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Two medicines, side by side

Solifenacin vs darifenacin

Solifenacin and darifenacin are both labeled for overactive bladder. Drugs@FDA records approvals of solifenacin since 2004 and of darifenacin since 2004. Pharmacies paid $0.162 per solifenacin 10 mg tablet and $0.432 per darifenacin ER 15 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. How each works, in its label's words: Solifenacin, “Solifenacin is a competitive muscarinic receptor antagonist.”; Darifenacin, “Darifenacin is a competitive muscarinic receptor antagonist.”

Check it at the source: the solifenacin FDA label on DailyMed (effective February 4, 2026); the darifenacin FDA label on DailyMed (effective February 10, 2026).

Highlights of the solifenacin record

Solifenacin (Vesicare) · label of February 4, 2026

Used for

From the label: indications

Solifenacin Succinate Tablets are indicated for the treatment of adults with overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency. Solifenacin Succinate Tablets are a muscarinic antagonist indicated for the treatment of adults with overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency.

On the market

Earliest approval on file
November 19, 2004
Generic labelers
20 labelers
Pharmacy cost
$0.162 per tablet

Supply and safety

Shortage
No current entry
Recalls
6

Highlights of the darifenacin record

Darifenacin (Enablex) · label of February 10, 2026

Used for

From the label: indications

Darifenacin extended-release tablets are indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency and frequency. Darifenacin extended-release tablets are a muscarinic antagonist indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency and frequency.

On the market

Earliest approval on file
December 22, 2004
Generic labelers
8 labelers
Pharmacy cost
$0.432 per tablet

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Solifenacin label of February 4, 2026, Darifenacin label of February 10, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do solifenacin and darifenacin differ on the record?

How each works, in its label's words: Solifenacin, “Solifenacin is a competitive muscarinic receptor antagonist.”; Darifenacin, “Darifenacin is a competitive muscarinic receptor antagonist.”

Both are in FDA's class cholinergic muscarinic antagonists.

Half-life, in each label's words: Solifenacin, “Elimination The elimination half-life (t 1/2 ) of solifenacin following chronic dosing is approximately 45-68 hours.”; Darifenacin, “The elimination half-life of darifenacin following chronic dosing is approximately 13 to 19 hours.”

Generics: solifenacin since 2014; darifenacin since 2015 (Drugs@FDA).

SolifenacinDarifenacin
Labeled forOveractive bladderOveractive bladder
Pharmacologic classCholinergic Muscarinic AntagonistCholinergic Muscarinic Antagonist
How it works (label)Solifenacin is a competitive muscarinic receptor antagonist. Muscarinic receptors play an important role in several major cholinergically mediated functions, including contractions of urinary bladder smooth muscle.Darifenacin is a competitive muscarinic receptor antagonist. Muscarinic receptors play a role in cholinergically mediated functions, including contractions of the urinary bladder smooth muscle.
Half-life (label)Elimination The elimination half-life (t 1/2 ) of solifenacin following chronic dosing is approximately 45-68 hours.The elimination half-life of darifenacin following chronic dosing is approximately 13 to 19 hours.
Earliest approval on file (Drugs@FDA)November 19, 2004December 22, 2004
First generic approvedApril 2, 2014March 13, 2015
Generic labelers (NDC)20 labelers8 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.162 per tablet (Solifenacin 10 mg tablet)$0.432 per tablet (Darifenacin ER 15 mg tablet)
12-month price change-3%+21%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded62
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)1,846857
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Darifenacin label, drug interactions

DRUG INTERACTIONS Caution should be taken when darifenacin extended-release tablets is used concomitantly with medications that are predominantly metabolized by CYP2D6 and which have a narrow therapeutic window, such as flecainide, thioridazine and tricyclic antidepressants ( 7.2 ) The concomitant use of darifenacin extended-release tablets with other anticholinergic agents may increase the frequency and/or severity …

Source: FDA drug labels via openFDA

What next?

Alternatives to solifenacin
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