Neostigmine methylsulfate

Neostigmine methylsulfate
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gloria Picoy [2]

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Overview

Neostigmine methylsulfate is a cholinesterase Inhibitor that is FDA approved for the treatment of reversal effects of non-depolarizing neuromuscular blocking agents after surgery. Common adverse reactions include hypotension, nausea and vomiting.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

There is limited information regarding Neostigmine methylsulfate FDA-Labeled Indications and Dosage (Adult) in the drug label.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Neostigmine methylsulfate in adult patients.

Non–Guideline-Supported Use

• Myasthenia gravis, when oral therapy is impractical
• Paralytic ileus

Peripheral block anesthesia; Adjunct Postoperative administration of analgesia, Peripheral; Adjunct

• Pseudo-obstruction of intestine

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding Neostigmine methylsulfate FDA-Labeled Indications and Dosage (Pediatric) in the drug label.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Neostigmine methylsulfate in pediatric patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Neostigmine methylsulfate in pediatric patients.

Contraindications

There is limited information regarding Neostigmine methylsulfate Contraindications in the drug label.

Warnings

There is limited information regarding Neostigmine methylsulfate Warnings' in the drug label.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Neostigmine methylsulfate Clinical Trials Experience in the drug label.

Postmarketing Experience

There is limited information regarding Neostigmine methylsulfate Postmarketing Experience in the drug label.

Drug Interactions

There is limited information regarding Neostigmine methylsulfate Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Neostigmine methylsulfate in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Neostigmine methylsulfate in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Neostigmine methylsulfate during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Neostigmine methylsulfate in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Neostigmine methylsulfate in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Neostigmine methylsulfate in geriatric settings.

Gender

There is no FDA guidance on the use of Neostigmine methylsulfate with respect to specific gender populations.

Race

There is no FDA guidance on the use of Neostigmine methylsulfate with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Neostigmine methylsulfate in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Neostigmine methylsulfate in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Neostigmine methylsulfate in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Neostigmine methylsulfate in patients who are immunocompromised.

Administration and Monitoring

Administration

There is limited information regarding Neostigmine methylsulfate Administration in the drug label.

Monitoring

There is limited information regarding Neostigmine methylsulfate Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Neostigmine methylsulfate and IV administrations.

Overdosage

There is limited information regarding Neostigmine methylsulfate overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.

Pharmacology

There is limited information regarding Neostigmine methylsulfate Pharmacology in the drug label.

Mechanism of Action

There is limited information regarding Neostigmine methylsulfate Mechanism of Action in the drug label.

Structure

There is limited information regarding Neostigmine methylsulfate Structure in the drug label.

Pharmacodynamics

There is limited information regarding Neostigmine methylsulfate Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Neostigmine methylsulfate Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Neostigmine methylsulfate Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Neostigmine methylsulfate Clinical Studies in the drug label.

How Supplied

There is limited information regarding Neostigmine methylsulfate How Supplied in the drug label.

Storage

There is limited information regarding Neostigmine methylsulfate Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Neostigmine methylsulfate Patient Counseling Information in the drug label.

Precautions with Alcohol

Alcohol-Neostigmine methylsulfate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

There is limited information regarding Neostigmine methylsulfate Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Neostigmine methylsulfate Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.