Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Pyridostigmine Bromide 6 mg/mL Oral Suspension

Pyridostigmine Bromide 6 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, pyridostigmine bromide, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration.

This formulation is primarily used in the management of myasthenia gravis, a chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal muscles. It is also utilized in the treatment of certain cases of orthostatic hypotension, where it helps improve muscle strength and alleviate symptoms associated with these conditions.

Want a different strength?
Click the Text Us button below.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Pyridostigmine Bromide
Suspension
66fd7b0bdc31c32733aec9f2
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Pyridostigmine Bromide 6 mg/mL Oral Suspension is a compounded liquid medication formulated to provide precise dosing and ease of administration for patients requiring pyridostigmine therapy. This suspension ensures a uniform dispersion of the active ingredient throughout the liquid medium, resulting in a homogeneous mixture that delivers consistent therapeutic effects with each dose.

Pyridostigmine bromide is an acetylcholinesterase inhibitor that increases the levels of acetylcholine at neuromuscular junctions by inhibiting the enzyme responsible for its breakdown. This enhancement of neuromuscular transmission improves muscle strength in conditions characterized by impaired nerve-to-muscle signal transmission.

This medication is primarily used in the management of myasthenia gravis, an autoimmune neuromuscular disease that leads to varying degrees of skeletal muscle weakness. By enhancing neuromuscular transmission, pyridostigmine bromide helps alleviate muscle weakness and fatigue associated with this condition. It may also be utilized in other clinical situations where improved muscle strength is desired.

The oral suspension form of pyridostigmine bromide offers significant advantages, especially for patients who have difficulty swallowing tablets or require precise dose adjustments. The liquid form allows for individualized dosing regimens, which can be particularly beneficial in pediatric patients or those with fluctuating needs. The uniform distribution of the active ingredient in the suspension ensures that each administered dose is consistent and effective.

For prescribers, this compounded formulation provides flexibility in tailoring the dosage to meet the specific needs of each patient. The 6 mg/mL concentration allows for easy calculation of required dosages and adjustments as the patient's condition evolves. This is particularly important in managing conditions like myasthen

Drug Interactions

A small arrow pointing down

Pyridostigmine Bromide 6 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use. This formulation is primarily used in the management of myasthenia gravis, a chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal muscles. Pyridostigmine works by inhibiting the breakdown of acetylcholine, thereby improving communication between nerves and muscles.

When considering the use of Pyridostigmine Bromide Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. One significant interaction is with anticholinergic drugs, such as atropine, which can counteract the effects of pyridostigmine by blocking acetylcholine receptors, potentially reducing its therapeutic benefits. Patients using anticholinergic medications for other conditions should consult their healthcare provider to assess the need for dosage adjustments or alternative therapies.

Beta-blockers, commonly prescribed for cardiovascular conditions, may also interact with pyridostigmine. These medications can enhance the neuromuscular blocking effects, leading to increased muscle weakness. Patients should be monitored closely, and healthcare providers may need to adjust the dosage of pyridostigmine or consider alternative treatments to avoid exacerbating symptoms of myasthenia gravis.

Additionally, certain antibiotics, particularly aminoglycosides like gentamicin and tobramycin, can potentiate neuromuscular blockade, increasing the risk of respiratory depression and muscle weakness. It is advisable to use these antibiotics with caution in patients receiving pyridostigmine, and alternative antibiotics should be considered when possible.

Corticosteroids, often used to manage inflammation and autoimmune conditions, can also interact with pyridostigmine. While they may be necessary for managing myasthenia gravis, they can alter the metabolism and effectiveness of pyridostigmine. Patients should be monitored for changes in muscle strength and any signs of increased side effects, with dosage adjustments made as needed.

Furthermore, other medications that affect neuromuscular transmission, such as certain anesthetics and muscle relaxants, may interact with pyridostigmine. These interactions can lead to increased muscle weakness or prolonged neuromuscular blockade, particularly during surgical procedures. It is essential for healthcare providers to be aware of a patient's pyridostigmine use when planning anesthesia and to adjust the choice and dosage of anesthetic agents accordingly.

Patients and prescribers should also be aware of the potential for interactions with over-the-counter medications and supplements. For instance, magnesium supplements can interfere with neuromuscular transmission and should be used cautiously in patients taking pyridostigmine. It is important to discuss all medications, including non-prescription drugs and supplements, with a healthcare provider to ensure safe and effective use of pyridostigmine.

If you have any questions or concerns about drug interactions with Pyridostigmine Bromide 6 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you in optimizing your treatment plan and ensuring the safe use of this medication.

How Does it Work

A small arrow pointing down

Pyridostigmine Bromide 6 mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of the active ingredient, pyridostigmine bromide, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require tailored dosing adjustments. The liquid suspension is carefully compounded to maintain stability and efficacy, ensuring that each milliliter delivers the intended therapeutic dose.

Pyridostigmine bromide is a cholinesterase inhibitor, which works by inhibiting the enzyme acetylcholinesterase. This enzyme is responsible for breaking down acetylcholine, a neurotransmitter that plays a crucial role in transmitting signals between nerve and muscle cells. By inhibiting acetylcholinesterase, pyridostigmine bromide increases the concentration of acetylcholine at neuromuscular junctions, thereby enhancing communication between nerves and muscles. This mechanism of action is particularly effective in treating conditions characterized by muscle weakness, such as myasthenia gravis, where there is a deficiency in acetylcholine receptor activity.

