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Area of Science:

  • Pharmacology
  • Adverse Drug Reactions
  • Allergy and Immunology

Background:

  • Mirabegron is a beta-3 adrenergic agonist used for overactive bladder.
  • Angioedema is a known, albeit rare, adverse effect of some medications.
  • This case highlights a potential link between mirabegron and angioedema.

Observation:

  • A 77-year-old female developed sudden onset tongue swelling.
  • She was taking multiple medications, including mirabegron for 3-4 years.
  • Symptoms began while self-tapering mirabegron dosage.

Findings:

  • The patient was diagnosed with drug-induced angioedema.
  • Mirabegron was identified as the probable cause using the Naranjo scale.
  • Symptoms improved with standard angioedema treatment and mirabegron discontinuation.

Implications:

  • This case adds to the limited reports of mirabegron-induced angioedema.
  • Healthcare providers should consider mirabegron as a potential cause of angioedema, even after long-term use.
  • Further investigation into the mechanism of mirabegron-induced angioedema may be warranted.