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Gemtesa vs. Myrbetriq

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Vibegron (Gemtesa) and mirabegron (Myrbetriq) are both medications used to treat overactive bladder (OAB) in adults, and they belong to the same drug class, beta-3 adrenergic agonists. However, they have some differences. Vibegron is only approved for adults, while mirabegron can also be used in children ages 3 years and older for neurogenic detrusor overactivity (NDO). Vibegron is taken as a 75 mg tablet once daily, whereas mirabegron is available in tablet form and as as an oral liquid solution, with dosing that can vary based on age and condition. Neither medication has a generic version available. Common side effects of vibegron include headache and cold symptoms, while mirabegron can cause high blood pressure and urinary tract infections. Additionally, mirabegron may interact with other medications like digoxin (Lanoxin) and warfarin (Coumadin, Jantoven), while vibegron is only known to interact with digoxin. Both medications can cause angioedema, a serious allergic reaction, but mirabegron has a specific warning about raising blood pressure.

Gemtesa

(vibegron)

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Myrbetriq

(mirabegron)

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Summary for Gemtesa

Prescription only

Gemtesa (vibegron) is a brand-name medication that's used to treat overactive bladder (OAB) in adults. This includes OAB in people who are taking medications for benign prostatic hyperplasia (BPH). Gemtesa (vibegron) belongs to the drug class called beta-3 adrenergic agonists. The typical dosage is 1 tablet by mouth once per day. Side effects aren't common but can include headache and symptoms of a common cold. There's no generic version available yet.

Indications for Gemtesa

Pros and Cons for Gemtesa

Pros

Cons

  • Can take several weeks to see improvement in your symptoms
  • Not recommended for people with severe liver or kidney problems
  • Hasn't been studied in children

Common Side Effects for Gemtesa

Warnings for Gemtesa

  • Angioedema (swelling of face, mouth, throat, or other organ)
  • Risk of difficulty emptying the bladder completely

Summary for Myrbetriq

Prescription only

Myrbetriq (mirabegron) is used to help with overactive bladder (OAB) in adults. It can also treat a bladder problem called neurogenic detrusor overactivity (NDO) in children 3 years and older. It works as a beta-3 adrenergic agonist to help the bladder hold more urine. Myrbetriq (mirabegron) is taken by mouth once a day. It comes as a brand-name or generic extended-release tablet. A solution made from granules of the medication is available for children, but it's brand name only. Side effects include high blood pressure, cold symptoms, and urinary tract infections.

Indications for Myrbetriq

Pros and Cons for Myrbetriq

Pros

Cons

  • Might raise your blood pressure
  • Might have trouble fully emptying your bladder if you have a blockage in your bladder or if you also take anticholinergics for bladder control
  • Not recommended if you have severe kidney or liver problems

Common Side Effects for Myrbetriq

Adults:

Children:

  • Urinary tract infection (24%)
  • Common cold symptoms (6%)
  • Constipation (5%)
  • Headache (4%)
  • Nausea (2%)

Warnings for Myrbetriq

  • High blood pressure
  • Risk of having trouble fully emptying the bladder in certain people
  • Unusual swelling of the face, lips, or throat (angioedema)
  • Interactions with other medications

Prices with our coupons for Gemtesa vs. Myrbetriq

Price Card Drug Icon
Gemtesa30 tablets / 75mg
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Price Card Drug Icon
Mirabegron30 tablets / 50mg
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