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This is a combination therapy consisting of tolterodine, an antimuscarinic agent, and mirabegron, a beta-3 adrenergic receptor agonist. It is being evaluated by Far Eastern Memorial Hospital in a Phase 4 clinical trial for the treatment of overactive bladder syndrome (OAB) in women. The combination aims to improve efficacy by targeting two different physiological pathways: tolterodine blocks muscarinic receptors to reduce involuntary bladder contractions, while mirabegron activates beta-3 adrenoceptors to promote bladder relaxation during the storage phase. The study specifically investigates the impact of this combination on autonomic function (heart rate variability) and bladder blood perfusion.
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