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neostigmine

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neostigmine /neo·stig·mine/ (-stig´mēn) a cholinergic (cholinesterase inhibitor), used as the bromide or methylsulfate salt in the treatment of myasthenia gravis, in the prevention and treatment of postoperative stasis and atony of the gastrointestinal tract or urinary bladder, and for postsurgical reversal of the effects of nondepolarizing neuromuscular blocking agents.
ne·o·stig·mine (n-stgmn, -mn)
n.
A drug that inhibits acetylcholinesterase, used in its bromide form orally and its methylsulfate form parenterally to treat myasthenia gravis.

neostigmine [ne″o-stig´mēn]
an anticholinesterase and prokinetic agent used for the symptomatic treatment of myasthenia gravis, for prevention and treatment of postoperative stasis and atony of the gastrointestinal tract or urinary bladder, and for reversal of the effects of certain neuromuscular blocking agents, such as tubocurarine, after surgery. Available as neostigmine bromide and neostigmine methylsulfate.

neostigmine
an anticholinesterase used in the treatment of myasthenia gravis and glaucoma and as an antidote for nondepolarizing muscle relaxants, such as tubocurarine.

neostigmine test
muscle weakness caused by myastenia gravis is temporarily reversed following the administration of neostigmine; used as a diagnostic test.

neostigmine
A reversible anticholinesterase drug, which neutralizes the effect of acetylcholinesterase and thereby allows the prolonged action of acetylcholine on the iris and ciliary muscle. Its action is similar to physostigmine but it is not so irritating a miotic. Both are occasionally used in the treatment of glaucoma. See acetylcholine; parasympathomimetic; physostigmine; miosis; miotics.

neostigmine
Pharmacology An anticholinesterase used for the symptomatic therapy of myasthenia gravis and, in anesthesiology, to reverse the effects of depolarizing agents. See Myasthenia gravis, Reversal agent.


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Results from a pooled analysis of Phase II and III clinical trial data showed that sugammadex reversed the effects of shallow rocuronium-induced muscle relaxation during general anesthesia in just under two minutes (median time to reversal), over nine times faster than neostigmine, and almost 20 times faster than placebo.
With one exception, which show an unexplained potentiation of neostigmine stimulated colon activity, all other studies result in effects, indicating a substantial spasmolytic effect of PO of the smooth muscles of the gastrointestinal tract.
 
 
 
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