Peringatan Keamanan

Overdosage of Neostigmine can cause cholinergic crisis, which is characterized by increasing muscle weakness, and through involvement of the muscles of respiration, may result in death. The LD 50 of neostigmine methylsulfate in mice is 0.3 ± 0.02 mg/kg intravenously, 0.54 ± 0.03 mg/kg subcutaneously, and 0.395 ± 0.025 mg/kg intramuscularly; in rats the LD 50 is 0.315 ± 0.019 mg/kg intravenously, 0.445 ± 0.032 mg/kg subcutaneously, and 0.423 ± 0.032 mg/kg intramuscularly.

Neostigmine

DB01400

small molecule approved vet_approved

Deskripsi

A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike physostigmine, does not cross the blood-brain barrier.

Struktur Molekul 2D

Berat 223.2915
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The half-life ranged from 42 to 60 minutes with a mean half-life of 52 minutes.
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Neostigmine bromide is poorly absorbed from the gastrointestinal tract following oral administration

Metabolisme

Neostigmine undergoes hydrolysis by cholinesterase and is also metabolized by microsomal enzymes in the liver.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

291 Data
Dipyridamole The therapeutic efficacy of Neostigmine can be decreased when used in combination with Dipyridamole.
Ephedrine Neostigmine may increase the neuromuscular blocking activities of Ephedrine.
Bambuterol Neostigmine may increase the neuromuscular blocking activities of Bambuterol.
Clevidipine Neostigmine may increase the neuromuscular blocking activities of Clevidipine.
Sar9, Met (O2)11-Substance P Neostigmine may increase the neuromuscular blocking activities of Sar9, Met (O2)11-Substance P.
Moxisylyte Neostigmine may increase the neuromuscular blocking activities of Moxisylyte.
Propacetamol Neostigmine may increase the neuromuscular blocking activities of Propacetamol.
Procaine Neostigmine may increase the neuromuscular blocking activities of Procaine.
Cocaine Neostigmine may increase the neuromuscular blocking activities of Cocaine.
Trimethaphan Neostigmine may increase the neuromuscular blocking activities of Trimethaphan.
Doxacurium Neostigmine may increase the neuromuscular blocking activities of Doxacurium.
Chloroprocaine Neostigmine may increase the neuromuscular blocking activities of Chloroprocaine.
Tubocurarine Neostigmine may increase the neuromuscular blocking activities of Tubocurarine.
Aclidinium Neostigmine may increase the neuromuscular blocking activities of Aclidinium.
Butyrylthiocholine Neostigmine may increase the neuromuscular blocking activities of Butyrylthiocholine.
Mirabegron Neostigmine may increase the neuromuscular blocking activities of Mirabegron.
Oxybuprocaine Neostigmine may increase the neuromuscular blocking activities of Oxybuprocaine.
Benzonatate Neostigmine may increase the neuromuscular blocking activities of Benzonatate.
Succinylcholine The metabolism of Succinylcholine can be decreased when combined with Neostigmine.
Tramadol The therapeutic efficacy of Tramadol can be decreased when used in combination with Neostigmine.
Trospium The therapeutic efficacy of Trospium can be decreased when used in combination with Neostigmine.
Oxyphenonium The therapeutic efficacy of Oxyphenonium can be decreased when used in combination with Neostigmine.
Butabarbital The therapeutic efficacy of Butabarbital can be decreased when used in combination with Neostigmine.
Butalbital The therapeutic efficacy of Butalbital can be decreased when used in combination with Neostigmine.
Benzatropine The therapeutic efficacy of Benzatropine can be decreased when used in combination with Neostigmine.
Ziprasidone The therapeutic efficacy of Ziprasidone can be decreased when used in combination with Neostigmine.
Disopyramide The therapeutic efficacy of Disopyramide can be decreased when used in combination with Neostigmine.
Talbutal The therapeutic efficacy of Talbutal can be decreased when used in combination with Neostigmine.
Pentobarbital The therapeutic efficacy of Pentobarbital can be decreased when used in combination with Neostigmine.
Amitriptyline The therapeutic efficacy of Amitriptyline can be decreased when used in combination with Neostigmine.
Ipratropium The therapeutic efficacy of Ipratropium can be decreased when used in combination with Neostigmine.
Methadone The therapeutic efficacy of Methadone can be decreased when used in combination with Neostigmine.
