Propranolol vs. Myrbetriq for Atrial Fibrillation and Overactive Bladder: Important Differences and Potential Risks.

Propranolol

Myrbetriq

(mirabegron)

Summary for Propranolol

Prescription only

Propranolol is a non-selective beta blocker. It helps with a range of medical conditions, including high blood pressure, tremors, and migraine prevention. Sometimes, providers prescribe propranolol off-label to ease performance anxiety. You take this medication by mouth, typically 1 to 4 times daily, depending on if you're taking the immediate-release (IR) or extended-release (ER) medication. Keep in mind the IR and ER versions don't treat the same medical conditions. Some of the more common side effects of propranolol include dizziness, tiredness, or weakness.

Indications for Propranolol

High blood pressure
Chronic chest pain
Migraine
Hypertrophic subaortic stenosis
Atrial fibrillation (A.Fib)
Heart protection after a heart attack
Tremors
Pheochromocytoma (a rare tumor of the adrenal gland)

Pros and Cons for Propranolol

Pros

Taken by mouth
Long-acting version only needs to be taken once a day
Oral solution might be a good option for people who can't swallow pills
Available as lower-cost generics

Cons

Not safe for people with asthma or certain serious heart conditions
Can hide many recognizable symptoms of low blood sugar, such as fast heart beat or tremors, which might prevent timely treatment
Missing doses or suddenly stopping propranolol can raise your risk of heart attacks

Common Side Effects for Propranolol

Dizziness
Tiredness
Feeling weak

Warnings for Propranolol

Worsening of chest pain or heart attack
Higher risk or worsening of heart failure
Hidden symptoms of low blood sugar
Hidden symptoms of overactive thyroid
Trouble breathing (bronchospastic disease)
Serious skin reactions
Greater risk during surgery

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

Overactive bladder (OAB) in adults
Neurogenic detrusor overactivity (NDO) in children ages 3 years and older

Pros and Cons for Myrbetriq

Pros

Helps control sudden urges to urinate, leaks, and needing to go too often
Only taken once a day
Causes less side effects like dry mouth than anticholinergics for overactive bladder (like oxybutynin)
Might be safer for older adults than anticholinergics for overactive bladder

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:

High blood pressure (8-11%)
Common cold symptoms (4%)
Urinary tract infection (3-4%)
Headache (2-3%)
Constipation (2%)
Upper respiratory tract infection (2%)

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 Propranolol vs. Myrbetriq

Propranolol60 tablets / 10mg

$12.42$50.89

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Mirabegron30 tablets / 50mg

$121.10$241.89

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Propranolol vs. Myrbetriq

Propranolol

Myrbetriq

Summary for Propranolol

Indications for Propranolol

Pros and Cons for Propranolol

Pros

Cons

Common Side Effects for Propranolol

Warnings for Propranolol

Summary for Myrbetriq

Indications for Myrbetriq

Pros and Cons for Myrbetriq

Pros

Cons

Common Side Effects for Myrbetriq

Warnings for Myrbetriq

Prices with our coupons for Propranolol vs. Myrbetriq

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Propranolol

Myrbetriq

Summary for Propranolol

Indications for Propranolol

Pros and Cons for Propranolol

Pros

Cons

Common Side Effects for Propranolol

Warnings for Propranolol

Summary for Myrbetriq

Indications for Myrbetriq

Pros and Cons for Myrbetriq

Pros

Cons

Common Side Effects for Myrbetriq

Warnings for Myrbetriq