Pyridostigmine ER tablets and Succinylcholine
Determining the interaction of Pyridostigmine ER tablets and Succinylcholine and the possibility of their joint administration.
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 pyridostigmine together with succinylcholine may alter the effects of succinylcholine. You should be monitored closely for breathing difficulty when these medications are used together. You may need a dose adjustment or special test to safely 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: Acetylcholinesterase inhibitors may prolong and/or enhance the muscle relaxation effects of succinylcholine by blocking the activity of plasma cholinesterase, the enzyme responsible for the hydrolysis of succinylcholine. Prolonged neuromuscular blockade and respiratory depression may occur.
MANAGEMENT: It may be appropriate to discontinue acetylcholinesterase inhibitor therapy for a few days before the procedure depending on the needs of the patient. Otherwise, the patient should be monitored closely for increased pharmacologic effects of succinylcholine. Peripheral nerve stimulators are recommended for accurate assessment of neuromuscular blockade in patients who have been taking pyridostigmine.
- "Product Information. Reminyl (galantamine)" Janssen Pharmaceuticals, Titusville, NJ.
- Freeman SE, Dawson RM "Tacrine: a pharmacological review." Prog Neurobiol 36 (1991): 257-77
- Keeler JR "Interactions between nerve agent pretreatment and drugs commonly used in combat anesthesia." Mil Med 155 (1990): 527-33
- Heath ML "Donepezil and succinylcholine." Anaesthesia 58 (2003): 202
- "Product Information. Aricept (donepezil)." Pfizer US Pharmaceuticals, New York, NY.
Generic Name: pyridostigmine
Brand name: Mestinon, Mestinon Timespan, Regonol
Synonyms: Pyridostigmine
Generic Name: succinylcholine
Brand name: Anectine, Quelicin
Synonyms: n.a.
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.
- Pyridostigmine ER tablets-Succinylcholine Chloride
- Pyridostigmine ER tablets-Succinylcholine Chloride Injection
- Pyridostigmine ER tablets-Suclear
- Pyridostigmine ER tablets-Sucralfate
- Pyridostigmine ER tablets-Sucralfate Oral Suspension
- Pyridostigmine ER tablets-Sucralfate Suspension
- Succinylcholine-Pyridostigmine Extended-Release Tablets
- Succinylcholine-Pyridostigmine Injection
- Succinylcholine-Pyridostigmine Liquid
- Succinylcholine-Pyridostigmine Oral Solution
- Succinylcholine-Pyridostigmine Tablets
- Succinylcholine-Pyridoxine