PMID- 26245475 OWN - NLM STAT- MEDLINE DCOM- 20160803 LR - 20190911 IS - 1873-5592 (Electronic) IS - 1389-4501 (Linking) VI - 16 IP - 11 DP - 2015 TI - The Current Indications and the Benefits of Combining a beta3-Agonist with an Anticholinergic for the Treatment of OAB. PG - 1198-206 AB - Combination therapy with anti-muscarinics (AMs) and beta3 agonists (beta3As) has recently been proposed as a possible treatment for the management of patients with Overactive Bladder (OAB). EVIDENCE ACQUISITION: A National Center for Biotechnology Information PubMed search for relevant articles published between 2007 and 2014 was performed by combining the following Patient population, Intervention, Comparison, Outcome (PICO) terms: overactive bladder, antimuscarinics, beta3 agonists, combination therapy, efficacy, tolerability and outcomes. Additional references were obtained from the reference list of full-text manuscripts. Abstracts presented at the annual congresses of the European Association of Urology, American Urology Association and the International Continence Society were included. EVIDENCE SYNTHESIS: The combination therapy, in the management of OAB symptoms, has recently been investigated in animal models and in a phase II randomized clinical trial. Compared with AMs monotherapy, combination treatment improved mean voided volume per micturition, micturition frequency and reduced urgency episodes. No dose related trends in adverse events (AEs) were observed between combination group and monotherapy group. Incidence of constipation was slightly increased in combination therapy group. CONCLUSIONS: Combination therapy seems to be an effective and safe treatment in the management of OAB. However, further cost-effectiveness studies are needed to evaluate the definitive role of this approach for the management of patients with OAB. FAU - De Nunzio, Cosimo AU - De Nunzio C AD - Ospedale Sant'Andrea, University "La Sapienza", Roma, Italy. cosimodenunzio@virgilio.it. FAU - Presicce, Fabrizio AU - Presicce F FAU - Pirozzi, Luisella AU - Pirozzi L FAU - Castellan, Pietro AU - Castellan P FAU - Schips, Luigi AU - Schips L FAU - Cindolo, Luca AU - Cindolo L FAU - Lombardo, Riccardo AU - Lombardo R FAU - Tubaro, Andrea AU - Tubaro A LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Drug Targets JT - Current drug targets JID - 100960531 RN - 0 (Adrenergic beta-3 Receptor Agonists) RN - 0 (Cholinergic Antagonists) RN - 0 (Muscarinic Antagonists) RN - 0 (Receptors, Adrenergic, beta-3) SB - IM MH - Adrenergic beta-3 Receptor Agonists/administration & dosage/*therapeutic use MH - Cholinergic Antagonists/administration & dosage/*therapeutic use MH - Drug Therapy, Combination MH - Humans MH - Muscarinic Antagonists/administration & dosage/therapeutic use MH - Receptors, Adrenergic, beta-3 MH - Treatment Outcome MH - Urinary Bladder, Overactive/*drug therapy EDAT- 2015/08/08 06:00 MHDA- 2016/08/04 06:00 CRDT- 2015/08/07 06:00 PHST- 2014/06/20 00:00 [received] PHST- 2015/02/08 00:00 [revised] PHST- 2015/08/06 00:00 [accepted] PHST- 2015/08/07 06:00 [entrez] PHST- 2015/08/08 06:00 [pubmed] PHST- 2016/08/04 06:00 [medline] AID - CDT-EPUB-69362 [pii] AID - 10.2174/1389450116666150806124345 [doi] PST - ppublish SO - Curr Drug Targets. 2015;16(11):1198-206. doi: 10.2174/1389450116666150806124345.