Mirabegron has been shown to cause relaxation of the isolated mouse urethra, partly through blockade of α1A-adrenoceptors and α1D-adrenoceptors. However, although this effect might be an interesting pharmacological in vitro observation, it seems to have no relevance for the clinical use of mirabegron in the treatment of the overactive bladder.
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K-E.A. declares that he is a consultant and/or on the advisory board for Allergan, Astellas and Ferring.
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Andersson, KE. On the mode of action of mirabegron. Nat Rev Urol 13, 131–132 (2016). https://doi.org/10.1038/nrurol.2015.297
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DOI: https://doi.org/10.1038/nrurol.2015.297