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What Causes Itchy Rash While On Vesicare And Omnic Ocas?

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Posted on Mon, 13 Jul 2015
Question: My father (77 years) started using the following medication recently as prescribed by his Urinary system specialist:-
1) VESICARE [Solifenacin Succinate 5 mg]
2) OMNIC OCAS [Tamsulosin HCI]

he was also been taking the below medicine from long time - I month or more:-
3) Voltaren Retard 100 [Diciofenac. natr.] - for his bad knee pain and helped reduce the number of visits to the toilet.

Immediately after that he developed rash and itching all over his body - he tells me that the specialist gave him a free sample of one of the first two which was expired or nearing expiry - he is not sure which one.

are this skin reaction related to any of these medications ?
doctor
Answered by Dr. Anshul Varshney (57 minutes later)
Brief Answer:
I need a few more details.

Detailed Answer:
Hi. Welcome back. I am glad to hear from you again and I also hope that your chest pain must be better.
I have read the query regarding your father but to comment better I need few more details that would make thr diagnosis easy.
1. Were these medicines started for the first time ? Or was he taking these medicines earlier too.
2. What is the expiry date mentioned on thr strip and till which date he had taken the last tablet.
3. He developed rash how many days back?
4. Is the rash increasing or decreasing in size ?
5. Any itching over thr rash ?
6. Attach photograph of thr rash.
Please Revert with the asked details for a better help.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (39 minutes later)
Thanks Dr. XXXXXXX for your follow up about my muscular (chest) pain - it is better but becoming more like an external skin itch (discomfort) not more - I am not using the gel a lot - but I feel it is going away slowly.

See my answers to your questions in BOLD:
1. Were these medicines started for the first time ? Or was he taking these medicines earlier too. HE STARTED TAKING THESE MEDICINES FOR THE FIRST TIME AFTER A VISIT TO THE DOCTOR LAST WEEK.
2. What is the expiry date mentioned on the strip and till which date he had taken the last tablet. HE IS NOT SURE AND HE THREW THE STRIP AWAY.
3. He developed rash how many days back? 5-6 DAYS
4. Is the rash increasing or decreasing in size ? INCREASING MAINLY ON HANDS AND FEET
5. Any itching over the rash ? ITS A SPOT OF ITCHY AREA THAT TURNS RED - I DONT THINK RASH IS THE RIGHT WORD SORRY
6. Attach photograph of the rash. I WILL IF NECESSARY - I HAVE BOOKED AN APPOINTMENT FOR HIM TO SEE THE SAME DR AGAIN TOMORROW.

So he is using these medicines for the first time and since then that he developed the itching ..
doctor
Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer:
Attach photograph.

Detailed Answer:
Hi.
Any drug rash can appear between immediate consumption to 6 weeks. This seems to be a drug rash.
The most common drug causing this is Diclofenac.
However I would be able to discuss with a dermatologist if you could attach a photograph of the rash or lesion.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (13 minutes later)
Yes - I will try to send you a snap shot when I meet with him this evening.

About the Diciofenac - it could be the cause - he started taking this medicine originally more than a month ago occasionally for his inflamed bad knee and when he noticed that (as a bonus) it is also reducing his need to go to the bathroom - he continued using it everyday.
I think this is the drug that is causing his itching - I will ask him to stop using it (being used once daily) and see what happens.
Is that ok Dr ?


doctor
Answered by Dr. Anshul Varshney (6 hours later)
Brief Answer:
Diclofenac should be stopped.

Detailed Answer:
Hi.
See Diclofenac is not at all a good drug. It should be used only for short treatment only.
Using it for long can cause stomach ulcers, liver and Kidney Dysfunction.
And yes it can be the offending agent causing the damage.
In my opinion for knee pain that is Osteoarthritis, one should do knee strengthening exercises and apply local Diclofenac gel on joints instead if taking that orally.
I would advice to take Tramadol or Paracetamol for pain instead of Diclofenac.
If you have any further query, please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Causes Itchy Rash While On Vesicare And Omnic Ocas?

Brief Answer: I need a few more details. Detailed Answer: Hi. Welcome back. I am glad to hear from you again and I also hope that your chest pain must be better. I have read the query regarding your father but to comment better I need few more details that would make thr diagnosis easy. 1. Were these medicines started for the first time ? Or was he taking these medicines earlier too. 2. What is the expiry date mentioned on thr strip and till which date he had taken the last tablet. 3. He developed rash how many days back? 4. Is the rash increasing or decreasing in size ? 5. Any itching over thr rash ? 6. Attach photograph of thr rash. Please Revert with the asked details for a better help. Stay Healthy.