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Common side effects include nausea, increased saliva, crampy abdominal pain, and slow heart rate. [3] More severe side effects include low blood pressure, weakness, and allergic reactions. [3] It is unclear if use in pregnancy is safe for the baby. [3] Neostigmine is in the cholinergic family of medications. [3]
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Acetylcholine Acetylcholinesterase Acetylcholinesterase inhibition. Acetylcholinesterase inhibitors (AChEIs) also often called cholinesterase inhibitors, [1] inhibit the enzyme acetylcholinesterase from breaking down the neurotransmitter acetylcholine into choline and acetate, [2] thereby increasing both the level and duration of action of acetylcholine in the central nervous system, autonomic ...
In newborns, a 0.15 mg/kg dose of neostigmine administered subcutaneously produces a response within ten minutes. In infants, the drug is administered intravenously at a dose of 0.2 mg/kg. [4] Improvement of diplopia is often used as an evaluation item because in this case, placebo effect can be excluded.
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Paraoxon and rivastigmine are both acetylcholinesterase inhibitors and butyrylcholinesterase inhibitors. [14] [11] [7]In 2015, the United States Food and Drug Administration's Adverse Event Reporting System database compared rivastigmine to the other ChEI drugs donepezil and galantamine found that rivastigmine was associated with a higher frequency of reports of death as an adverse event.
Although having many unwanted side-effects, a slow onset of action and recovery rate it was a big success and at the time the most potent neuromuscular drug available. Pancuronium and some other neuromuscular blocking agents block M2-receptors and therefore affect the vagus nerve , leading to hypotension and tachycardia .
Another medication used for MG, atropine, can reduce the muscarinic side effects of acetylcholinesterase inhibitors. [96] Pyridostigmine is a relatively long-acting drug (when compared to other cholinergic agonists), with a half-life around four hours with relatively few side effects. [ 97 ]