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Compare Enablex vs. Vesicare

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Darifenacin (formerly branded as Enablex) and solifenacin (Vesicare) are both medications used to treat overactive bladder (OAB), but they have some differences. Darifenacin is a urinary antispasmodic, while solifenacin is an anticholinergic and antimuscarinic medication. Both are taken once a day, but darifenacin is available only in a generic form, whereas solifenacin is available in both brand and generic forms. Darifenacin typically starts working within 2 weeks, while solifenacin may take up to 4 weeks to show improvement and up to 12 weeks for full effects. Common side effects for both include dry mouth and constipation, but darifenacin has a higher risk of causing severe dry mouth and constipation. Additionally, solifenacin can cause rare but serious heart rhythm problems (QT prolongation), which is not a noted risk for darifenacin. Both medications can cause dizziness and drowsiness, especially in older adults, and can reduce your ability to sweat, increasing the risk of heat exhaustion.

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