Neostigmine bromide-oral

Name: Neostigmine bromide-oral

Uses

Neostigmine is used to improve muscle strength in patients with a certain muscle disease (myasthenia gravis). It works by preventing the breakdown of a certain natural substance (acetylcholine) in your body. Acetylcholine is needed for normal muscle function.

Notes

Do not share this medication with others.

Missed dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature at 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Reviewed on 4/16/2014 References

Precautions

Before taking neostigmine, tell your doctor or pharmacist if you are allergic to it; or to other anticholinesterase medications (e.g., pyridostigmine); or to bromides; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: stomach/intestinal blockage, urinary blockage, a certain abdominal problem (peritonitis).

Before using this medication, tell your doctor or pharmacist your medical history, especially of: seizures, asthma, heart disease (e.g., slow/irregular heartbeat, coronary artery disease), a certain nerve disorder (vagotonia), overactive thyroid (hyperthyroidism), stomach/intestinal problems (e.g., severe constipation, ulcer, megacolon).

Before having surgery, tell your doctor or dentist that you are using this medication.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. However, similar drugs pass into breast milk. Consult your doctor before breast-feeding.

Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Tell your doctor of all prescription and nonprescription medication you may use, especially: aminoglycoside antibiotics (e.g., gentamicin), antiarrhythmic medications (e.g., quinidine), drugs that decrease the movements of the stomach (e.g., antihistamines such as diphenhydramine, antispasmodics such as dicyclomine, narcotic pain medications such as morphine).

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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