Mestinon

Mestinon is used to treat sluggish bowels, constipation related to sluggish bowels, and myasthenia gravis.

Form
tabletti, päällystetty
Strength
60 mg
Active Ingredient
Pyridostigmine bromide
Manufacturer
Viatris Oy

How to Use

Dosage

For sluggish bowels or constipation after surgery: Adults and elderly usually take 60–240 mg daily, divided into doses (e.g., every four hours). Children and adolescents take 15–60 mg daily, divided into doses. For myasthenia gravis: 30–180 mg, 2–4 times daily.

Method

Take the tablets with water (1/2–1 glass).

Important

The daily dose is usually 120–1200 mg for myasthenia gravis, but your doctor may prescribe higher doses if needed.

Possible Side Effects

RARE
  • Rash
RARE
  • Allergic reactions to the medicine
  • Loss of consciousness
  • Smaller pupils
  • Increased tear production
  • Trouble focusing eyes (e.g., blurred vision)
  • Heart rhythm problems (slow or fast heartbeat, AV block)
  • Prinzmetal's angina, which is chest pain caused by spasms in the heart's arteries, even at rest
  • Lowered blood pressure
  • Redness
  • Increased mucus in airways and narrowing of airways
  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach cramps
  • Stomach pain
  • Increased bowel movements
  • Increased saliva production
  • Excessive sweating
  • Hives
  • Increased muscle weakness
  • Muscle spasms and twitching
  • Decreased muscle tone
  • Urge to urinate

Important Warnings

  • Do not use if you are allergic to pyridostigmine bromide, bromine, or any other ingredients in this medicine.
  • Do not use if you have a blockage in your intestines or urinary tract.
  • Do not use certain muscle relaxants, such as suxamethonium, while taking Mestinon.
  • Talk to your doctor if you have asthma or chronic obstructive pulmonary disease (COPD).
  • Talk to your doctor if you have heart rhythm problems, low blood pressure, or recently had a heart attack.
Show 7 more warnings
  • Talk to your doctor if you have kidney disease.
  • Talk to your doctor if you have a stomach ulcer.
  • Talk to your doctor if you have epilepsy or Parkinson's disease.
  • Talk to your doctor if you have an overactive thyroid.
  • Talk to your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
  • Talk to your doctor if you have had your thymus gland removed.
  • This medicine may affect your night vision or ability to focus, making it unsafe to drive or operate machinery. Be careful until you know how it affects you.