Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Oxybutynin ER (Ditropan XL) and Solifenacin (Vesicare) are both medications used to treat overactive bladder (OAB), but they have some differences. Oxybutynin ER is available in both generic and brand forms, while Solifenacin is available as a brand (Vesicare) and generic tablets, but its liquid form (Vesicare LS) is only available as a brand. Oxybutynin ER can be taken in various forms, including tablets, syrup, and solution, whereas Solifenacin is only available as tablets and liquid. Oxybutynin ER is taken 2 to 4 times a day for the short-acting form or once daily for the long-acting form, while Solifenacin is taken once daily. Both medications can cause side effects like dry mouth and dizziness, especially in older adults. Both medications can cause dry mouth and should be used carefully in people with certain conditions like narrow-angle glaucoma and difficulty urinating.
Oxybutynin
Solifenacin (Vesicare)
Oxybutynin
Solifenacin (Vesicare)
Summary of Ditropan XL vs. Vesicare
Summary for Urinary antispasmodic
Prescription only
Oxybutynin is used to treat overactive bladder (OAB). Oral oxybutynin is available as a short-acting tablet and solution that is taken 2 to 4 times a day. It also comes as a long-acting tablet that's taken once daily (brand name Ditropan XL). Some common side effects of oxybutynin include dry mouth, constipation, and dizziness. Older adults typically lower doses of this medication to lower the risk for side effects.
Summary for Anticholinergic
Prescription only
Solifenacin succinate, also known by the brand name Vesicare, is an anticholinergic medication that's used to treating certain bladder problems. The brand-name and generic tablets help treat overactive bladder in adults. A liquid suspension under the brand name Vesicare LS is also available for children with neurogenic detrusor overactivity (NDO) (urinary incontinence due to a neurologic problem). This medication is taken by mouth once per day. The most common side effects are dry mouth and constipation.
Indications of Ditropan XL vs. Vesicare
Indications for
•Overactive bladder
•Incontinence in children due to a neurologic (brain) condition, such as spina bifida