Drug & supplement interaction

Belladonna + Solifenacin succinate

Solifenacin succinate brand name: Vesicare.

Moderate Interaction
The bottom line Moderate

Belladonna has a moderate interaction with Solifenacin succinate. Belladonna may increase the risk of adverse effects when used concomitantly with anticholinergic drugs.

Read the full interaction report
SeverityModerate
LikelihoodProbable
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Interaction report

Belladonna and Solifenacin succinate

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Solifenacin succinate

Solifenacin succinate falls under ANTICHOLINERGIC DRUGS — the group Belladonna interacts with.

Belladonna may increase the risk of adverse effects when used concomitantly with anticholinergic drugs.
Belladonna has anticholinergic activity and increases the activity of anticholinergic drugs.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: your Vesicare (solifenacin) already works by blocking acetylcholine to calm an overactive bladder. Belladonna does the exact same thing thanks to its tropane alkaloids. So if you take them together, you're essentially stacking two anticholinergic effects on top of each other, and that can push the side effects higher.

What might that look like with solifenacin? Think dry mouth, blurry vision, constipation, trouble emptying the bladder, a fast heartbeat, confusion, or feeling overheated because you sweat less. To be fair, this warning is based on how these substances work rather than hard studies, but belladonna is genuinely toxic, so I wouldn't combine them on your own. Please check with your pharmacist or doctor first.

References
  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Belladonna Also Interacts With Other Medications

Belladonna has 195 moderate known drug interactions in our database — the Solifenacin succinate one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Belladonna

Covers the 2,830 medications we’ve checked against Belladonna. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Solifenacin succinate

This page covers Belladonna only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Solifenacin succinate page lists 169 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).

By severity: 10 major · 117 moderate · 42 minor.

From our pharmacist’s overview on the Solifenacin succinate page

“People taking solifenacin (Vesicare) for overactive bladder are often older adults who also reach for sleep herbs, memory blends, or fiber supplements, and that combination warrants real caution, since 10 of the 169 interacting ingredients here are rated major. Most of the list, 121 ingredients, affects the liver enzyme CYP3A4 that cle…”

Reviewed by 2 · Jul 18, 2026

Open the Solifenacin succinate interaction page

One more smart check

Taking Belladonna as Part of a Dietary Supplement Product? Check It for Interactions

We hold 6 real supplement products containing Belladonna, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Belladonna. Your product may carry other ingredients that interact with Solifenacin succinate too, on top of Belladonna — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Belladonna and Solifenacin succinate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Belladonna
Steady interest

#967 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Solifenacin succinate
Steady interest

#1,585 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Belladonna

What is Belladonna?

  • Digestive cramps and spasms
  • Cold and flu symptoms (homeopathic)
  • Teething pain (homeopathic)
  • Motion sickness and nausea
  • Excess sweating or secretions
  • Pain and muscle spasm (topical plasters)

Belladonna is a highly toxic plant whose alkaloids (like atropine and scopolamine) are powerful medicines used only in carefully controlled, regulated forms. The raw plant and unregulated products can cause serious poisoning, and homeopathic versions have little proof of benefit. Never self-treat with belladonna without guidance from a doctor or pharmacist.

Read the full Belladonna monograph & all interactions
Medication

About Solifenacin

What Is Solifenacin Used For?

Brand name: Vesicare

Solifenacin tablets (including the brands solifenacin succinate and VESIcare) are approved for adults with overactive bladder — specifically the symptoms of sudden urges to urinate, leaking urine due to those urges (urge urinary incontinence), and needing to urinate very frequently.

VESIcare LS oral suspension is approved for a different use: treating neurogenic detrusor overactivity (NDO) — a bladder control problem caused by nerve damage or a nervous system condition — in children aged 2 years and older. This liquid formulation is dosed by the child's weight.

See full Solifenacin drug information
Keep checking

Other Drugs & Belladonna

Browse every other medication we’ve checked against Belladonna — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
195Moderate
0Minor
2,634No known interaction
Moderate

195 interactions

Showing 60 of 195 moderate interactions — see all 195 on the Belladonna page.

No interaction 2,634 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Pharmacist Counseling Corner

Taking Belladonna and Solifenacin succinate Together: Common Questions

Can you take Belladonna with Solifenacin succinate?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Belladonna and Solifenacin succinate interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Solifenacin succinate and Belladonna?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.