Solifenacin and exercise: Tips for staying active while on medication

lol why are we even talking about this like it's a big deal? I take solifenacin and do CrossFit. No problems. Stop overthinking it.

I appreciate the thoroughness of this post, and I believe it is imperative to underscore the physiological interplay between pharmacological intervention and physical activity. Solifenacin, as a muscarinic receptor antagonist, may induce anticholinergic side effects such as reduced salivary secretion and transient orthostatic hypotension, which, if unmitigated, could compromise exercise performance and safety. It is therefore not merely advisable but clinically essential to maintain hydration, avoid high-intensity interval training during peak serum concentration, and prioritize low-impact modalities such as aquatic therapy or resistance training with controlled tempo. Furthermore, the integration of pelvic floor rehabilitation through Kegel protocols is not ancillary-it is foundational to long-term urologic and musculoskeletal health.

This is so basic. Like, why did you even write this? Everyone knows you drink water and do Kegels. Did you get paid for this?

I’ve been on this drug for 4 years. You think it’s just about dry mouth? Try waking up at 3 a.m. because your bladder’s screaming but your body’s too numb from the meds to move. I had to stop running. The ‘dizziness’ they talk about? That’s your brain going, ‘why are you even alive right now?’

Hey, I get it. I’m on this too. I started walking 20 mins a day just to feel like myself again. No fancy gear, no goals-just me, my sneakers, and the fact that I didn’t have to pee every 10 minutes. Small wins, y’all. You’re doing better than you think.

EVERYONE KNOWS SOLIFENACIN IS A GOVT TRICK TO MAKE US SIT STILL AND STOP MOVING SO THEY CAN TRACK OUR BLADDER ACTIVITY THROUGH THE CLOUD. THEY’RE USING YOUR KEGELS TO TRAIN AI TO PREDICT WHEN YOU’RE ABOUT TO LEAK. I SAW IT ON A FORUM. I’M NOT CRAZY. THEY’RE WATCHING.

i was doin yoga and i had to stop cuz i felt like i was gonna explode and then i remembered i took my pill and i was like wait is this normal or am i just a weakling??

Wow. You actually think exercise helps? My bladder doesn’t care if I’m doing squats or sitting on a toilet. You’re just making yourself feel better by pretending you’re in control. Spoiler: you’re not.

Life’s just a big wet towel, man. Solifenacin? It’s just the universe’s way of saying, ‘slow down, you’re moving too fast.’ Kegels? Yeah, sure. But what if the real exercise is learning to sit with discomfort? Like… spiritually?

There’s a lot of noise in this thread, but the core insight here is valid: pharmacologic management and physical activity are not mutually exclusive. The key lies in individualized pacing, hydration strategy, and monitoring for orthostatic symptoms. I’ve reviewed multiple cohort studies on anticholinergics and exercise tolerance in elderly populations-there’s no evidence of increased risk when protocols are tailored. That said, the anecdotal reports of fatigue and dizziness are real and should not be dismissed. The real hero here is consistency, not intensity.

Ah yes, the classic ‘drink water and do Kegels’ advice. Because nothing says ‘I’ve got my life together’ like contracting your pelvic floor muscles while on a treadmill. Next up: yoga for your kidneys.

I read this whole thing and I’m still not sure if you’re trying to help people or sell a damn ebook. Either way, I’m taking my 10mg and going for a swim. Let the bladder fight its own war.

While I acknowledge the sincerity of your intent, I must respectfully challenge the implicit assumption that all users of solifenacin are capable of sustaining physical activity. For many, particularly those with comorbid conditions such as Parkinson’s or severe pelvic floor dysfunction, the notion of ‘adapting’ exercise may be a luxury. The advice provided, while well-intentioned, lacks nuance for those whose mobility is already compromised. Perhaps the most compassionate intervention is not exercise modification-but systemic support.

I did 50 squats yesterday. Felt fine. Then I peed 3 times in 10 minutes. So yeah, exercise is great. Until your bladder becomes a traitor.

They’re putting fluoride in the water to make us need to pee more. So we’ll buy more meds. And more gym memberships. It’s all connected.

You’re all missing the point. The real tragedy isn’t the medication. It’s that we’ve turned our bodies into problems to be solved. You don’t need Kegels. You need to stop hating your bladder. It’s just doing its job. You’re the one who’s broken.

I tried swimming. I got in the pool. I felt the water. I felt the pressure. I felt the fear. I felt the shame. I got out. I didn’t go back. That’s the real exercise. Surviving.

Solifenacin was developed by a secret society of urologists who believe that the human body should be kept in a state of perpetual discomfort to ensure pharmaceutical dependency. The ‘dry mouth’? That’s the taste of control. The ‘dizziness’? That’s the feeling of waking up from their dream. You’re not sick. You’re being manipulated.

I don’t need advice. I need a new body.

Thank you for this thoughtful and well-researched overview. I would like to add that recent guidelines from the International Continence Society (2023) recommend combining pharmacologic therapy with behavioral interventions such as timed voiding and fluid management. While exercise is beneficial, structured bladder training may yield greater symptom improvement than physical activity alone. I encourage readers to consider a multidisciplinary approach involving urology, physical therapy, and nutrition counseling.