Product image of Kalymin 60 N (Pyridostigmine Bromide) supplied by GNH India

Kalymin 60 N

Active Ingredient:
Pyridostigmine Bromide
Origin:
EU

Kalymin 60 N (Pyridostigmine Bromide)

Pyridostigmine bromide, the active ingredient in Kalymin 60 N, is a cholinesterase inhibitor presented as an oral dosage form for oral use. It is employed to improve neuromuscular transmission in patients with myasthenia gravis and to aid recovery of bowel function after surgery.

GNH India supplies Kalymin 60 N as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. With a focus on reliable supply chains, GNH India ensures product integrity from manufacturing to end‑user.

Manufacturer / TM Owner

Teva Pharma B.V.

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Indications & Clinical Uses

  • Pyridostigmine bromide is used to manage conditions that involve impaired neuromuscular transmission.
  • Myasthenia gravis: enhances skeletal muscle strength by increasing acetylcholine availability.
  • Postoperative ileus: promotes return of intestinal motility after abdominal surgery.
  • Myasthenic crisis: provides symptomatic relief during acute exacerbations of myasthenia gravis.

How It Works

  • Pyridostigmine bromide reversibly inhibits acetylcholinesterase at neuromuscular junctions, preventing the breakdown of acetylcholine. The resulting increase in synaptic acetylcholine enhances stimulation of nicotinic receptors on skeletal muscle, improving muscle contraction and gastrointestinal motility without crossing the blood‑brain barrier.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea
  • Diarrhea
  • Abdominal cramps
  • Increased salivation
  • Sweating
  • Muscle cramps

Serious or Rare Side Effects

  • Cholinergic crisis (muscle weakness, respiratory failure)
  • Severe bradycardia
  • Bronchospasm
  • Allergic reactions (rash, angioedema)
  • Seizures

Precautions & Warnings

Careful assessment and monitoring are required before and during therapy.

  • Renal impairment: adjust dose based on renal function.
  • Asthma or COPD: monitor for bronchospasm.
  • Cardiac conduction disorders: observe heart rate and rhythm.
  • Concomitant anticholinergic drugs: avoid or adjust therapy.
  • Pregnancy and breastfeeding: safety not established; use only if clearly needed.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Pyridostigmine bromide may interact with several drug classes.

Major Interactions (Avoid)

  • Anticholinergic agents (e.g., atropine, scopolamine) – may negate therapeutic effect.
  • Other cholinesterase inhibitors – risk of excessive cholinergic activity.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers – may exacerbate bradycardia.
  • Magnesium salts – can potentiate neuromuscular blockade.
  • Fluoroquinolone antibiotics – may increase risk of tendon toxicity.
  • Diuretics – monitor electrolyte balance.

Frequently Asked Questions

Kalymin 60 N, containing pyridostigmine bromide, is prescribed for myasthenia gravis, postoperative ileus, and acute myasthenic crises. It works by enhancing neuromuscular transmission, helping patients regain muscle strength and improve gastrointestinal motility after surgery.

Pyridostigmine bromide reversibly blocks the enzyme acetylcholinesterase, which normally degrades acetylcholine. By inhibiting this enzyme, the drug raises acetylcholine levels at neuromuscular junctions, leading to stronger muscle contractions and faster bowel movements without affecting the central nervous system.

The appropriate dose of Kalymin 60 N is determined by the prescribing clinician based on the patient’s condition, severity, age, renal function, and response to therapy. Dosage adjustments are made individually; patients should follow the prescriber’s instructions precisely.

Safety data for pyridostigmine bromide in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Kalymin 60 N (pyridostigmine bromide) is a reversible, peripherally acting cholinesterase inhibitor, offering a predictable onset and duration suitable for chronic management of myasthenia gravis. Compared with agents like neostigmine, pyridostigmine has a longer half‑life and fewer central nervous system effects, making it preferred for long‑term outpatient use.

Store Kalymin 60 N at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, excessive heat, and direct sunlight to maintain potency throughout its shelf life.

Kalymin 60 N is taken orally, usually with water. The tablet should be swallowed whole and not crushed or chewed unless specifically directed by a healthcare provider. Dosing times are spaced according to the prescriber’s schedule to maintain steady drug levels.

The most serious risks include cholinergic crisis, which can cause severe muscle weakness and respiratory failure, as well as profound bradycardia, bronchospasm, and rare allergic reactions such as anaphylaxis. Prompt medical attention is required if any of these symptoms develop.

Kalymin 60 N is contraindicated in patients with known hypersensitivity to pyridostigmine or any excipients, those with severe asthma or chronic obstructive pulmonary disease prone to bronchospasm, and individuals with uncontrolled cardiac conduction disorders. Clinicians should evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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