Medication info
Selabetas-eong 25mg (Mirabegron Hydrochloride)

Selabetas-eong 25mg (Mirabegron Hydrochloride)

Prescription medicationTabletOral
Ingredient · strength
Mirabegron Hydrate›26.14mg / 1 tablet
Manufacturer / importer
(Co., Ltd.) Jongkundang
Appearance
Brown egg-shaped film-coated sustained-release tablet
Packaging
90 tablets/box [(10 tablets/PTP x 9)], 10 tablets/box [(10 tablets/PTP)]
Approval status
Active

MFDS item code 202107123 · Approved 2021.10.25 · Insurance code 643308820

Summary

Main use
Treatment of symptoms of overactive bladder in adults (urgency, frequency, etc.)
Who takes it
Adults
Adult dose
Adults (including elderly patients): The recommended dose is 50 mg orally once daily. This medicine may be taken with or without food and should be swallowed with water. Do not chew or crush it. The following table shows the recommended daily doses for patients with renal or hepatic impairment, with or without a strong CYP3A inhibitor (see “Precautions for Use, 5. Drug Interactions”). Renal impairment(1), mild: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Renal impairment(1), moderate: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Renal impairment(1), severe: strong CYP3A inhibitor absent, 25 mg; present, not recommended Hepatic impairment(2), mild: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Hepatic impairment(2), moderate: strong CYP3A inhibitor absent, 25 mg; present, 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) For strong CYP3A inhibitors, see “5. Drug Interactions”.

Ingredients

Manufacturer
(Co., Ltd.) Jongkundang

Efficacy & effects

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

  • Urgency
  • frequency
  • urgency incontinence
View approved original text

This medication is used to treat symptoms of urgency, frequency, and urgency incontinence that may occur in adult patients with overactive bladder. It alleviates urinary symptoms and enhances the quality of life for patients.

How to take

Adult dose

Adults (including elderly patients): The recommended dose is 50 mg orally once daily. This medicine may be taken with or without food and should be swallowed with water. Do not chew or crush it. The following table shows the recommended daily doses for patients with renal or hepatic impairment, with or without a strong CYP3A inhibitor (see “Precautions for Use, 5. Drug Interactions”). Renal impairment(1), mild: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Renal impairment(1), moderate: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Renal impairment(1), severe: strong CYP3A inhibitor absent, 25 mg; present, not recommended Hepatic impairment(2), mild: strong CYP3A inhibitor absent, 50 mg; present, 25 mg Hepatic impairment(2), moderate: strong CYP3A inhibitor absent, 25 mg; present, 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) For strong CYP3A inhibitors, see “5. Drug Interactions”.

Precautions

This medication should not be used by patients with allergies to the active ingredient or other components. It should not be administered to patients with severely elevated or uncontrolled hypertension. Patients with severe heart disease should exercise caution as symptoms may worsen with this medication. It should be administered carefully to patients with a history of prolonged QT interval or those taking medications that prolong the QT interval. It is not recommended for patients with end-stage kidney disease or severe liver dysfunction. It is advisable not to administer it to patients with moderate liver impairment or severe kidney impairment who are taking strong CYP3A4 inhibitors. Care should be taken when administering this drug to patients with bladder outlet obstruction or those taking antimuscarinic agents for overactive bladder. This medication may increase heart rate and blood pressure, so patients with hypertension should regularly monitor their blood pressure. Commonly reported side effects in clinical trials include tachycardia and urinary tract infections, and rare cardiac adverse reactions such as atrial fibrillation may also occur. Side effects such as dry mouth, dyspepsia, rash, and pruritus have also been reported. Women who are pregnant or may become pregnant should avoid taking this medication, and breastfeeding women should also refrain from taking it. Safety and efficacy have not been established in children and adolescents under 19 years of age. In case of overdose, symptoms such as increased heart rate and blood pressure may occur; therefore, immediate consultation with healthcare professionals is advised if symptoms appear. This medication should be kept out of reach of children and should not be transferred to other containers. The effects on driving or operating machinery are minimal or negligible.

Side effects

  • tachycardia
  • urinary tract infection
  • atrial fibrillation
  • hypertension
  • dyspepsia
  • gastritis
  • lip swelling
  • urticaria
  • rash
  • maculopapular rash
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  • papular rash
  • itching
  • leukopenic 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
  • cystitis
  • kidney stones
  • ureteral stricture
  • hematuria
  • malignant male genital neoplasm
  • bladder carcinoma
  • malignant lymphoma
  • rectal carcinoma
  • diabetes mellitus
  • diabetes exacerbation
  • cataract
  • glaucoma
  • cerebellar ataxia
  • spinal canal stenosis
  • fracture
  • hypertension
  • hypotension
  • pneumonia
  • pulmonary disease
  • peripheral edema
  • urination disorder
  • urinary incontinence
  • dysuria
  • increased frequency of urination
  • decreased urine flow
  • nocturia
  • facial swelling
  • bladder discomfort
  • urinary abnormalities
  • chest pain
  • back pain
  • asthenia
  • altered temperature sensation
  • abdominal pain
  • colitis
  • glossitis
  • gastroesophageal reflux
  • gastroenteritis
  • chapped lips
  • periodontal destruction
  • thirst
  • dry eye
  • unspecified lipid metabolism disorder
  • weight loss
  • abnormal semen
  • testicular pain
  • epididymitis
  • loss of ejaculation function
  • inguinal hernia
  • prostatic hyperplasia
  • visual disturbances
  • upper respiratory tract infection
  • pharyngitis
  • dyspnea
  • skeletal pain
  • fibromyalgia
  • arthropathy
  • orthostatic hypotension
  • erectile dysfunction
  • decreased libido
  • decreased appetite
  • cholelithiasis
  • fatty liver
  • acute urticaria
  • skin discoloration

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

Storage

This medication may be sensitive to air or moisture, so it must be stored in a tightly closed container. The appropriate storage temperature is room temperature between 1 to 30 degrees Celsius. Proper storage will help maintain the medication's efficacy and safety.

Appearance and packaging

Appearance

Brown egg-shaped film-coated sustained-release tablet

Package unit

90 tablets/box [(10 tablets/PTP x 9)], 10 tablets/box [(10 tablets/PTP)]

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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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.