Overactive Bladder Management through Myrbetriq 25 mg
Author
Donna Trinidad Breva Director & COO
Reviewer
Dr. Rajeev Mangat

Overactive Bladder Management through Myrbetriq 25 mg

Living with OAB or overactive bladder can be disruptive and frustrating, with unexpected urges that can interfere with travel, work, and social activities. OAB is a condition that causes the bladder to contract involuntarily, which can lead to frequent urination, leakage, and urgency. 

For those seeking a modern and proven approach to managing OAB symptoms, Myrbetriq 25 mg provides a targeted solution while minimizing side effects. This allows patients to reclaim their daily comfort and confidence. In today’s post, we’ll review key details of OAB and how taking Myrbetriq can make a huge difference. We’ll also throw in a quick guide on maximizing the medication’s effects through positive life changes. 


What is OAB?

Here are some essential facts about OAB: 

General Facts: 

  • OAB is a chronic condition that causes a constant and sudden urge to urinate, which can often lead to incontinence. 
  • The condition affects both men and women and is more common in adults. 
  • OAB is not typical for aging, but age-related changes can increase the risk. 

OAB Symptoms: 

  • Frequency: Urinating more than 8 times a day or waking up more than once at night
  • Nocturia: Waking up to pee multiple times at night
  • Urge Incontinence: Leakage of urine due to the inability to hold it in time
  • Urgency: A sudden and intense need to pee that is difficult to control 

Causes and Risk Factors: 

  • Bladder muscle overactivity: The bladder contracts too often, even when not complete. 
  • Caffeine and Alcohol: These drinks can irritate the bladder and increase the urgency to pee. 
  • Diabetes: This condition can increase the risk of OAB due to nerve damage. 
  • Enlarged Prostate: Having this condition can contribute to OAB symptoms in men. 
  • Hormonal Changes: Postmenopausal women are more likely to experience OAB because of changes in their hormones. 
  • Neurological Conditions: Multiple sclerosis, Parkinson’s disease, and stroke can contribute to OAB. 
  • Obesity: Extra weight puts pressure on the bladder, worsening the symptoms. 

Diagnosis:

  • Medical History and Assessment of Symptoms: Your doctor will ask about your fluid intake, urinary habits, existing medical conditions, medications, and whether you have had previous surgeries. 
  • Bladder Diary: Your doctor will ask you to track your urination patterns for several days. You need to note the number of times you urinate, the amount of fluid you consume in a day, and the occurrence of accidents, leaks, or urgency. 
  • Physical Exam: A pelvic exam can check for pelvic floor weakness, prolapse, or vaginal atrophy. For men, a prostate exam can detect prostate enlargement, which can be similar to OAB symptoms. A neurological exam can help identify nerve-related causes like multiple sclerosis or Parkinson’s disease. 
  • Urine Tests: A urinalysis can detect diabetes, infections, kidney disease, or signs of UTI. A urine culture can also be conducted to check for bacterial infections in the urinary tract. 
  • Specialized Tests (If needed): Further testing can be done if symptoms are unclear. The tests include cystoscopy, PVR, post-venous residual, and urodynamic testing. 

Treatment Options: 

  • Behavioral and Lifestyle Changes: Simple adjustments in daily habits can help improve OAB symptoms. Modifications include bladder training, fluid management, pelvic floor exercises, smoking cessation, timed voiding, and weight loss. 
  • Medications: Your doctor may prescribe medications like anticholinergics, Beta-3 adrenergic agonists like myrbetriq 25 mg, or Botox injections. 
  • Nerve Stimulation Therapy: PTNS, or Percutaneous Tibial Nerve Stimulation and Sacral Neuromodulation, can be recommended for patients with moderate or severe OAB. 
  • Surgery: For severe cases, surgical procedures like bladder augmentation and urinary diversion can be recommended. 

It is important to note that finding the best treatment would depend on individual symptoms, overall health, and response to initial therapies. Many patients find relief and success with a combination of lifestyle modifications and medications, a testament to the hopeful and optimistic outlook for managing OAB. Others may need intensive therapies like Botox or nerve stimulation. 


Overview of Myrbetriq 

Myrbetriq (mirabegron) is a prescription medication used to treat OAB. The pill works by helping the bladder store urine efficiently and reducing the urgency to urinate. It is manufactured by Astellas Pharma and was approved by the FDA in 2012. Myrbetriq is a beta-3 adrenergic agonist, unlike traditional OAB medications that block nerve signals.

