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Prostigmin Patient Information including If I Miss a Dose
In this Article
- What is neostigmine (Prostigmin)?
- What are the possible side effects of neostigmine (Prostigmin)?
- What is the most important information I should know about neostigmine (Prostigmin)?
- What should I discuss with my healthcare provider before taking neostigmine (Prostigmin)?
- How should I take neostigmine (Prostigmin)?
- What happens if I miss a dose (Prostigmin)?
- What happens if I overdose (Prostigmin)?
- What should I avoid while taking neostigmine (Prostigmin)?
- What other drugs will affect neostigmine (Prostigmin)?
- Where can I get more information?
What happens if I miss a dose (Prostigmin)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Prostigmin)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include nausea, vomiting, diarrhea, stomach cramps, sweating, blurred vision, drooling, and weak or shallow breathing.
Worsening muscle weakness, or no change in your myasthenia gravis symptoms, may also be signs of overdose.
What should I avoid while taking neostigmine (Prostigmin)?
This medication may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Drinking alcohol can increase drowsiness caused by neostigmine.
What other drugs will affect neostigmine (Prostigmin)?
Tell your doctor about all other medicines you use, especially:
- atropine (Atreza, Sal-Tropine);
- belladonna (Donnatal, and others);
- benztropine (Cogentin);
- clidinium (Quarzan);
- clozapine (Clozaril, FazaClo);
- dimenhydrinate (Dramamine);
- methscopolamine (Pamine), scopolamine (Transderm Scop);
- glycopyrrolate (Robinul);
- mepenzolate (Cantil);
- an antibiotic such as neomycin (Mycifradin, Neo Fradin, Neo Tab), kanamycin (Kantrex), or streptomycin, tobramycin (Nebcin, Tobi);
- bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
- bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);
- cold medicine, allergy medicine, or sleeping pills that contain an antihistamine such as diphenhydramine (Tylenol PM) or doxylamine (Unisom);
- heart rhythm medication such as quinidine (Quin-G), procainamide (Procan, Pronestyl), disopyramide (Norpace), flecaininde (Tambocor), mexiletine (Mexitil), propafenone, (Rythmol), and others;
- irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);
- medicine to treat Alzheimer's dementia, such as donepezil (Aricept), rivastigmine (Exelon), or tacrine (Cognex); or
- a steroid such as betamethasone (Celestone) or dexamethasone (Cortastat, Dexasone, Solurex, DexPak).
This list is not complete and other drugs may interact with neostigmine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about neostigmine.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2013 Cerner Multum, Inc. Version: 2.01. Revision date: 6/14/2011.
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