{"id":630928,"date":"2025-01-06T14:34:43","date_gmt":"2025-01-06T19:34:43","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630928"},"modified":"2026-01-28T14:14:58","modified_gmt":"2026-01-28T19:14:58","slug":"gemtesa-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/gemtesa-alternatives\/","title":{"rendered":"Gemtesa alternatives: What can I take instead?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/gemtesa\"><span style=\"font-weight: 400;\">Gemtesa<\/span><\/a><span style=\"font-weight: 400;\"> is a brand-name medication approved by the Food and Drug Administration (FDA) to treat overactive bladder symptoms, including urinary urgency and frequency. Also known by its generic name, vibegron, Gemtesa is a beta-3 adrenergic agonist that works by activating specific receptors in the bladder to help relax the bladder muscle. While Gemtesa is an effective medication, it isn\u2019t right for everyone. For example, a doctor may not prescribe Gemtesa for a patient with a bladder obstruction due to the risk of urinary retention. It also only comes as a brand-name medication, so it may be expensive if it\u2019s not covered by insurance or Medicare plans. Lastly, Gemtesa can cause adverse effects, such as <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/uti-treatment-and-medications\"><span style=\"font-weight: 400;\">urinary tract infections<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diarrhea-treatment-and-medications\"><span style=\"font-weight: 400;\">diarrhea<\/span><\/a><span style=\"font-weight: 400;\">, and respiratory infections. For these reasons, people may seek alternatives to Gemtesa.\u00a0<\/span><\/p>\n<h2 id=\"what-can-i-take-instead-of-gemtesa\"><span style=\"font-weight: 400;\">What can I take instead of Gemtesa?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Fortunately, there are alternative treatment options available if Gemtesa isn\u2019t right for you. These include other <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/beta-agonists\"><span style=\"font-weight: 400;\">beta-3 adrenergic agonists<\/span><\/a><span style=\"font-weight: 400;\"> and other classes of drugs, such as <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/muscarinic-antagonists\"><span style=\"font-weight: 400;\">antimuscarinics<\/span><\/a><span style=\"font-weight: 400;\"> and injectable botulinum toxin. Each type of drug has its specific uses, side effect profiles, and <a href=\"https:\/\/www.singlecare.com\/prescription\/gemtesa\/dosage\">dosages<\/a>. <\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-gemtesa-alternatives\">Compare Gemtesa alternatives<\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Price without insurance<\/b><\/td>\n<td><b>SingleCare price<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/gemtesa\/what-is\"><span style=\"font-weight: 400;\">Gemtesa<\/span><\/a><span style=\"font-weight: 400;\"> (vibegron)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$690 per 30, 75 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$440 per 30, 75 mg tablets of brand-name Gemtesa<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/gemtesa\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/myrbetriq\/what-is\"><span style=\"font-weight: 400;\">Myrbetriq<\/span><\/a><span style=\"font-weight: 400;\"> (mirabegron extended-release))<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$630 per 30, 50 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$210 per 30, 50 mg tablets of generic mirabegron extended release<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/myrbetriq\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Oxybutynin extended-release (ER)<\/span><\/td>\n<td><b>$100 per 30, 10 mg tablets<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$12 per 30, 10 mg tablets of generic oxybutynin ER<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/oxybutynin-chloride-er\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Vesicare (solifenacin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$480 per 30, 10 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$17 per 30, 10 mg tablets of generic solifenacin<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/vesicare\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Detrol (tolterodine)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$620 per 60, 2 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$19 per 60, 2 mg tablets of generic tolterodine<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/detrol\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tolterodine ER<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$280 per 30, 4 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$24 per 30, 4 mg tablets of generic tolterodine