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Neostigmine — Description, Dosage, Side Effects | PillsCard
OTC
Neostigmine
INN: NEOSTIGMINE METHYLSULFATE
Data updated: 2026-05-02
Available in:
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Dosage
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About This Product
Manufacturer
JUNO PHARMACEUTICALS CORP.
User Reviews
Reviews reflect personal experiences and are not medical advice. Always consult your doctor.
ATC Code
N07AA01
Source
DPD · 02546191
USDailyMed:Neostigmine
AU:B2
N07AA01(WHO)S01EB06(WHO)QA03AB93(WHO)
AU:S4(Prescription only)UK:POM(Prescription only)US:℞-only
3-{[(Dimethylamino)carbonyl]oxy}-N,N,N-trimethylbenzenaminium
59-99-4Y
4456
DB01400Yas methylsulfate:DBSALT000128
4301Y
3982TWQ96G
D08261Yas methylsulfate:D00998
CHEBI:7514Y
ChEMBL54126N
DTXSID1023360
Interactive image
CN(C)C(=O)OC1=CC=CC(=C1)[N+](C)(C)C
InChI=1S/C12H19N2O2/c1-13(2)12(15)16-11-8-6-7-10(9-11)14(3,4)5/h6-9H,1-5H3/q+1YKey:ALWKGYPQUAPLQC-UHFFFAOYSA-NY
Neostigmine, sold under the brand nameBloxiverz, among others, is amedicationused to treatmyasthenia gravis,Ogilvie syndrome, andurinary retentionwithout the presence of a blockage.It is also used in anaesthesia to end the effects of non-depolarisingneuromuscular blocking medication.It is given by injection eitherinto a vein,muscle, orunder the skin.After injection effects are generally greatest within 30 minutes and last up to 4 hours.
Common side effects include nausea, increased saliva, crampy abdominal pain, andslow heart rate.More severe side effects includelow blood pressure, weakness, andallergic reactions.It is unclear if use inpregnancyis safe for the fetus.Neostigmine is in thecholinergicfamily of medications.It works by blocking the action ofacetylcholinesteraseand therefore increases the levels ofacetylcholine.
Neostigmine was patented in 1931.It is on theWorld Health Organization's List of Essential Medicines.The term is from Greekneos, meaning "new", and "-stigmine", in reference to the alkaloid,physostigmine, which inspired its design.It is available as ageneric medication.
⚠️ Warnings
• Caution should be exercised in patients with epilepsy, bronchial asthma, slow heart beat, recent heart attack, low blood pressure, over activity or irritability of the vagus nerve, increased level of thyroid hormone, recent intestinal or bladder surgery, kidney impairment, abnormal heart rhythm, peptic ulcer, during pregnancy and breastfeeding.
• Inform the doctor if you experience symptoms like muscular weakness and respiratory paralysis. Clear difference need to be made between the symptoms caused due to excess dosage of anticholinesterase drugs and Myasthenia Gravis condition. Avoid excess dosage