Product image of Mestinon (Pyridostigmine Bromide) supplied by GNH India

Mestinon

Active Ingredient:
Pyridostigmine Bromide
Origin:
EU

Mestinon (Pyridostigmine Bromide)

Pyridostigmine bromide, the active ingredient in Mestinon, 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 Mestinon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide through regulated distribution channels, ensuring product integrity, compliance with EU standards, and timely delivery to end‑users.

Manufacturer / TM Owner

Viatris Healthcare Limited

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Mestinon acts as a cholinesterase inhibitor and is used in disorders where acetylcholine deficiency impairs neuromuscular function.

  • Myasthenia gravis: improves skeletal muscle strength and reduces fatigue.
  • Postoperative ileus: accelerates return of intestinal motility after abdominal surgery.
  • Myasthenic crisis: supports respiratory muscle function as an adjunctive therapy.

How It Works

  • Pyridostigmine bromide reversibly binds to acetylcholinesterase at neuromuscular junctions, preventing the enzymatic breakdown of acetylcholine. By inhibiting this enzyme, the drug increases the concentration of acetylcholine in the synaptic cleft, enhancing cholinergic transmission and thereby improving muscle contraction in affected patients. The effect is dose‑dependent and peaks within one hour after oral administration, lasting several hours, which allows titration to clinical response while minimizing excess cholinergic activity.

Side Effects

Pyridostigmine bromide may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea
  • Diarrhea
  • Increased salivation
  • Sweating

Serious or Rare Side Effects

  • Cholinergic crisis (muscle weakness, respiratory failure)
  • Severe bronchospasm
  • Cardiac arrhythmias (bradycardia, AV block)
  • Anaphylactic reactions

Precautions & Warnings

When prescribing pyridostigmine bromide, several safety considerations should be observed.

  • Renal impairment: adjust dose based on renal function.
  • History of asthma or COPD: monitor for bronchospasm.
  • Concomitant anticholinergic drugs: may reduce therapeutic effect.
  • Signs of cholinergic excess: watch for muscle twitching or cramps.
  • Pregnancy and lactation: safety not established; use only if benefit outweighs risk.
  • Store at room temperature: keep in original packaging, protect from moisture.

Avoid Interactions

Pyridostigmine bromide can interact with other medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Other cholinesterase inhibitors (e.g., neostigmine): additive cholinergic effects.
  • Succinylcholine: prolonged neuromuscular blockade.
  • Aminoglycoside antibiotics (e.g., gentamicin): may diminish neuromuscular transmission.

Moderate Interactions (Monitor Closely)

  • Beta‑adrenergic blockers: may enhance bradycardia.
  • Anticholinergic agents (e.g., atropine): may counteract drug action.

Frequently Asked Questions

Mestinon contains pyridostigmine bromide and is prescribed to improve muscle strength in patients with myasthenia gravis and to help restore normal bowel movements after abdominal surgery by enhancing intestinal motility.

The drug reversibly inhibits acetylcholinesterase, the enzyme that breaks down acetylcholine. By blocking this enzyme, pyridostigmine raises acetylcholine levels at neuromuscular junctions, which strengthens muscle contractions and promotes gastrointestinal activity.

The appropriate dose is individualized by the prescribing clinician based on the patient’s specific condition, severity of symptoms, renal function, and response to therapy. Dosage adjustments are made to achieve optimal benefit while minimizing side effects.

Safety data for pyridostigmine bromide in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To place an order, submit an enquiry on the Mestinon 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.

Mestinon (pyridostigmine) is a reversible, short‑acting cholinesterase inhibitor, whereas drugs such as neostigmine have a similar mechanism but differ in potency, duration and side‑effect profile. Choice of agent depends on clinical setting, required onset, and patient tolerance.

Store Mestinon at room temperature, below 25 °C, in its original container. Protect the product from moisture and direct sunlight. Keep it out of reach of children and do not use after the expiry date printed on the label.

Mestinon is taken orally, usually as a tablet, with or without food as directed by the prescriber. The exact timing, frequency and any dose adjustments are determined by the treating physician based on therapeutic response.

Serious adverse events include cholinergic crisis, which can cause severe muscle weakness and respiratory failure, as well as bronchospasm, significant cardiac arrhythmias, and rare anaphylactic reactions. Prompt medical attention is required if any of these occur.

Patients with known hypersensitivity to pyridostigmine or any excipients, those with severe asthma or uncontrolled COPD, and individuals with a history of cholinergic crisis should avoid using Mestinon unless specifically advised by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.