Antagonist to non-depolarizing neuromuscular blockade

Active Ingredient: Neostigmine

Indication for Neostigmine

Population group: only minors (0 - 18 years old) , adults (18 years old or older)
Therapeutic intent: Curative procedure

Reversal of neuromuscular blockade with neostigmine should not be attempted unless there is spontaneous recovery from paralysis.

For this indication, competent medicine agencies globally authorize below treatments:

2.5 mg neostigmine after or with glycopyrronium or atropine

For:

Dosage regimens

Intravenous, between 0.05 milligrams neostigmine per kilogram of body weight and 0.07 milligrams neostigmine per kilogram of body weight, one dose.

Detailed description

2.5 mg neostigmine (maximum per dose 5 mg), to be given over 1 minute, after or with glycopyrronium or atropine. Repeat if necessary.

0,05 mg per kg bodyweight once, after or with glycopyrronium or atropine

For:

Dosage regimens

Intravenous, between 0.05 milligrams neostigmine per kilogram of body weight and 0.07 milligrams neostigmine per kilogram of body weight, one dose.

Detailed description

50 micrograms neostigmine per kg bodyweight (maximum per dose 2.5 mg neostigmine methylsulfate) to be given over 1 minute after or with glycopyrronium or atropine, followed by a further dose of 25 micrograms/kg neostigmine if required.

0,05 mg per kg bodyweight once, after or with glycopyrronium or atropine

For:

Dosage regimens

Intravenous, 0.05 milligrams neostigmine per kilogram of body weight, one dose.

Detailed description

Neonates (up to 1 month)

50 micrograms neostigmine per kg bodyweight to be given over 1 minute after or with glycopyrronium or atropine, followed by a further dose of 25 micrograms/kg neostigmine if required.

Active ingredient

Neostigmine

Neostigmine inhibits cholinesterase activity and prolongs and intensifies the muscarinic and nicotinic effects of acetylcholine. The anticholinesterase actions of neostigmine are reversible. It is used mainly for its action on skeletal muscle and less frequently to increase the activity of smooth muscle.

Read more about Neostigmine

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