pyridostigmine (Mestinon)

Class:

Antimyasthenic Agents: Cholinergics

Indication:

Improves strength/mobility in myasthenia gravis, reversal of neuromuscular blocking agents.

Mode of Action:

↑ ACh at receptor sites by inhibiting cholinesterase.

Cautions:

Not in source

Indication:

Excess ACh, causing increased salivation, diarrhea, nausea, vomiting, sweating, bradycardia, Cholinergic side effects cause SLUDGE: Salivation, Lacrimation (i.e., excessive tear production), Urination, Defecation, GI distress, Emesis.

NC/PT:

Antidote is the anticholinergic atropine.