Buy Mirabegron (formerly called Betmiga) online with free consultation & prescription
Book a quick face-to-face video consultation with a UK certified prescribing pharmacist, nurse, or doctor. If approved, your Mirabegron (formerly called Betmiga) will be prescribed* and delivered straight to your door with next working day tracked delivery†. Avoid GP waiting lists. No delays. Just expert care.
Mirabegron (formerly called Betmiga) is indicated for the treatment of Urinary Incontinence.
*Includes Free Private Prescription & Consultation.
†Applies to UK only.
Manufactured by Astellas.

Mirabegron (formerly called Betmiga) doses and pack sizes

Mirabegron (formerly called Betmiga)
Mirabegron (formerly called Betmiga) doses and pack sizes
*Your clinician will recommend the right strength and quantity for you during the consultation.
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Mirabegron (formerly called Betmiga) prices
| Brand/Generic | Form | Dosage | Quantity | Price | Delivery Cost | Consultation Cost |
|---|---|---|---|---|---|---|
| Mirabegron (formerly called Betmiga)Brand | Tablets | 25mg | 30 | £42.69 | £0.00*(with Core+ Plan) | £0.00 |
| Mirabegron (formerly called Betmiga)Brand | Tablets | 50mg | 30 | £42.69 | £0.00*(with Core+ Plan) | £0.00 |
FAQs
Answers to popular questions about Mirabegron (formerly called Betmiga)
What is Mirabegron (formerly called Betmiga)?
Mirabegron (formerly called Betmiga) is a brand name for mirabegron, a beta-3 adrenoreceptor agonist used for the treatment of overactive bladder (OAB) symptoms including urgency, increased urination frequency, and urge incontinence. It is available as 25 mg and 50 mg prolonged-release tablets. Mirabegron (formerly called Betmiga) works through a completely different mechanism from antimuscarinic bladder medications and is often preferred due to its lower incidence of dry mouth and constipation. It is a prescription-only medicine manufactured by Astellas.
How does Mirabegron (formerly called Betmiga) work?
Mirabegron (formerly called Betmiga) stimulates beta-3 adrenoreceptors on the detrusor smooth muscle of the bladder. Activation of these receptors causes relaxation of the bladder muscle during the filling phase, increasing bladder capacity and reducing the frequency and urgency of urination. This mechanism is fundamentally different from antimuscarinics (such as oxybutynin, solifenacin, and tolterodine), which block the contraction signal. Because Mirabegron (formerly called Betmiga) does not block muscarinic receptors, it avoids the typical antimuscarinic side effects of dry mouth, constipation, and cognitive impairment.
How is Mirabegron (formerly called Betmiga) different from antimuscarinic bladder medications?
Mirabegron (formerly called Betmiga) offers several key advantages over antimuscarinics. It causes significantly less dry mouth and constipation. It has no anticholinergic cognitive effects, making it safer for elderly patients and those at risk of cognitive decline. NICE recommends Mirabegron (formerly called Betmiga) as an option if antimuscarinic drugs are contraindicated, poorly tolerated, or ineffective. It can also be used in combination with antimuscarinics for patients who have not responded adequately to monotherapy.
How do I take Mirabegron (formerly called Betmiga)?
Take one Mirabegron (formerly called Betmiga) tablet (25 mg or 50 mg) once daily with water, with or without food. Swallow the tablet whole — do not crush, chew, or divide. The recommended dose is 50 mg once daily for most adults. A starting dose of 25 mg may be used in patients with severe renal impairment, moderate hepatic impairment, or those taking certain interacting medications. Symptom improvement is typically noticed within 4–8 weeks.
How long does Mirabegron (formerly called Betmiga) take to work?
Some patients notice improvement in urgency and frequency within the first 2 weeks, but full therapeutic benefit may take 4–8 weeks. Clinical trials assessed efficacy over 12 weeks. If there is no meaningful improvement after 8 weeks, discuss with your prescriber whether to continue, adjust, or switch treatment.
What are the side effects of Mirabegron (formerly called Betmiga)?
Common side effects include urinary tract infection, tachycardia (increased heart rate), and headache. Uncommon side effects include dizziness, constipation, nausea, and diarrhoea. Mirabegron (formerly called Betmiga) can cause a small increase in blood pressure and heart rate — blood pressure should be monitored periodically, particularly in patients with hypertension. Importantly, Mirabegron (formerly called Betmiga) causes significantly less dry mouth and constipation than antimuscarinic alternatives.
Who should not take Mirabegron (formerly called Betmiga)?
Mirabegron (formerly called Betmiga) is contraindicated in patients with severe uncontrolled hypertension (systolic ≥180 mmHg or diastolic ≥110 mmHg). Caution is advised in patients with hypertension, as Mirabegron (formerly called Betmiga) can raise blood pressure. It should be used with caution in patients with QT prolongation, significant bladder outlet obstruction, and those taking potent CYP3A4 inhibitors. Mirabegron (formerly called Betmiga) is not recommended in severe hepatic impairment or end-stage renal disease.
How can I get Mirabegron (formerly called Betmiga)?
Mirabegron (formerly called Betmiga) requires a prescription from your GP, urologist, or online prescriber such as NowPatient. It is available on the NHS and NICE recommends it as an option for overactive bladder. Your prescriber will typically trial behavioural measures and may trial an antimuscarinic first before prescribing Mirabegron (formerly called Betmiga), though it can be used as first-line pharmacotherapy.
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