Medication info
Betamiga Extended Release 25 mg (Mirabegron)

Betamiga Extended Release 25 mg (Mirabegron)

Prescription medicationTabletOral
Ingredient · strength
Mirabegron›25mg / 1 tablet
Manufacturer / importer
Astellas Pharma Korea Inc.
Appearance
Brown oval film-coated extended-release tablet
Packaging
90 tablets/box [10 tablets/PTPx9]
Approval status
Active

MFDS item code 201310989 · Approved 2013.12.31 · Insurance code 677200250

Summary

Main use
Treatment of overactive bladder symptoms in adults (urgency, frequency, etc.)
Who takes it
Adults
Adult dose
The recommended dose for adults (including elderly patients) is 50mg orally once daily. This medicine may be taken with or without food. Swallow it with water; do not chew or crush it. Recommended daily doses for patients with renal or hepatic impairment, with or without potent CYP3A inhibitors Renal impairment(1) — mild: no inhibitor 50 mg, with inhibitor 25 mg Renal impairment(1) — moderate: no inhibitor 50 mg, with inhibitor 25 mg Renal impairment(1) — severe: no inhibitor 25 mg, with inhibitor not recommended Hepatic impairment(2) — mild: no inhibitor 50 mg, with inhibitor 25 mg Hepatic impairment(2) — moderate: no inhibitor 25 mg, with inhibitor not recommended (1) Mild: GFR 60~89 mL/min/1.73m2; moderate: GFR 30~59 mL/min/1.73m2; severe: GFR 15~29 mL/min/1.73m2. (2) Mild: Child-Pugh Class A; moderate: Child-Pugh Class B. (3) See “5. Interactions” for potent CYP3A inhibitors.

Ingredients

Importer
Astellas Pharma Korea Inc.

Efficacy & effects

Treatment of overactive bladder symptoms in adults (urgency, frequency, etc.)

  • Symptoms of urgency
  • frequency
  • urgency incontinence
View approved original text

This medication is used to treat symptoms such as urgency, frequency, and urgency incontinence commonly seen in patients with overactive bladder. It helps to alleviate the sudden contractions of the bladder, thereby improving these symptoms. This reduces the discomfort experienced in daily life and enhances the quality of life. With consistent use of the medication, symptoms gradually improve, allowing for more comfortable urination. For safe use, please follow the administration methods and precautions carefully. Overall, this medication effectively improves symptoms of overactive bladder.

How to take

Adult dose

The recommended dose for adults (including elderly patients) is 50mg orally once daily. This medicine may be taken with or without food. Swallow it with water; do not chew or crush it. Recommended daily doses for patients with renal or hepatic impairment, with or without potent CYP3A inhibitors Renal impairment(1) — mild: no inhibitor 50 mg, with inhibitor 25 mg Renal impairment(1) — moderate: no inhibitor 50 mg, with inhibitor 25 mg Renal impairment(1) — severe: no inhibitor 25 mg, with inhibitor not recommended Hepatic impairment(2) — mild: no inhibitor 50 mg, with inhibitor 25 mg Hepatic impairment(2) — moderate: no inhibitor 25 mg, with inhibitor not recommended (1) Mild: GFR 60~89 mL/min/1.73m2; moderate: GFR 30~59 mL/min/1.73m2; severe: GFR 15~29 mL/min/1.73m2. (2) Mild: Child-Pugh Class A; moderate: Child-Pugh Class B. (3) See “5. Interactions” for potent CYP3A inhibitors.

Precautions

This medication should not be administered to certain patients. For example, patients who are allergic to the active ingredient or other components of this medication, those with uncontrolled severe hypertension, and patients with severe heart disease should not use this medication. Additionally, patients with a history of QT interval prolongation or those taking medications that can prolong the QT interval should use this medication with caution. It is not recommended for patients with end-stage renal disease or severe liver impairment, as well as those with renal or liver impairment receiving certain medications. When taking this medication, heart rate and blood pressure may increase, so especially patients with hypertension should measure their blood pressure regularly. Patients with bladder outlet obstruction or those taking antimuscarinic agents for overactive bladder also need to be cautious. This medication is not recommended for pregnant women, nursing mothers, or children under 19 years of age, as safety has not been established. It should be avoided during pregnancy, and it is advisable not to administer it while nursing. In case of overdose, heart rate and blood pressure may increase, so if symptoms appear, consult a healthcare professional immediately for appropriate treatment. This medication can interact with various drugs, so if you are taking other medications, be sure to consult your physician or pharmacist. Special caution is necessary when used with CYP3A4 inhibitors or drugs that affect CYP2D6 metabolism. Finally, keep this medication out of the reach of children, and take care not to transfer it to another container.

Side effects

  • Tachycardia
  • urinary tract infection
  • atrial fibrillation
  • elevated blood pressure
  • indigestion
  • gastritis
  • lip swelling
  • urticaria
  • rash
  • maculopapular rash
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  • papular rash
  • itching
  • leukocytoclastic vasculitis
  • purpura
  • joint swelling
  • vulvar itching
  • cystitis
  • increased γ-GTP
  • increased SGOT
  • increased SGPT
  • dry mouth
  • urinary retention
  • nausea
  • constipation
  • diarrhea
  • angioedema
  • insomnia
  • confusion
  • dizziness
  • headache
  • pyuria
  • bladder stones
  • kidney stones
  • ureteral obstruction
  • hematuria
  • diabetes
  • worsening of diabetes
  • cataracts
  • glaucoma
  • cerebellar ataxia
  • spinal stenosis
  • fracture
  • hypertension
  • hypotension
  • pneumonia
  • lung disease
  • peripheral edema
  • urinary disorders
  • urinary incontinence
  • dysuria
  • increased frequency of urination
  • decreased urine flow
  • chest pain
  • visual disturbances
  • facial swelling
  • bladder discomfort
  • abnormal urine
  • back pain
  • weakness
  • changes in temperature sensation
  • abdominal pain
  • colitis
  • glossitis
  • gastroesophageal reflux
  • gastritis
  • dry lips
  • periodontal destruction
  • thirst
  • dry eye
  • unspecified lipid metabolism disorder
  • weight loss
  • abnormal semen
  • testicular pain
  • epididymitis
  • erectile dysfunction
  • inguinal hernia
  • prostatic hyperplasia
  • sensory disturbances
  • cognitive impairment
  • upper respiratory infection
  • pharyngitis
  • shortness of breath
  • skeletal pain
  • muscular pain
  • arthropathy
  • orthostatic hypotension
  • erectile dysfunction
  • decreased libido
  • loss of appetite
  • cholelithiasis
  • fatty liver
  • acute urticaria
  • skin discoloration

Not everyone experiences these, and they can vary from person to person.

Storage

This medication should be stored in a tightly closed container to protect it from air and moisture. It is recommended to maintain a storage temperature between 1 and 30 degrees Celsius at room temperature.

Appearance and packaging

Appearance

Brown oval film-coated extended-release tablet

Package unit

90 tablets/box [10 tablets/PTPx9]

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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For anything that needs medical judgment, consult a doctor or pharmacist.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.