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Overview
Mirabegron is a {{{drugClass}}} that is FDA approved for the {{{indicationType}}} of {{{indication}}}. Common adverse reactions include .
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Bladder muscle dysfunction - overactive, With symptoms of urge urinary incontinence, urgency, and urinary frequency
Dosing Information
The recommended starting dose of Myrbetriq is 25 mg once daily with or without food. Myrbetriq 25 mg is effective within 8 weeks. Based on individual patient efficacy and tolerability the dose may be increased to 50 mg once daily.
Myrbetriq should be taken with water, swallowed whole and should not be chewed, divided, or crushed.
Dose Adjustments in Specific Populations
The daily dose of Myrbetriq should not exceed 25 mg once daily in the following populations:
Patients with severe renal impairment (CL cr 15 to 29 mL/min or eGFR 15 to 29 mL/min/1.73 m 2).
Patients with moderate hepatic impairment (Child-Pugh Class B).
Myrbetriq is not recommended for use in patients with end stage renal disease (ESRD), or in patients with severe hepatic impairment (Child-Pugh Class C).
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
Condition1
Developed by:
Class of Recommendation:
Strength of Evidence:
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Mirabegron in adult patients.
Non–Guideline-Supported Use
Condition1
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Mirabegron in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
Condition1
Dosing Information
Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Mirabegron in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
Condition1
Developed by:
Class of Recommendation:
Strength of Evidence:
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Mirabegron in pediatric patients.
Non–Guideline-Supported Use
Condition1
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Mirabegron in pediatric patients.
Contraindications
Condition1
Warnings
Description
Precautions
Description
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Mirabegron in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Mirabegron in the drug label.
Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Mirabegron in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Mirabegron during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Mirabegron with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Mirabegron with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Mirabegron with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Mirabegron with respect to specific gender populations.
Race
There is no FDA guidance on the use of Mirabegron with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Mirabegron in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Mirabegron in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Mirabegron in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Mirabegron in patients who are immunocompromised.
Administration and Monitoring
Administration
Dosing Information
The recommended starting dose of Myrbetriq is 25 mg once daily with or without food. Myrbetriq 25 mg is effective within 8 weeks. Based on individual patient efficacy and tolerability the dose may be increased to 50 mg once daily.
Myrbetriq should be taken with water, swallowed whole and should not be chewed, divided, or crushed.
Dose Adjustments in Specific Populations
The daily dose of Myrbetriq should not exceed 25 mg once daily in the following populations:
Patients with severe renal impairment (CL cr 15 to 29 mL/min or eGFR 15 to 29 mL/min/1.73 m 2).
Patients with moderate hepatic impairment (Child-Pugh Class B).
Myrbetriq is not recommended for use in patients with end stage renal disease (ESRD), or in patients with severe hepatic impairment (Child-Pugh Class C).
DOSAGE FORMS AND STRENGTHS
Myrbetriq extended-release tablets are supplied in two different strengths as described below:
25 mg oval, brown, film coated tablet, debossed with the Astellas logo (Astellas logo) and “325”
50 mg oval, yellow, film coated tablet, debossed with theAstellas logo (Astellas logo) and "355"
Monitoring
There is limited information regarding Monitoring of Mirabegron in the drug label.
Description
IV Compatibility
There is limited information regarding IV Compatibility of Mirabegron in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
Description
Management
Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Mirabegron in the drug label.
Pharmacology
There is limited information regarding Mirabegron Pharmacology in the drug label.