MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Urinary frequency, enuresis and incontinence

Drug Safety Update

 October 2015: Mirabegron (Betmiga▼): risk of severe hypertension and associated cerebrovascular and cardiac events

 December 2014: Botulinum toxin products: rare but serious risks

NICE Guidance (also see drug-specific links below)

 CG97: Lower urinary tract symptoms in men: management, June 2015

NG123: Urinary incontinence and pelvic organ prolapse in women: management, updated June 2019

 CG148: Urinary incontinence in neurological disease: assessment and management, August 2012

TA290: Mirabegron for treating symptoms of overactive bladder, June 2013

Local Guidance

See here for local primary care guidance on the management of OAB in women

Not for use in the frail/elderly patient

Pack Price
56 tablet (8 x 7 tablets) £1.15
84 tablet (12 x 7 tablets) £1.73
Pack Price
56 tablet
Pack Price
56 tablet (8 x 7 tablets) £1.28
Pack Price
30 tablet £13.77
Pack Price
30 tablet £27.54
Pack Price
8 patch £27.20
Pack Price
150 ml £198.13
Pack Price
56 tablet (4 x 14 tablets) £2.00
Pack Price
56 tablet (4 x 14 tablets) £2.66
Pack Price
28 capsule (2 x 14 capsules) £12.89
Pack Price
28 tablet (2 x 14 tablets) £25.48
Pack Price
28 tablet (2 x 14 tablets) £25.48
Pack Price
28 tablet (4 x 7 tablets) £25.78
Pack Price
28 tablet (4 x 7 tablets) £25.78

Higher dose is much more expensive than other antimuscarinics - use for existing patients only

Pack Price
30 tablet (3 x 10 tablets) £27.62
Pack Price
30 tablet (3 x 10 tablets) £35.91

Mirabegron is the first in a new class of drugs it is a beta-3-adrenoceptor agonist. It is reserved for those patients for whom antimuscarinics are contraindicated or clinically ineffective, or have unacceptable side effects.

 

Pack Price
30 tablet (3 x 10 tablets) £29.00
Pack Price
30 tablet (3 x 10 tablets) £29.00

Caution: Due to unit differences in the potency assay, unit doses for different brands of Botulinum A toxin are NOT interchangeable.

Pack Price
1 vial £77.50
Pack Price
1 vial £138.20
Pack Price
1 vial £72.00
Pack Price
1 vial £129.90