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6Cronnelly RStanski DRMiller RDSheiner LBPyridostigmine kinetics with and without renal functionClin Pharmacol Ther198028:No178-81.

Mestinonpyridostigmine bromide tabletsUSPis an orally active cholinesterase inhibitorChemicallypyridostigmine bromide is 3-hydroxy-1-methylpyridinium bromide dimethylcarbamateIts structural formula is:

Before having surgerytell your doctor or dentist about all the products you useincluding prescription drugsnonprescription drugsand herbal products

Mestinonpyridostigmineis contraindicated in mechanical intestinal or urinary obstructionand particular caution should be used in its administration to patients with bronchial asthmaCare should be observed in the use of atropine for counteracting side effectsas discussed below.

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mestinon-sr is a quaternary ammonium compound and does not readily cross the blood-brain barrier.

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