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Mestinon (Pyridostigmine) affects chemicals in the body that are mixed up in communication between nerve impulses and muscle movement.

Pyridostigmine is utilized to take care of the symptoms of myasthenia gravis. It is also found in military personnel who've been encountered with nerve gas.

Pyridostigmine may also be used for purposes unpublished in this medication guide.

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Take just as prescribed by your doctor. Do not take in larger or smaller amounts or longer than recommended. Follow the directions on your own prescription label.
Take this medicine with food or milk whether it upsets your stomach. Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be sold at one time.

Measure liquid medicine using a special dose measuring spoon or medicine cup, not using a regular table spoon. If you do not possess a dose measuring device, ask the pharmacist first.

The amount and timing on this prescription medication is very important to the success of your respective treatment. Carefully follow your medical professional's instructions about how exactly much medicine to take then when to look at it.

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of whenever you took each dose and the way long the results lasted. This will help your doctor decide if your dose needs to be adjusted.
If you need surgery, tell the surgeon in advance you are using pyridostigmine. You may need to stop while using medicine for a short period of time. Store at room temperature faraway from moisture as well as heat.

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Take the medicine as prescribed from your doctor.


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Keep the tablets of their original container, combined with the canister of moisture-absorbing preservative that accompanies this medicine.


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Active ingredient: Pyridostigmine

Side Effects

Get emergency medical help if you have all of these signs of a hypersensitivity: hives; lack of breath; swelling of your face, lips, tongue, or throat. Stop using pyridostigmine and call your doctor at once when you have any of these serious unwanted side effects:

extreme muscle weakness, muscle twicthing;

slurred speech, vision problems;

severe vomiting or diarrhea;

cough with mucus;

confusion, anxiety, panic and anxiety attacks;

seizure (convulsions); or

worsening or no improvement inside your the signs of myasthenia gravis.

Less serious side effects can sometimes include:

cold sweat, pale skin;

urinating more than usual;

watery eyes;

mild nausea, vomiting, or upset stomach;

warmth or tingly feeling; or

mild rash or itching.

This is not a complete report on unwanted effects yet others may occur. Call your physician for medical health advice about unwanted effects.

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You should avoid using pyridostigmine should you be allergic to it, or if you possess a bladder or bowel obstruction.

To ensure you can safely take pyridostigmine, tell a medical expert if you have some of these other conditions:


kidney disease;

an ulcer or any other serious stomach disorder;

high blood pressure, heart disease;

overactive thyroid; or

a good reputation for seizures.

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It is just not known whether pyridostigmine will harm an developing fetus. Tell a medical expert if you're pregnant or plan to become pregnant while using the prescription drugs. It just isn't known whether pyridostigmine passes into breast milk or whether it could harm a nursing baby. Do not use this medication without telling a medical expert if you're breast-feeding a baby.

Drugs interaction 

Tell your doctor about all the other medicines you utilize, especially:

atropine (Atreza, Sal-Tropine);

belladonna (Donnatal, while others);

benztropine (Cogentin);

clidinium (Quarzan);

clozapine (Clozaril, FazaClo);

dimenhydrinate (Dramamine);

methscopolamine (Pamine), scopolamine (Transderm Scop);

glycopyrrolate (Robinul);

mepenzolate (Cantil);

bladder or urinary medications for example darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

bronchodilators including ipratropium (Atrovent) or tiotropium (Spiriva);

cold medicine, allergy medicine, or sleeping pills that contain an antihistamine including diphenhydramine (Tylenol PM) or doxylamine (Unisom);

heart rhythm medication like quinidine (Quin-G), procainamide (Procan, Pronestyl), disopyramide (Norpace), flecaininde (Tambocor), mexiletine (Mexitil), propafenone, (Rythmol), yet others;

irritable bowel medications like dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);

medicine to deal with Alzheimer's dementia, such as donepezil (Aricept), rivastigmine (Exelon), or tacrine (Cognex); or

a steroid for example betamethasone (Celestone) or dexamethasone (Cortastat, Dexasone, Solurex, DexPak).

This list isn't complete as well as other drugs may interact with pyridostigmine. Tell your doctor about all medications you utilize. This includes prescription, over-the-counter, vitamin, and herbal products. Do not find a new medication without telling a medical expert.

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