ER<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tolterodine-tartrate-er\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Darifenacin ER<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$330 per 30, 15 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$28 per 30, 15 mg tablets of generic darifenacin ER<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/darifenacin-hydrobromide-er\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Toviaz (fesoterodine fumarate ER)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$470 per 30, 8 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$35 per 30, 8 mg tablets of generic fesoterodine fumarate ER<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/toviaz\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Trospium\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$200 per 60, 20 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$24 per 60, 20 mg tablets of generic trospium<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/trospium-chloride\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Botox (botulinum toxin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$850 per 1, 100 unit solution<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$670 per 1, 100 unit solution of brand-name Botox<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/botox\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span style=\"font-weight: 400;\">Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under \u201cSavings options\u201d to see the latest drug prices.<\/span><\/i><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Gemtesa with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tGemtesa 75 mg (30 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$441.90<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"#\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"#\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$441.90<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"#\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"#\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"#\" class=\"coupon-see-all-btn\">See Gemtesa prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"top-5-gemtesa-alternatives\"><span style=\"font-weight: 400;\">Top 5 Gemtesa alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following are some of the most common alternatives to Gemtesa.<\/span><\/p>\n<h3 id=\"1-myrbetriq-mirabegron\"><span style=\"font-weight: 400;\">1. Myrbetriq (mirabegron)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Gemtesa and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/myrbetriq\"><span style=\"font-weight: 400;\">Myrbetriq<\/span><\/a><span style=\"font-weight: 400;\"> are similar medications. They are both FDA approved to treat overactive bladder, however, <\/span><a href=\"https:\/\/nctr-crs.fda.gov\/fdalabel\/services\/spl\/set-ids\/f499d877-7699-424d-bd74-7c12d1bad129\/spl-doc#section-11.1\"><span style=\"font-weight: 400;\">Myrbetriq<\/span><\/a><span style=\"font-weight: 400;\"> may also be prescribed for neurogenic detrusor overactivity (NDO) in certain children. Both drugs belong to the beta-3 adrenergic agonist drug class and work by relaxing the bladder muscle. The side effect profiles of Gemtesa and Myrbetriq are similar, but Myrbetriq is known to potentially increase blood pressure. Therefore, Myrbetriq may not be appropriate for those with severe uncontrolled hypertension (high blood pressure).\u00a0<\/span><\/p>\n<h3 id=\"2-oxybutynin\"><span style=\"font-weight: 400;\">2. Oxybutynin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Oxybutynin is another commonly used prescription drug for OAB. It is available in <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/oxybutynin-chloride\"><span style=\"font-weight: 400;\">immediate-release<\/span><\/a><span style=\"font-weight: 400;\"> and extended-release formulations, and the dosage depends on which form is prescribed. Oxybutynin is an antimuscarinic type of anticholinergic medication, so it works differently than Gemtesa. Therefore, if Gemtesa isn\u2019t effective, a healthcare provider may consider switching to oxybutynin. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/oxybutynin-side-effects\/\"><span style=\"font-weight: 400;\">Side effects<\/span><\/a><span style=\"font-weight: 400;\"> of oxybutynin include constipation, dry mouth, drowsiness, and confusion. These side effects may be particularly risky for older adults.