Kann ich Solifenacin und Johanniskraut zusammen einnehmen?

Warum das passiert

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.

Glaukom

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

Harnverhalt

Do not take Solifenacin Wenn Sie Schwierigkeiten haben, Ihre Blase zu entleeren (Harnverhalt), kann dies das Problem verschlimmern.

Depression

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.

Wechselwirkungen von Medikamenten

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.

Serotonin-Syndrom

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.

Photosensitivity

St John's wort can make your skin significantly more sensitive to sunlight, leading to severe sunburn or skin reactions even with limited exposure.

Alkohol

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.

Grapefruitsaft

Grapefruitsaft kann den Spiegel von Solifenacin in Ihrem Blut erhöhen, was das Risiko von Nebenwirkungen wie Mundtrockenheit, Verstopfung und verschwommenes Sehen erhöhen kann. Es ist am besten, große Mengen Grapefruitsaft zu vermeiden.

Koffein (Kaffee, Tee, Energy-Drinks)

Sie sollten Ihren Koffeinkonsum einschränken. Solifenacin wird zur Behandlung einer überaktiven Blase eingesetzt, aber Koffein ist ein natürliches Diuretikum und Blasenreizmittel, das Symptome wie Dringlichkeit und Häufigkeit verschlimmern kann und die Wirksamkeit Ihrer Medikamente möglicherweise verringert.

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 Wechselwirkungs-Checker für Medikamente 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.

Haftungsausschluss

Diese Informationen dienen nur allgemeinen Bildungszwecken und sollten nicht als Ersatz für professionelle medizinische Beratung herangezogen werden. Konsultieren Sie immer Ihren Hausarzt, Apotheker oder einen anderen qualifizierten Gesundheitsfachmann, bevor Sie Entscheidungen über Ihre Medikamente treffen. Individuelle Umstände können variieren, und nur ein Gesundheitsfachmann, der Ihre Krankengeschichte kennt, kann personalisierte Beratung bieten.