Sympathomimetics · Pharmacology

Mirabegron is a sympathomimetic used for overactive bladder. What is its mechanism of action?

  1. Alpha-1 antagonism
  2. M3 muscarinic receptor agonism
  3. Indirect release of dopamine and norepinephrine
  4. Selective Beta-3 receptor agonism
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Correct answer: Selective Beta-3 receptor agonism

Mirabegron stimulates Beta-3 receptors located on the detrusor muscle of the bladder. This activation promotes detrusor relaxation during the storage phase, increasing bladder capacity and reducing the symptoms of urgency and frequency.

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