Do you also have to go to the bathroom frequently? In the middle of an important task, while riding the bus, or when you have to wake up at night to run? This is really annoying and can interfere with your daily life. In medical terms, this is called "overactive bladder". So today we are talking about the drug `Mirabegron` that is used to treat this condition.
What is Mirabegron?
Simply put, Mirabegron is a medication that relaxes your bladder muscles and increases its capacity, or the amount of urine it can hold. This means that the bladder doesn't fill as quickly, and it also reduces the need to go to the bathroom frequently and the risk of wetting accidents.
This medication sometimes comes in pill form, but it also comes in granules that you can dissolve in water and drink. This powder form is especially recommended for children over 3 years old or for people who have difficulty swallowing pills. `Myrbetriq` is a well-known brand name for this medication.
Things you need to tell your doctor before taking medicine
Before using Mirabegron, it is very important to give your doctor a complete description of your health condition. This medicine may not be compatible with some medical conditions, or the dosage may need to be changed.
| Do you have these conditions? | Why should you inform the doctor? |
|---|---|
| High blood pressure | Mirabegron can sometimes cause blood pressure to increase. |
| Kidney disease | Since the medication is eliminated from the body through the kidneys, the dosage may need to be adjusted. |
| Liver disease | If liver function is impaired, medication can accumulate in the body, so care must be taken with the dosage. |
| Difficulty urinating | Since this medication increases urinary retention, it may worsen if you already have difficulty urinating. |
| If you are pregnant or expecting a baby | There is still no complete information about the safety of this medicine during pregnancy. |
| If you are a breastfeeding mother | You should talk to your doctor about whether or not the medication passes to your baby through breast milk. |
| Allergies to other medicines, foods or substances | It is important to know if you are allergic to Mirabegron or anything it contains. |
How should I use the medicine?
It is very important to take the correct dosage, exactly as prescribed by the doctor.
- Try to take the medicine at the same time every day .
- If this is the type that you drink diluted, shake well before using.
- Use only the special syringe or oral syringe/spoon provided to measure the medicine. Household teaspoons and tablespoons cannot measure the exact dose.
- This medicine is prescribed to be taken with food .
- Continue to use the medicine until your doctor tells you to stop.
Important: This medicine has been prescribed for you only. Never give your medicine to anyone else, even if they have the same symptoms you have.
What if I take too much medicine?
If you think you have taken too much medicine, don't panic. Immediately call the National Poisons Information Centre at the Colombo National Hospital, or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What if I miss a dose of medication?
If you forget to take a dose, take it as soon as you remember. However, if it is less than 12 hours until your next dose, skip the missed dose and take your next dose at the scheduled time. Never take two doses at once to make up for a missed dose.
Other medications that may interact with this medicine
Other medications you are taking may interact with Mirabegron. So tell your doctor about all the medications you are taking, including vitamins and herbal remedies. Be sure to tell your doctor if you are taking any of the following medications:
- `Codeine`
- `Desipramine`
- `Digoxin` (a medicine for heart disease)
- `Flecainide`
- `MAOIs` (a type of medication used to treat depression)
- `Methadone`
- `Metoprolol` (a medicine for high blood pressure and heart disease)
- `Pimozide`
- `Propafenone`
- `Thioridazine`
- `Warfarin` (a medicine that prevents blood clotting)
This list is not exhaustive, so it is important for your own safety to tell your doctor about all the medications you are taking.
Possible side effects while taking the medicine
Like any medicine, Mirabegron can cause side effects in some people. Although most of these are not serious, there are some things to be aware of.
| If you experience these symptoms, tell your doctor immediately. | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips or tongue. |
| Increased blood pressure | It is important to measure your blood pressure regularly. |
| Rapid or irregular heartbeat | If you feel something strange in your heart, like a fluttering in your chest. |
| Symptoms of urinary tract infection | Fever, chills, and pain when urinating. |
| Inability to urinate | If you have difficulty urinating even though your bladder is full. |
| It's usually not serious, but if it persists, tell your doctor. | |
| Constipation | Dry mouth |
| Headache | Nausea |
| Sore throat | |
How should I store the medicine? What do I do if there is any left over?
Storing medicine properly is also very important.
- Keep out of reach of children and pets .
- Store at room temperature (between 20-25 degrees Celsius).
- The solution should be used within 28 days of preparation. If there is any leftover after that, do not use it.
- Ask your doctor about the safest way to dispose of expired or leftover medicine. If you are throwing it in the trash, it is best to mix the medicine with something else (like used tea leaves) and put it in a tightly sealed bag.
Take-Home Message
- Mirabegron is a medication used to treat overactive bladder. It reduces the need to urinate frequently.
- Before taking this medication, tell your doctor about any health conditions you have, such as high blood pressure, kidney or liver disease.
- Inform your doctor about all other medications you are taking.
- Take the prescribed dose at the prescribed time, exactly as your doctor tells you. Use only the special measuring spoon/syringe.
- Be careful of your blood pressure while taking the medication.
- If you experience any serious side effects such as allergic reactions, rapid chest pain, or inability to urinate, seek medical advice immediately.
- This medicine is for you only. Never give it to others.
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