In patients with myasthenia gravis, the immune system mistakenly attacks acetylcholine receptors, leading to muscle weakness and fatigue. By increasing acetylcholine levels, pyridostigmine bromide helps improve muscle strength and endurance, alleviating symptoms associated with this condition. The oral suspension form allows for flexible dosing, which can be adjusted based on the severity of symptoms and the patient's response to treatment. This is especially important in managing myasthenia gravis, where individual patient needs can vary significantly.

For prescribers, the 6 mg/mL oral suspension offers a convenient and customizable option for dosing, enabling precise titration to achieve optimal therapeutic outcomes. The liquid form is also advantageous for pediatric or geriatric patients, or those with swallowing difficulties, ensuring that they receive the necessary medication without the challenges associated with solid dosage forms. The formulation is compounded with attention to detail, ensuring that the suspension remains stable and effective throughout its shelf life.

Patients using pyridostigmine bromide oral suspension should follow their healthcare provider's instructions carefully, taking the medication at regular intervals to maintain consistent acetylcholine levels and achieve the best possible symptom control. It is important to shake the bottle well before each use to ensure the medication is evenly distributed. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and prescribers in optimizing treatment outcomes with our compounded medications.

Other Uses

A small arrow pointing down

Pyridostigmine Bromide 6 mg/mL Oral Suspension is primarily used for the management of myasthenia gravis, a chronic autoimmune neuromuscular disorder characterized by varying degrees of weakness of the skeletal muscles. However, this formulation may have other potential uses beyond its primary indication. Pyridostigmine is a cholinesterase inhibitor, which means it works by preventing the breakdown of acetylcholine, a neurotransmitter that is essential for communication between nerves and muscles. This mechanism of action can be beneficial in other conditions where enhancing neuromuscular transmission is desired.

One such potential use is in the management of certain types of congenital myasthenic syndromes, which are genetic disorders that also affect neuromuscular transmission. Although these conditions are rare, pyridostigmine may help improve muscle strength and function in affected individuals. Additionally, pyridostigmine has been explored for use in the treatment of orthostatic hypotension, a condition characterized by a significant drop in blood pressure upon standing, which can lead to dizziness and fainting. By enhancing cholinergic activity, pyridostigmine may help improve blood pressure regulation in these patients.

Furthermore, pyridostigmine has been investigated for its potential role in the management of postural orthostatic tachycardia syndrome (POTS), a condition that affects circulation (blood flow) and is characterized by an excessive heart rate increase upon standing. Some studies suggest that pyridostigmine may help alleviate symptoms by improving autonomic nervous system function. It is also worth noting that pyridostigmine has been used as a pretreatment for nerve agent exposure in military settings, as it can provide some protection against the effects of certain chemical warfare agents by inhibiting acetylcholinesterase.

For both patients and prescribers considering the use of Pyridostigmine Bromide 6 mg/mL Oral Suspension for these or other off-label uses, it is crucial to weigh the potential benefits against the risks and to consider individual patient factors. As with any medication, monitoring for side effects and adjusting the dosage as needed is important to ensure optimal therapeutic outcomes. If you have any questions or need further information about this formulation and its potential uses, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries you may have.

Frequently Asked Questions

A small arrow pointing down

What is Pyridostigmine Bromide 6 mg/mL Oral Suspension?

Pyridostigmine Bromide 6 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, pyridostigmine bromide, is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is Pyridostigmine Bromide used for?

Pyridostigmine Bromide is primarily used to treat myasthenia gravis, a condition that causes muscle weakness. It works by improving nerve signals in muscles, helping to alleviate symptoms.

How should I take Pyridostigmine Bromide Oral Suspension?

Take the prescribed dose of Pyridostigmine Bromide Oral Suspension by mouth, using a measuring device to ensure accuracy. Follow your healthcare provider's instructions regarding dosage and timing.

Can I take Pyridostigmine Bromide Oral Suspension with food?

Yes, Pyridostigmine Bromide Oral Suspension can be taken with or without food. However, taking it with food may help reduce stomach upset.

What should I do if I miss a dose?

If you miss a dose of Pyridostigmine Bromide Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Pyridostigmine Bromide Oral Suspension?

Common side effects may include nausea, diarrhea, abdominal cramps, and increased salivation. If you experience severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

How should I store Pyridostigmine Bromide Oral Suspension?

Store Pyridostigmine Bromide Oral Suspension at room temperature, away from light and moisture. Keep it out of reach of children and do not freeze.

Can I drive or operate machinery while taking Pyridostigmine Bromide?

Pyridostigmine Bromide may cause dizziness or blurred vision in some individuals. If you experience these symptoms, avoid driving or operating heavy machinery until you know how the medication affects you.

Is Pyridostigmine Bromide Oral Suspension safe during pregnancy?

If you are pregnant or planning to become pregnant, consult your healthcare provider before taking Pyridostigmine Bromide Oral Suspension. They will weigh the potential benefits and risks to determine if it is safe for you.

Can I take other medications while on Pyridostigmine Bromide Oral Suspension?

Inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs and supplements. Some medications may interact with Pyridostigmine Bromide, affecting its efficacy or increasing the risk of side effects.

Related Formulas

Related Products
Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.