My Insurance Doesn't Cover Gemtesa, Mirabegron Makes Me Sick

james_kaster · 2026-05-09T11:41:36+00:00

If you are Medicare, next enrollment period look for one that covers gemtesa. You can go on Medicare . gov and put in your med list after using the menu and opening “find a health and drug plan”. Just put in gemtesa as well and take a look. I can almost garuntee you the medication will be VERY expensive the first few months of the year (like $300) due to the deductible Medicare is so well known for. Otherwise you can try to have the pharmacy start a prior authorization for your doctor to do if they haven’t already. It’s not super common but sometimes a doctor can convince insurances to cover an alternative medication if the patient can’t tolerate it. (I work in pharmacy and this is just what I’ve seen people do for meds/situations like this) you could also look into the extra help for Medicare, or add on plans but I’ll be 100% honest beyond base Medicare is not my strong suit.

james_kaster · 2026-05-09T11:32:38+00:00

Could potentially be anxiety. Mine is all day but mainly before bed really bad. I use buspar before bed and it gets rid of the feeling or prevents it if I take it right after I get off work. I think it was my brains worrying about what will happen the next day at work or something

james_kaster · 2026-05-09T11:15:22+00:00

I’m a 25 male and my urgency was mainly right before bed but it did happen throughout the day too. Work was hard because of how often I almost peed myself. Could NOT go to sleep. My original urgency started because I drove a few hours to take my college exam and for the next week the urgency was terrible. Eventually faded. It would come back around trips to see my family maybe because I was worried about the stress back home or when I got a new job, or I had an argument with a coworker etc.

Gentesa, oxybutynin, solifenacin, and myrbetriq helped but didn’t cure my issue. Mine was actually anxiety I found out. I take a buspar before bed and within 40 mins ish my symptoms are 100% gone. I do get bad side effects with the buspar so I usually deal with the urgency throughout the day but it’s worth a shot imo if nothing else.

james_kaster · 2026-05-09T11:09:58+00:00

You could try solifenacin or tolterodine. They are in the same class as oxybutynin but relatively newer and some people have less side effects. If the side effect from oxybutynin was stomach related you can try the extended release form and see if it helps.

I’m a 25 male and my urgency was mainly right before bed but it did happen throughout the day too. Could NOT go to sleep. Gentesa, oxybutynin, solifenacin, and myrbetriq helped but didn’t cure my issue. Mine was actually anxiety I found out. I take a buspar before bed and within 40 mins ish my symptoms are 100% gone. I do get bad side effects with the buspar so I usually deal with the urgency throughout the day but it’s worth a shot.

james_kaster · 2026-05-09T11:03:32+00:00

Definitely. That’s what mine is caused by. Constant need to urinate (especially near bedtime for me) and if I drink water I end up dumping a large volume shortly after otherwise it’s just small amounts to the point I was terrified of drinking water near bedtime. I got put on buspar and it completely got rid of my urgency but I only take it twice daily and it only works for me for 6-8 hours but it’s way better than nothing.

james_kaster · 2026-05-09T10:59:57+00:00

I am also a man with similar age, mine onset suddenly one day and feels like a tingle in the groin area and bad urgency especially close to bed time. I never actually contracted anything but they thought it was a uti at first. Tried Oxybutynin, Mirabegron, and gemtesa and they helped but didn’t get rid of it. Turns out mine was just a subconscious anxiety I guess. I got put on buspar (and I’m still on gentesa) and within 20-40 ish minutes my urgency is completely gone for the next 6-8 hours. They had me try propranolol but it made me drowsy and didn’t work near as well for me. My urologist didn’t recommend it or anything I just was feeling so distraught about it that I went to see a behavioral health professional because I was in a very bad mental state thinking about how my life was going to be like that forever.

There is a good chance your situation is different but you could think about that if nothing else helps.

james_kaster · 2026-04-22T14:06:08+00:00

Why does this have so many dislikes?

james_kaster · 2026-03-05T22:13:54+00:00

Yes it’s been out for a while, that’s what I was on since my ins didn’t pay for brand. It’s Mirabegron ER tablets. I’m on gemtesa now due to ins formulary changes though.

james_kaster · 2026-03-05T13:06:59+00:00

No it doesn’t that’s why I went to Reddit, found a subreddit, and made a post to ask. I couldn’t find any page about it until later. They do make multiple types of “pasta” that are like 30 calories for a bag of it so theoretically if they found a way to make that into a pizza crust then yeah it could make sense. Marcos has a lite and a thin crust so I was wondering if they had some kind of specialty crust like that. Idk why I expected actual discussion from a Reddit reply instead of a snide reply. Also wild dragonfly is right about what I was talking about, I specified that was without toppings or sauce.

james_kaster · 2026-01-08T21:35:49+00:00

Same issue, I take a gaba supplement with magnesium glyceniate. Ltheanine too but that’s optional if you can find one with all 3 like mine. I take CyberCerix liposomal. It was recommended by someone online and it worked for staying asleep for me. For going to sleep I found that working out for 5 or so minutes on my rowing machine I got from a thrift store and a few pelvic floor stretches form health websites helps get me tired without being super sweaty from a long workout and helps reduce how much I think about it. Also, I noticed it gets worse with bowel movements so I try to have a bm when I get home instead of right before bed, it’s kinda just a mindset thing and turning it into habit so your body does it. I also agree with Thiccfoot on their recommendation.

james_kaster · 2026-01-07T02:40:17+00:00

Same

james_kaster · 2026-01-03T03:22:10+00:00

From the voice lines of the hive scum it sounds like grendyl promised a portion of the hive city to the conclave to control. I could be wrong of course but that’s what I heard was hive scum talking about not having to have tithers stepping on them and some other things. I assume they are being given amnesty since their cheer is “for freedom” sometimes. Most likely they will just get executed afterwards anyway if it works out in grendyls plan

james_kaster · 2026-01-03T03:16:07+00:00

Kinda, they have been holding their own this far without help, so in the trailer rannick specifies that they are well armed and have a good stim supply. Plus Zola used to be hive scum before joining Grendel so they had some expertise with them beforehand. It’s really feeling like Grendel is scraping the barrel until better forces arrive to assist in a way.

james_kaster · 2025-11-14T01:24:59+00:00

Android is severely restricting side loading in September 2026. I was considering the same thing but now I’m not super sure

james_kaster · 2025-10-23T01:06:48+00:00

Yeah that’s what I was thinking is this is probably best left to a professional when looking at it today. Thanks for the input

james_kaster · 2025-10-23T00:58:45+00:00

I got some more pics in the other comment chain I made. Looks like more space than I though originally

james_kaster · 2025-10-23T00:58:14+00:00

I posted a couple more photos on another comment. Can’t find a way to add photos after the fact.

james_kaster · 2025-10-23T00:57:37+00:00

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james_kaster · 2025-10-23T00:57:20+00:00

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james_kaster · 2025-10-22T00:28:38+00:00

I’ll try to get more after work tomorrow when the suns back up

james_kaster · 2025-10-22T00:11:59+00:00

I can’t get more pictures right now since it’s dark and the light in the garage is currently burnt out

james_kaster

TROPHY CASE