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Mestinon (Pyridostigmine) affects chemicals in your body which are involved in the communication between nerve impulses and muscle movement.

Pyridostigmine is utilized to deal with the symptoms of myasthenia gravis. It is also used in military personnel who are confronted with nerve gas.

Pyridostigmine doubles for purposes unlisted within this medication guide.

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Take exactly as prescribed from your doctor. Do not take in larger or smaller amounts or over recommended. Follow the directions on your own prescription label.
Take this medicine with food or milk when it upsets your stomach. Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking or opening the pill could potentially cause too much of the drug to be released previously.

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

The amount and timing with this medicine is essential to the success of your treatment. Carefully follow your medical professional's instructions about how exactly much medicine to look at so when to consider it.

Your doctor may occasionally alter your dose to make sure you acquire the best results. You may be inspired to keep a daily record of once you took each dose and just how long the end results lasted. This will help a medical expert see whether your dose has to be adjusted.
If you need surgery, tell the surgeon ahead of time that you're using pyridostigmine. You may need to stop using the medicine for any small amount of time. Store at room temperature from moisture as well as heat.

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Take the medicine as prescribed by your doctor.


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

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Active ingredient: Pyridostigmine

Side Effects

Get emergency medical help for those who have these signs of an allergic reaction: hives; breathlessness; swelling of your respective face, lips, tongue, or throat. Stop using pyridostigmine and call your medical professional at the same time when you have some of these serious unwanted effects:

extreme muscle weakness, muscle twicthing;

slurred speech, vision problems;

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severe vomiting or diarrhea;

cough with mucus;

confusion, anxiety, panic attacks;

seizure (convulsions); or

worsening or no improvement inside your signs of myasthenia gravis.

Less serious negative 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 just isn't a complete set of unwanted side effects while others may occur. Call your medical professional for medical health advice about negative effects.

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

To ensure you can safely take pyridostigmine, tell a medical expert for those who have any of these other difficulties:


kidney disease;

an ulcer or another serious stomach disorder;

high blood pressure levels, heart problems;

overactive thyroid; or

a good seizures.

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

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Drugs interaction 

Tell a medical expert about all the other medicines you use, 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 such as 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 includes an antihistamine for example diphenhydramine (Tylenol PM) or doxylamine (Unisom);

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

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

medicine to help remedy Alzheimer's dementia, including 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 and also other drugs may communicate with pyridostigmine. Tell a medical expert about all medications you have. This includes prescription, over-the-counter, vitamin, and herbal products. Do not begin a new medication without telling your doctor.

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