mejor evitar consumir grandes cantidades de jugo de pomelo.

Cafeína (Café, Té, Bebidas Energéticas)

Debe limitar su consumo de cafeína. La solifenacina se usa para tratar una vejiga hiperactiva, pero la cafeína es un diurético natural y un irritante de la vejiga que puede empeorar síntomas como la urgencia y la frecuencia, lo que podría hacer que su medicación sea menos efectiva.

Foods high in Tyramine (e.g., aged cheeses, cured meats, soy sauce, marmite, overripe fruit)

While less common than with older prescription antidepressants, St John's Wort can potentially interact with tyramine-rich foods, leading to a sudden, dangerous increase in blood pressure (hypertensive crisis). You should consume these foods in moderation.

Taking multiple medicines? Our Verificador de Interacciones de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.