Vibegron
GEMTESA
Pronunciation: vye-BEG-ron (jem-TES-a)
“Gems tessellate groin vibes”
What it isBeta-3 adrenergic agonist that relaxes detrusor muscle; overactive bladder.
Why this oneUnlike mirabegron, it does not inhibit CYP2D6 and has little effect on blood pressure.
What limits itUrinary retention can emerge with outlet obstruction or added antimuscarinic therapy; cost often limits access.
FDA-approved for
- overactive bladder (2020)
FDA label
Read the full label on DailyMed ↗
| FDA dosing | Population | Start | Target | Max |
|---|---|---|---|---|
| Overactive bladder | adult | 75 mg QD | 75 mg QD | 75 mg QD |
Renal Not recommended in end-stage renal disease (with or without hemodialysis)
Hepatic Not recommended in severe hepatic impairment
Instructions
- Swallow tablet whole with water, with or without food
- May crush and mix with a tablespoon of applesauce, take immediately
Available strengths
- tab 75 mg
Cautions
- Urinary retention (esp. bladder outlet obstruction or with antimuscarinics)
- Angioedema of face/larynx
Adverse reactions
- Headache
- Urinary tract infection
- Nasopharyngitis
- Diarrhea
- Nausea
- Upper respiratory tract infection
Pregnancy No human data; animal studies showed no embryo-fetal effects at clinical exposures
Lactation Undefined
Cost
| Strength | #/mo | generic $/mo | brand $/mo | CostPlus | |
|---|---|---|---|---|---|
| 75 mg | tab | 30 qd | — | $493.79 | not offered |
Generic entry2030 est.
NO BOXED WARNINGS
Principal riskLittle; the cleaner beta-3 agonist
Classes and tags
Clinical profile
Legacy pregnancy categoryNot assigned — PLLR-era drug
Defining liabilityGenerally tolerated at therapeutic doses; clinically important risks are agent-specific and increase with interactions or organ impairment.