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Compare Topamax vs. Myrbetriq

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

  • Topiramate
    Myrbetriq (mirabegron)
  • Topiramate
    Myrbetriq (mirabegron)

  • Summary of Topamax vs. Myrbetriq

    Summary for Antiepileptic
    Prescription only

    Topiramate is a prescription medication that can be used alone or in combination with other medications to treat certain types of seizures. It can also be used to prevent migraines. It comes in immediate-release and extended-release tablets and capsules, as well as a liquid. Topiramate is typically taken by mouth once or twice daily, depending on what formulation you're using. Some forms of topiramate are available as lower-cost generic medications.

    Summary for Beta-3 adrenergic agonist
    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 of Topamax vs. Myrbetriq

    Indications for
    •Seizures (partial seizures, tonic-clonic seizures, Lennox-Gastaut syndrome)
    •Migraine prevention
    Indications for
    •Overactive bladder (OAB) in adults
    •Neurogenic detrusor overactivity (NDO) in children ages 3 years and older

  • Pros and Cons of Topamax vs. Myrbetriq

    Pros and Const for Antiepileptic
    Pros
    •Can be used on its own or with other medications to control seizures
    •Available in short-acting and long-acting forms, so options to take once or twice daily
    •Available as a solution (Eprontia), so it's convenient for people who have trouble swallowing
    •Can be used to treat different types of seizures
    •Can be used to treat seizures in both adults and children
    Cons
    •Can prevent migraines from happening, but it won't help if you have a migraine attack
    •Can cause kidney stones
    •Can cause serious eye problems
    •Interacts with many medications, such as warfarin (Coumadin), phenytoin (Dilantin), and divalproex (Depakote)
    •Children taking this medication for long periods of time will need to have their doses adjusted often due to changes in body weight as they grow
    Pros and Const for Beta-3 adrenergic agonist
    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 of Topamax vs. Myrbetriq

    Common Side Effects for

    Please note: These are common side effects reported by children and adults who took immediate-release topiramate. Frequency of side effects can differ based on your age, as well as the dose and formulation of topiramate you're taking.

    •Feeling "pins and needles"
    •Drowsiness
    •Weight loss
    •Nervousness
    •Fatigue
    •Dizziness
    •Lack of appetite
    •Trouble sleeping
    •Upper respiratory tract infection (e.g., cough, stuffy nose, sore throat)
    •Fever
    •Change in taste
    •Trouble moving or keeping balance
    Common Side Effects for

    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 of Topamax vs. Myrbetriq

    Common Side Effects for
    •Vision problems
    •High body temperature and trouble sweating
    •Higher level of acid in blood
    •Suicidal thoughts or behavior
    •Problems with mood and thinking clearly
    •Higher ammonia level in blood
    •Serious birth defects
    •Skin reactions
    •Withdrawal seizures
    •Interaction with other medications
    Common Side Effects for
    •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 Topamax vs. Myrbetriq

    Learn more about Topiramate
    Learn more about Myrbetriq

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