Manufacturer : VHC-VH BHAGATH & CO
Dose Form : TABLET
Description : MYESTINE 60 MG TAB
Route Of Administration : ORAL
Pack : 10
In stock
Manufacturer : VHC-VH BHAGATH & CO
Dose Form : TABLET
Description : MYESTINE 60 MG TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information



Information for patients
Drug Information Pyridostigmine is used for the treatment of myasthenia gravis. In patients who suff er from myasthenia gravis the muscles quickly become tired and weak and, in severe cases, the muscles may become paralysed. Myasthenia gravis is caused by excessive activity in the body of a protein called cholinesterase. Pyridostigmine belongs to a group of medicines known as cholinesterase inhibitors. Cholinesterase inhibitors stop the excessive activity of cholinesterase and in this way help muscles to work properly. Pyridostigmine is also used to treat some rare forms of constipation (paralytic ileus) and inability to pass urine after an operation.
Drug Alert
Before Consuming the Medicine
Avoid Drug ¦ Are allergic (hypersensitive) to pyridostigmine, bromides or any of the other ingredients of Pyridostigmine. ¦ Are constipated or cannot urinate, unless your doctor has told you to use this medicine. This is because Pyridostigmine is only for some types of constipation and inability to pass urine.
Drug Special Care Before treatment with Pyridostigmine, tell your doctorif you: ¦ Suffer from asthma. ¦ Have recently had coronary obstruction (heart attack), have a slow heart beat or any other heart condition. ¦ Have low blood pressure. ¦ Have a stomach ulcer. ¦ Have epilepsy. ¦ Have Parkinson’s disease. ¦ Have kidney problems. ¦ Suffer from a condition called vagotonia (this is a condition where overactivity of the vagus nerve causes symptoms such as slow heart rate, low blood pressure, constipation, sweating and painful muscle spasms). ¦ Have had an operation to remove your thymus gland. Th ere is no evidence to suggest that Pyridostigmine has any special effects on elderly patients.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is extremely important, as using more than one medicine at the same time can strengthen or weaken the effect of the medicines. In particular, tell your doctor if you are taking any of the following medicines: ¦ Medicines known as steroids or other immunosuppressant medicines. ¦ Medicines known as antimuscarinics (e.g. atropine, hyoscine).
Drug Pregnancy Interaction ¦ Are pregnant, if you think you are pregnant, or if you intend to become pregnant.
Drug Breast feeding Interaction ¦ Are breast-feeding, as Pyridostigmine passes into breast milk in small amounts. Your doctor will then decide if you can take this medicine.
Drug Machinery Interaction
Drug More Information Tell your doctor that you are taking Pyridostigmine. Pyridostigmine can stop the effect of some medicines used to relax muscles during surgery (e.g. pancuronium,vencuronium). Pyridostigmine can also prolong the effect of other muscle relaxants (e.g. suxamethonium).
How to take the Medicine
Consumption Info
Drug quanitty For myasthenia gravis: ¦The usual adult dose is . to 2 (30 to 120 mg Pyridostigmine) to be taken fi ve to six times daily, or higher doses if needed, as recommended by your doctor. ¦ For children under 6 years, the usual dose is . a (30 mg). For children aged 6 to 12 years, the usual starting dose is 1 (60 mg). Th e doctor will then gradually increase the dose until maximum improvement is seen. In children the total dose per day is usually 30 to 360 mg. The take 30 to 60 minutes to start working after you have taken them. The effect of each dose should last about four hours during the day and about six hours at night. You should try to take your medicine so that it can work when your muscles are needed most, for example, when you get up and about 30 to 60 minutes before a meal. For paralyticileus (constipation) and post-operative inability to pass urine: ¦ The usual adult dose is 1 to 4 (60 to 240 mg Pyridostigmine) daily and for children . to 1 (15 to 60 mg) daily, depending on the needs of the patient.
Drug Dose Swallow the with water or another non-alcoholic drink. If you have diffi culty swallowing, you can break the into pieces. You should check with your doctor or pharmacist if you are not sure how to take Pyridostigmine. The dose will depend on your illness, your needs and on your age as follows:
Excess Drug Consumption If you take too many or someone else accidentally takes your medicine, contact your doctor, pharmacist or nearest hospital straight away.
Forgot Drug Consumption If you forget to take one of your daily doses, take it as soon as you remember, and take the next dose at the normal time. Do not take a double dose to make up for a forgotten dose. If you miss more than a single dose, you should contact your doctor for advice.
Stop Drug Consumption
Possible Side Effects
General Information
Common Drug Side Effects Like all medicines, Pyridostigmine can cause side effects, although not everybody gets them. You may feel sick, experience vomiting, diarrhoea or stomach cramps and you may produce more saliva than usual.If you are concerned about any of these side effects, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Keep Pyridostigmine out of the reach and sight of children. Store the bottle in the original outer carton. Keep the bottle tightly closed in order to protect from moisture. Do not store above 25°C. Do not use Pyridostigmine after the expiry date which is stated on the bottle label and outer carton after the text “EXP”. Th e expiry date refers to the last day of that month. Medicines must not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

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