Mestinon 60mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Mestinon 60mg Tablet contains Pyridostigmine bromide 60mg and is available as a tablet. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.

Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.

DoctorOnCall is a licensed online pharmacy. Orders for Mestinon 60mg Tablet are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.

Directions for Use

Take Mestinon 60mg Tablet at the regular intervals your doctor has prescribed, with food if it upsets your stomach. Your doctor may adjust the timing of doses to periods when your muscle strength tends to be weaker, such as before meals if swallowing is affected. Do not stop or change your dose suddenly without medical advice, as abruptly stopping can lead to a marked increase in muscle weakness.

Dosage

The dose and frequency of Mestinon 60mg Tablet are individualised by your doctor based on your pattern of muscle weakness and response to treatment – a common starting range is around 30-60mg several times a day, adjusted to find the lowest dose that controls your symptoms effectively. Your doctor may also time doses around specific activities or periods of the day when weakness is greatest.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or stomach upset
  • Diarrhoea
  • Muscle twitching
  • Increased saliva or sweating
  • Abdominal cramps
  • Difficulty breathing (in rare cases)

Contraindications

  • Known hypersensitivity to pyridostigmine or bromide-containing compounds
  • Mechanical intestinal or urinary tract obstruction
  • Use with caution in people with uncontrolled asthma or significant cardiac arrhythmias – discuss your full medical history with your doctor

Drug / Food Interactions

  • Other cholinesterase inhibitors or cholinergic medicines can increase the risk of excessive cholinergic effects (cholinergic toxicity) when combined
  • Certain muscle relaxants used during anaesthesia interact with pyridostigmine – always inform any surgeon or anaesthetist that you take this medicine before any procedure
  • Atropine and other anticholinergic medicines can mask early warning signs of pyridostigmine overdose while blocking its beneficial effect on muscle strength
  • Aminoglycoside antibiotics (e.g. gentamicin) may worsen myasthenic muscle weakness

Quick Tips

  • Take doses at the consistent intervals your doctor has prescribed to maintain steady muscle strength throughout the day
  • Your doctor may adjust dose timing around periods of greater weakness, such as before meals if swallowing is affected
  • Report increasing muscle weakness, excessive salivation, or cramping to your doctor promptly, as this may mean your dose needs adjustment
  • Do not stop or change your dose without medical advice
  • Carry a medical alert card or note stating your diagnosis and medicines, in case of an emergency

Ingredients / Active Ingredients

  • Pyridostigmine bromide 60mg

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Frequently Asked Questions

Product Specifications

BrandA. Menarini
ClassificationPrescription medicine
Ingredients / Active IngredientsPyridostigmine
Pack Size150s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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