pyridostigmine bromide
pyridostigmine bromide.JPG

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)       :0.8–1.4
  • half-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





    See how to identify renal failure stages according to GFR calculation

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