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Inderal and Neostigmine Methylsulfate Injection

Determining the interaction of Inderal and Neostigmine Methylsulfate Injection and the possibility of their joint administration.

Check result:
Inderal <> Neostigmine Methylsulfate Injection
Relevance: 15.06.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using propranolol and neostigmine together can lower your blood pressure and slow your heart rate. This can cause a slow heartbeat, headaches, dizziness, or feeling like you might pass out. If you take both medications together, tell your doctor if you have any of these symptoms. You may need a dose adjustment or need your blood pressure checked more often if you use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor

Professional:

MONITOR: Severe bradycardia and hypotension may develop during concomitant administration of some beta-blockers and anticholinesterase agents. The mechanism is unknown but may involve additive effects. Data have been conflicting. Some studies have reported no significant changes.

MANAGEMENT: The patient's hemodynamic status should be monitored during coadministration. Patients should be advised to notify their physician if they experience syncope, orthostasis, or a slow pulse.

References
  • Eldor J, Hoffman B, Davidson JT "Prolonged bradycardia and hypotension after neostigmine administration in a patient receiving atenolol." Anaesthesia 42 (1987): 1294-7
Inderal

Generic Name: propranolol

Brand name: Inderal LA, Inderal XL, InnoPran XL, Inderal, Hemangeol, InnoPran XL

Synonyms: n.a.

Neostigmine Methylsulfate Injection

Generic Name: neostigmine

Brand name: Prostigmin, Bloxiverz

Synonyms: Neostigmine Tablets, Neostigmine

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle