Product image of Novistig (Glycopyrronium Bromide, Neostigmine Methylsulfate) supplied by GNH India

Novistig

Active Ingredient:
Glycopyrronium Bromide, Neostigmine Methylsulfate
Origin:
EU

Novistig (Glycopyrronium Bromide, Neostigmine Methylsulfate)

Glycopyrronium bromide and Neostigmine methylsulfate, the active ingredients in Novistig, are anticholinergic and acetylcholinesterase‑inhibitor agents presented as an intravenous solution for peri‑operative use. They are employed to facilitate reversal of non‑depolarizing neuromuscular blockade and to reduce secretions during anesthesia, allowing safer extubation and recovery.

GNH India supplies Novistig as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and other healthcare facilities worldwide, with consistent quality, regulatory compliance and reliable logistics.

Manufacturer / TM Owner

Sintetica Gmbh

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Indications & Clinical Uses

Novistig combines glycopyrronium bromide and neostigmine methylsulfate to act on muscarinic receptors and the neuromuscular junction, respectively, supporting peri‑operative management.

  • Reversal of non‑depolarizing neuromuscular blockade: restores muscle strength after surgery.
  • Control of peri‑operative secretions: reduces salivary and respiratory secretions during anaesthesia.
  • Management of postoperative residual curarisation: helps eliminate lingering effects of muscle relaxants.

How It Works

  • Glycopyrronium bromide competitively blocks muscarinic acetylcholine receptors, decreasing glandular secretions and limiting parasympathetic activity. Neostigmine methylsulfate inhibits acetylcholinesterase, increasing acetylcholine concentration at the neuromuscular junction, thereby overcoming competitive blockade by non‑depolarizing muscle relaxants. The combined pharmacology enables rapid reversal of neuromuscular blockade while controlling secretions.

Side Effects

Novistig may be associated with several adverse reactions.

Common Side Effects

  • Dry mouth
  • Facial flushing
  • Bradycardia
  • Nausea

Serious or Rare Side Effects

  • Bronchospasm
  • Severe bradyarrhythmia
  • Anaphylaxis

Precautions & Warnings

Use of Novistig requires careful clinical monitoring.

  • Cardiac monitoring: observe heart rate and rhythm during administration.
  • Allergy assessment: discontinue if a hypersensitivity reaction occurs.
  • Respiratory caution: use carefully in patients with asthma or COPD.
  • Neuromuscular monitoring: ensure complete reversal before extubation.
  • Renal impairment: consider dose adjustment in severe renal dysfunction.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Novistig can interact with other medications; awareness of the interaction level is essential.

Major Interactions (Avoid)

  • Other anticholinergics: may cause excessive dryness and tachycardia.
  • Beta‑blockers: can exacerbate bradycardia.
  • Additional acetylcholinesterase inhibitors: risk of cholinergic excess.

Moderate Interactions (Monitor Closely)

  • Inhaled anesthetics: may potentiate respiratory effects.
  • Cardiac glycosides: monitor for arrhythmias.
  • Diuretics: watch electrolyte balance, especially potassium.

Frequently Asked Questions

Novistig is an intravenous combination of glycopyrronium bromide and neostigmine methylsulfate used in the peri‑operative setting to reverse non‑depolarizing neuromuscular blockade and to reduce salivary and respiratory secretions during anaesthesia.

Glycopyrronium bromide blocks muscarinic acetylcholine receptors, which diminishes parasympathetic activity and reduces glandular secretions, helping to keep the airway clear while the patient recovers from anaesthesia.

The specific dose of Novistig is determined by the prescribing clinician based on the patient’s weight, the type of muscle relaxant used, and the clinical situation. No fixed regimen is provided in public literature.

Safety data for Novistig 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 the treating physician.

Enquiries are submitted via the product page on gnhindia.com where you specify 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 (including cold‑chain where needed) and import documentation.

Novistig combines an anticholinergic with an acetylcholinesterase inhibitor, offering both secretion control and neuromuscular reversal in a single formulation. Alternative agents may provide only one of these actions, requiring separate drugs and additional monitoring.

Novistig should be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. Follow the manufacturer’s packaging instructions to maintain product stability.

Novistig is given intravenously by a qualified healthcare professional. The solution is typically administered as a slow IV push or infusion, with continuous monitoring of cardiac rhythm, blood pressure and neuromuscular function.

Serious risks include bronchospasm, severe bradyarrhythmia and anaphylactic reactions. Prompt recognition and immediate management of these events are essential during and after administration.

Patients with known hypersensitivity to glycopyrronium, neostigmine, or any component of the formulation, as well as those with uncontrolled asthma, severe bradycardia, or certain cardiac conduction disorders, should avoid Novistig unless a specialist determines that benefits outweigh risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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