\u00a0<\/span><\/p>\n<h3 id=\"3-vesicare\"><span style=\"font-weight: 400;\">3. Vesicare<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/vesicare\/what-is\"><span style=\"font-weight: 400;\">Vesicare<\/span><\/a><span style=\"font-weight: 400;\"> is <\/span><a href=\"https:\/\/nctr-crs.fda.gov\/fdalabel\/services\/spl\/set-ids\/9acee910-cdb2-4052-b8b3-c26aff1c8716\/spl-doc\"><span style=\"font-weight: 400;\">FDA approved<\/span><\/a><span style=\"font-weight: 400;\"> to treat overactive bladder. It is available as a tablet and a suspension. Like Gemtesa, Vesicare is taken once daily. It belongs to the anticholinergic drug class and works by relaxing the bladder muscle. However, possible side effects include constipation, dry mouth, dizziness, and dry eyes.\u00a0<\/span><\/p>\n<h3 id=\"4-detrol-tolterodine\"><span style=\"font-weight: 400;\">4. Detrol (tolterodine)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Tolterodine\u2014also sold as its brand name counterpart Detrol\u2014is a generic medication used to treat overactive bladder. It belongs to the anticholinergic drug class and helps <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a699026.html\"><span style=\"font-weight: 400;\">relax the bladder muscle<\/span><\/a><span style=\"font-weight: 400;\"> to prevent excessive bladder contractions. Because it is available as a generic, tolterodine may be a suitable alternative if you\u2019re looking for a more affordable drug.<\/span><\/p>\n<h3 id=\"5-darifenacin\"><span style=\"font-weight: 400;\">5. Darifenacin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Enablex is the former brand-name version of darifenacin. It\u2019s used to treat OAB symptoms such as urinary urgency, frequency, and incontinence. While it can be less costly than <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-much-is-gemtesa-without-insurance\/\"><span style=\"font-weight: 400;\">Gemtesa<\/span><\/a><span style=\"font-weight: 400;\">, Enablex can cause bothersome <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a605039.html\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">, such as dry mouth, constipation, upset stomach, and dry eyes.\u00a0<\/span><\/p>\n<h2 id=\"natural-alternatives-to-gemtesa\"><span style=\"font-weight: 400;\">Natural alternatives to Gemtesa<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Aside from medications, symptoms of OAB may be managed with <\/span><a href=\"https:\/\/nafc.org\/overactive-bladder\/?utm_source=google&amp;utm_medium=cpc&amp;utm_campaign&amp;utm_term=overactive%20bladder&amp;utm_content=449781519991&amp;gclid=Cj0KCQiAvbm7BhC5ARIsAFjwNHuDLkZVKmtSPc6_LVcuLQF6npGoEnoHdA_cxALjeinCRxQN77iHUJMaAtvZEALw_wcB\"><span style=\"font-weight: 400;\">behavioral changes and nonpharmacologic treatment<\/span><\/a><span style=\"font-weight: 400;\">. Lifestyle changes include limiting food and drinks that irritate the bladder, including citrus, spicy foods, and caffeine. In some cases, healthcare providers may also recommend reducing fluid intake or bladder retraining exercises. According to the National Association for Continence, nonpharmacologic interventions include pelvic floor muscle exercises, nerve stimulation, and injection therapy.\u00a0<\/span><\/p>\n<h2 id=\"how-to-switch-to-a-gemtesa-alternative\"><span style=\"font-weight: 400;\">How to switch to a Gemtesa alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re looking to switch from Gemtesa to an alternative, talk to a healthcare provider. A different beta agonist, namely Myrbetriq, or an anticholinergic, like Vesicare, may be a suitable option. Each medication has risks that may depend on your medical conditions and current medications. If you and your healthcare provider decide it\u2019s safe for you to switch to another drug, be sure to follow their directions exactly as prescribed. In most cases, Gemtesa does not need to be stopped slowly, and it\u2019s safe to stop it abruptly.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gemtesa is a brand-name medication approved by the Food and Drug Administration (FDA) to treat overactive bladder symptoms, including urinary urgency and frequency. Also known by its generic name, vibegron, Gemtesa is a beta-3 adrenergic agonist that works by activating specific receptors in the bladder to help relax the bladder muscle. While Gemtesa is an [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":630929,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,790],"coauthors":[20969],"class_list":["post-630928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-chronic-disease","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top Gemtesa alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Myrbetriq, Ditropan XL, Vesicare, tolterodine, and Enablex are some Gemtesa alternatives. Get the full list here.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/gemtesa-alternatives\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gemtesa alternatives: What can I take instead?\" \/>\n<meta property=\"og:description\" content=\"Myrbetriq, Ditropan XL, Vesicare, tolterodine, and Enablex are some Gemtesa alternatives. 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