pyridostigmine bromide
CLINICAL USE
Myasthenia gravis
DOSE IN NORMAL RENAL FUNCTION
0.3–1.2 g per day in divided doses
PHARMACOKINETICS
Molecular weight                           :261.1 %Protein binding                           :No data %Excreted unchanged in urine     : 80–90 Volume of distribution (L/kg)       :0.8–1.4half-life – normal/ESRD (hrs)      :3–4/6 DOSE IN RENAL IMPAIRMENT
GFR (mL/MIN)
20–30 35% of daily dose 10 to 20     : 35% of daily dose <10           : 20% of daily dose DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                :Unknown dialysability. Dose as in GFR <10 mL/min HD                     :Unknown dialysability. Dose as in GFR <10 mL/min HDF/high flux   :Unknown dialysability. Dose as in GFR <10 mL/min CAV/VVHD      :Unknown dialysability. Dose as in GFR 10 to 20 mL/min IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugsAminoglycosides, clindamycin and polymyxins antagonise effects of pyridostigmine ADMINISTRATION
Reconstition
– Route
Oral Rate of Administration
–Comments
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