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Last updated on November 12th, 2021

Mestinon (Pyridostigmine Bromide)

Generic name: Pyridostigmine Bromide

Brand names: Pyridostigmine Bromide

What is this pill?

Mestinon can help with muscle strength. It is used to treat myasthenia gravis.

What should I tell my doctor before I use this drug?

Tell your doctor or pharmacist if you have any medical conditions listed:

  • asthma
  • difficulty passing urine
  • heart disease
  • infection in abdomen, peritonitis
  • irregular, slow heartbeat
  • kidney disease
  • seizures
  • stomach or bowel obstruction or ulcers
  • thyroid disease
  • an unusual or allergic reaction to dyes, pyridostigmine, foods, preservatives, other medicines, bromides
  • pregnant or trying to get pregnant
  • breast-feeding

How should I take this medication?

Take this drug by mouth with a glass of water. Use your pills at regular intervals. Do not take this medication more often than directed. Do not stop taking this pill untill your doctor or pharmacist advice you to do so.

Talk to your healthcare provider or pharmacist regarding the use of this pill in children. Special care may be needed.

If you suspect overdose:

Contact your local poison control center, health care professional or emergency room immediately.

Remember that this medications is only for you. Do not share this medications with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

mestinon 60mg/20drajeuri


Do not take this drugs with other medicines for myasthenia gravis like neostigmine or quinine.

This drugs may also interact with the listed drugs:

  • atropine
  • bethanechol
  • disopyramide
  • edrophonium
  • guanadrel
  • guanethidine
  • mecamylamine
  • medicines that block muscle or nerve pain

This list may not describe all possible interactions. Give your health care professional or pharmacist a list of all herbs, dietary supplements, non-prescription drugs, medicines you use. Also inform your healthcare provider or pharmacist if you smoke, drink alcohol, or take illegal drugs. Some items may interact with Mestinon.

Side effects that may occure:

Side effects that you should report to your health care professional or pharmacis as soon as possible:

  • allergic reactions like swelling of the or tongue, face, lips, skin rash, itching or hives
  • breathing problems
  • changes in vision
  • muscle cramps, spasm
  • slow or irregular heartbeat
  • stomach cramps, pain
  • unusually weak or tired
  • vomiting

Side effects that usually do not require medical attention (report to your health care professional or pharmacis if they continue or are bothersome):

  • diarrhea, especially at start of treatment
  • increased saliva
  • increased sweating
  • nausea

This list may not describe all possible side effects.

How to store this drug:

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused pills after the expiration date.

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