Myrbetriq (Mirabegron): Urologist has... - Advanced Prostate...

Advanced Prostate Cancer

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Myrbetriq (Mirabegron)

33947 profile image
31 Replies

Urologist has recommended this drug to reduce the frequency of frequent my bathroom trips particularly at night. I presently have to pee about every two hours day and night, and it has definitely interfered with QoL. Does anyone have experience or knowledge of this drug before I add it to my routine?

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33947
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31 Replies
6357axbz profile image
6357axbz

Never heard of it. I use tamsulosin (flomax).

gsun profile image
gsun in reply to6357axbz

Flomax is used to increase the ability to pee not reduce the trips to the bathroom.

6357axbz profile image
6357axbz in reply togsun

Flomax increases your ability to empty your bladder (increase the flow)

gsun profile image
gsun in reply to6357axbz

I was perscribed it to start the flow.

in reply to6357axbz

It works for you ? An 80 yr old guy at the gym had an RP 25 yrs ago . I asked him about being up peeing all night like, I do . He said flomax prevents this? Is it true? Why haven’t my docs ever told me this ?

Alturia profile image
Alturia

I just started taking it on February 16. I was peeing 20 to 25 times a day and 4 to 6 times a night. I am now peeing only 2 to 3 times a night. And during the day about every 2 hours. So the drug has dramatically improved my QOL. And I am hoping I continue to improve because it is supposed to take 4 to 6 weeks to reach full effectiveness. I haven't noticed any side effects.

Tall_Allen profile image
Tall_Allen

I know several guys who take it - great stuff for bladder spasms!

kapakahi profile image
kapakahi

I was taking it, with mixed results -- helped with urgency, but also raised urinary retention -- it was harder to start peeing and fully empty my bladder. I stopped because it wasn't helping enough, but my situation wasn't as drastic as yours. I also stopped because CVS started charging me $245 for it (up from $75), even with my drug plan.

aloha_spaceman profile image
aloha_spaceman

it worked well for me as I was enduring and recovering from radiation. No obvious side effects.

Pokerplayer profile image
Pokerplayer

may cause high blood pressure Gemtesa doesn’t

lakeheadguy profile image
lakeheadguy

Almost 1 year on drug. Best time to take 1 hour before bedtime. I still pee twice a night.

drugs.com/answers/support-g...

I am on high bp meds. This drug does increase my bp. Note dangerous interaction with trazodone and alcohol.

Myrbetriq Interactions

There are 221 drugs known to interact with Myrbetriq (mirabegron), along with 4 disease interactions, and 2 alcohol/food interactions. Of the total drug interactions, 8 are major, 87 are moderate, and 126 are minor.

drugs.com/drug-interactions...

Hope this helps.

dixiedad profile image
dixiedad

I was on it for a while. One of the possible side effects is elevated blood pressure. I'm on 3 BP meds. My urologist changed me to gemtesa and I sleep all night now.

in reply todixiedad

wow , high bop no bueno! I’ll look into gemtesa! Thanks

cigafred profile image
cigafred

I have taken it for a couple of years. Reduced nightly awakenings from about 5 to about 3. I get it from India.

Break60 profile image
Break60

I’ve been using it for a couple months with no effect. But my problem has been attributed to scar tissue in my urethra from radiation whic causes chronic UTIs. I had a AUS installed which helps but I still need to pee every one to two hours. Day and night. Awful!

in reply toBreak60

Nice suit! Dam , that’s mucho suffering . I’m sorry about that . I had chronic uti’s for two yrs with tubes stents and foley . The bad antis like cipro destroyed my joints . With out antis we’d all be gone . ✌️

Dummycat profile image
Dummycat

Myrbetriq didn’t help my husband with frequency at night at all, unfortunately.

in reply toDummycat

Darn it! 🙁

Explorer08 profile image
Explorer08

I’ve been using Myrbetriq for almost a year. It works wonders for my bladder spasms that developed after RRP and salvage radiation. I’d been on Tamsulosin but that eventually caused bradycardia. I tried Solifenacin but that caused terrible constipation. So far Myrbetriq has been very effective without any side effects.

in reply toExplorer08

👏👏👏

Don_1213 profile image
Don_1213

I had samples from a urologist that I tried for a few months - it had no effect on stress incontinence.

My latest urologist suggested I try it again since I've greatly lessened the incontinence problems (I now no longer get up at all at night..) but when I priced it, my Part-D drug plan considers it a Tier-4 drug and offers no assistance paying for it. The Astellas drug company has an assistance plan that they claim "if your drug plan won't cover it - they'll help" - but when contacted by phone they refuse to help since I have Part-D Medicare (Catch 22 anyone..?)

It costs $395 per month for a prescription without assistance. GoodRx doesn't have any discounts for it, and a 3-month prescription is $1,169. - It seems overly expensive for the results I had with the initial trial prescription I had.

I also searched the Astellas website looking for some means of contacting them that didn't involve a phone call (and the resulting phone menu and waiting queue) - and I found nothing. No email addresses at all. I finally messaged them via their Facebook account - and have heard absolutely nothing back. I was questioning them on the no-assistance despite my Part-D plan having no coverage.

cigafred profile image
cigafred in reply toDon_1213

alldaychemist.com/mirago-50...

$1per 50mg tablet, generic name mirabegron, +shipping (takes a few weeks)

Don_1213 profile image
Don_1213 in reply tocigafred

EXCELLENT - I have to contact the MD for a prescription for them. Thanks MUCH!

cigafred profile image
cigafred in reply toDon_1213

It may look like you need a prescription, but you do not. On the other hand, there is a small chance customs will seize it, in which case All-Day says they will issue a refund (I would guess the refund does not cover shipping).

MBOY1 profile image
MBOY1

Have used in past. Quite expensive as others have mentioned but I purchased through one of the canadien online pharmacies. Worth trying but give it a couple of months and be mindful of both drug interactions and side effects.

in reply toMBOY1

what are the side effects please?

MBOY1 profile image
MBOY1 in reply to

do not recall any effects except financial 👀

It was 3 years ago.

cancerfox profile image
cancerfox

I tried it for a month with very little improvement. I get up twice a night usually, and have to go about every 2 hours during the day, which is at least twice as often as pre-PC. It cost me about $100 a month with my medical plan, so it wasn't worth it considering that any improvement was hardly noticeable. I have been trying low-dose naltrexone for about 8 weeks now, and it hasn't helped either. ☹️ 🦊

in reply tocancerfox

Ive taken 4.5 naltrexone myself for 8 yrs now . It is said to have c fighting properties per my Nat onco .

I’ve Never heard of it . I have had myself the exact same disrupted sleep for 8 yrs now . Please get back to me and let me know if it helps . Not sleeping well drags my energy level into the mud . Good luck ! Zzzzzz

j-o-h-n profile image
j-o-h-n

Rotonda West Florida,

Some guys here suggest having a large neck bottle sitting next to the bed. When you have the urge just stand up out of bed and pee in the bottle. Place bottom back and jump in bed right away and go back to sleep. Less of an interruption, hopefully you fall asleep quickly..

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 03/08/2023 10:06 PM EST

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