Drug intelligence / Profile preview

mirabegron + tolterodine

Development stage
Phase 4
Lead developer
Astellas Pharma
Modality
Small Molecules
Administration
Oral
01

Overview

**mirabegron + tolterodine** is a *combination drug* used to treat overactive bladder (OAB). **Mirabegron** is a β₃-adrenoceptor agonist, while **tolterodine** is a muscarinic receptor antagonist (antimuscarinic). Their combined use targets different pathways in bladder control: mirabegron relaxes the detrusor muscle by stimulating β₃-adrenoceptors, increasing bladder capacity, while tolterodine decreases involuntary bladder contractions by blocking muscarinic receptors. This combination is used for patients with OAB to reduce urinary frequency, urgency, and incontinence, particularly in cases resistant to monotherapy. Clinical and animal studies show the combination can normalize bladder parameters and improve outcomes, potentially with lower risk of anticholinergic side effects compared to higher-dose antimuscarinics alone[2][3].

Other names
mirabegron + tolterodine
02

Targets

ADRB3 (β3)CHRM2 (M2)CHRM3 (M3)

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