The pill works by:

  • Increasing the bladder’s storage capacity 
  • Relaxing the detrusor muscle in the bladder
  • Reducing frequency, incontinence episodes, and urgency

Dosage and Administration: 

The starting dose is Myrbetriq 25 mg, taken once daily. The dose can be adjusted to Myrbetriq 50 mg, taken daily if needed. The pill must be taken whole with water, and it may take a few weeks to experience the full benefits. 

Benefits: 

Myrbetriq offers several benefits for OAB management. It can be used alone or in combination with other approved medications for added effect. Taking Myrbetriq can help reduce accidents, frequency, and urgency, allowing you to regain control over your bladder. Additionally, Myrbetriq is known for its fewer side effects than anticholinergic OAB medications, making it a preferred choice for many patients. 

Common Side Effects: 

Most side effects are mild, including dizziness or headaches, increased blood pressure, nasopharyngitis or cold-like symptoms, and UTIs. This reassurance can help alleviate any anxiety about potential side effects. Rare but serious side effects include bladder emptying issues and severe hypertension. 

Who Cannot Take Myrbetriq? 

Myrbetriq is generally safe and well-tolerated, but it is not recommended for patients with the following conditions: 

  • Those with severe kidney or liver disease
  • Those with uncontrolled high blood pressure
  • Those with urinary retention issues 

Availability and Cost: 

Myrbetriq is currently available as a brand-name medication, which can make it more expensive than older OAB medications. However, a generic version may become available in the future, which could help lower the cost. To save on the costs of Myrbetriq 25 mg, it’s best to check with your insurance provider and explore manufacturer savings programs. This can help make Myrbetriq more affordable and accessible for your OAB treatment. 

Is Myrbetriq approved in Canada? 

Yes, mirabegron is approved in Canada for the treatment of OAB. Health Canada granted approval to Astellas Pharma Canada, Inc. for Myrbetriq in 2012, offering Canadian patients an alternative treatment option. This inclusion of the Canadian audience can make them feel considered and part of the discussion. 


Lifestyle Changes that Can Complement Myrbetriq Treatment 

Myrbetriq is known as an effective OAB medication, but combining it with lifestyle modifications can enhance its benefits. Here are key wellness changes that can help reduce OAB symptoms: 

  1. Bladder Training and Scheduled Voiding 
  • Delay Urination: Slowly increase the time between bathroom trips to help train your bladder to hold more urine. 
  • Double Voiding: After peeing, wait a second and try to empty the bladder again fully. 
  • Scheduled Voiding: Instead of waiting for the urge, go to the bathroom and pee at set times, like every 2-3 hours. 
  1. Diet and Fluid Management: Avoid bladder irritants such as acidic and spicy foods, alcohol, artificial sweeteners, caffeine, and carbonated drinks. Stay hydrated, but limit fluids before bedtime to lessen nighttime urination. Do not drink large amounts of liquids at once; instead, sip slowly. 
  1. Kegels or Pelvic Floor Exercises: Kegels can help strengthen the pelvic floor muscles, which can improve bladder control and reduce accidents. Aim for three sets of 10 reps daily to get the best results. 
  1. Maintain a Healthy Weight: Excess weight can put pressure on the bladder, which can worsen OAB symptoms. Losing at least 5% of your body weight can reduce frequency and urgency. Move more and make healthy food choices. 
  1. Manage Constipation: Chronic constipation can worsen OAB by putting pressure on the bladder. Eat more fibre-rich foods and stay hydrated. 
  1. Quit Smoking: Smoking irritates the bladder, which may lead to chronic coughing and increase leakage risk. Quitting can help reduce bladder irritation and also improve your overall health. 
  1. Manage Anxiety and Stress: Stress can worsen OAB and trigger bladder spasms. Try deep breathing exercises, meditation, or yoga to help you relax. Also, make sure to improve your sleeping habits and reduce evening fluids at least two hours before bed. 

Combining Myrbetriq with positive lifestyle changes can lead to better symptom control and improved quality of life. Minor but consistent adjustments in your daily activities can make a big difference in managing OAB effectively. 


Key Takeaways 

Managing OAB can be overwhelming, but with the right approach, relief is within reach. Myrbetriq 25 mg can be a modern solution to reduce symptoms and help patients regain confidence in their daily lives. 

While every treatment or medication is unique, incorporating Myrbetriq alongside bladder-friendly habits can lead to long-term solutions. If you are struggling with OAB, consider discussing this option with your healthcare provider and explore how Myrbetriq can help you live more comfortably. 


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