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Can I take Mirabegron astellas and Rivaroxaban together?

Drug interaction guide

There is no known direct interaction between mirabegron and rivaroxaban. It is generally considered safe to take these two medications together.

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Why this happens

Mirabegron and rivaroxaban are processed by different pathways in the body. Mirabegron is primarily broken down by enzymes called CYP3A4 and CYP2D6, while rivaroxaban is processed by CYP3A4 and a transport protein called P-gp. While they share the CYP3A4 pathway, studies show that mirabegron does not significantly change the levels of drugs like rivaroxaban in the blood.

What you should do

You can take both medications as prescribed by your doctor. However, always monitor for any unusual side effects, such as unexpected bruising or bleeding (related to rivaroxaban) or a very fast heartbeat (related to mirabegron). If you notice anything unusual, contact your GP or pharmacist.

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Using other medicines

Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Disclaimer

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 25 Jan 2026 | Originally published
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