Olanzapine The therapeutic efficacy of Olanzapine can be decreased when used in combination with Neostigmine.
Metixene The therapeutic efficacy of Metixene can be decreased when used in combination with Neostigmine.
Terfenadine The therapeutic efficacy of Terfenadine can be decreased when used in combination with Neostigmine.
Buclizine The therapeutic efficacy of Buclizine can be decreased when used in combination with Neostigmine.
Clozapine The therapeutic efficacy of Clozapine can be decreased when used in combination with Neostigmine.
Doxylamine The therapeutic efficacy of Doxylamine can be decreased when used in combination with Neostigmine.
Trihexyphenidyl The therapeutic efficacy of Trihexyphenidyl can be decreased when used in combination with Neostigmine.
Oxyphencyclimine The therapeutic efficacy of Oxyphencyclimine can be decreased when used in combination with Neostigmine.
Procyclidine The therapeutic efficacy of Procyclidine can be decreased when used in combination with Neostigmine.
Profenamine The therapeutic efficacy of Profenamine can be decreased when used in combination with Neostigmine.
Secobarbital The therapeutic efficacy of Secobarbital can be decreased when used in combination with Neostigmine.
Promazine The therapeutic efficacy of Promazine can be decreased when used in combination with Neostigmine.
Hyoscyamine The therapeutic efficacy of Hyoscyamine can be decreased when used in combination with Neostigmine.
Cyproheptadine The therapeutic efficacy of Cyproheptadine can be decreased when used in combination with Neostigmine.
Imipramine The therapeutic efficacy of Imipramine can be decreased when used in combination with Neostigmine.
Methscopolamine bromide The therapeutic efficacy of Methscopolamine bromide can be decreased when used in combination with Neostigmine.
Metharbital The therapeutic efficacy of Metharbital can be decreased when used in combination with Neostigmine.
Fluoxetine The therapeutic efficacy of Fluoxetine can be decreased when used in combination with Neostigmine.
Chlorpromazine The therapeutic efficacy of Chlorpromazine can be decreased when used in combination with Neostigmine.
Darifenacin The therapeutic efficacy of Darifenacin can be decreased when used in combination with Neostigmine.
Tridihexethyl The therapeutic efficacy of Tridihexethyl can be decreased when used in combination with Neostigmine.
Triflupromazine The therapeutic efficacy of Triflupromazine can be decreased when used in combination with Neostigmine.
Dextromethorphan The therapeutic efficacy of Dextromethorphan can be decreased when used in combination with Neostigmine.
Anisotropine methylbromide The therapeutic efficacy of Anisotropine methylbromide can be decreased when used in combination with Neostigmine.
Nortriptyline The therapeutic efficacy of Nortriptyline can be decreased when used in combination with Neostigmine.
Amoxapine The therapeutic efficacy of Amoxapine can be decreased when used in combination with Neostigmine.
Atropine The therapeutic efficacy of Atropine can be decreased when used in combination with Neostigmine.
Thiopental The therapeutic efficacy of Thiopental can be decreased when used in combination with Neostigmine.
Nicardipine The therapeutic efficacy of Nicardipine can be decreased when used in combination with Neostigmine.
Mecamylamine The therapeutic efficacy of Mecamylamine can be decreased when used in combination with Neostigmine.
Pirenzepine The therapeutic efficacy of Pirenzepine can be decreased when used in combination with Neostigmine.
Paroxetine The therapeutic efficacy of Paroxetine can be decreased when used in combination with Neostigmine.
Homatropine methylbromide The therapeutic efficacy of Homatropine methylbromide can be decreased when used in combination with Neostigmine.
Scopolamine The therapeutic efficacy of Scopolamine can be decreased when used in combination with Neostigmine.
Isoflurane The therapeutic efficacy of Isoflurane can be decreased when used in combination with Neostigmine.
Benzquinamide The therapeutic efficacy of Benzquinamide can be decreased when used in combination with Neostigmine.
Clidinium The therapeutic efficacy of Clidinium can be decreased when used in combination with Neostigmine.
Propiomazine The therapeutic efficacy of Propiomazine can be decreased when used in combination with Neostigmine.
Propantheline The therapeutic efficacy of Propantheline can be decreased when used in combination with Neostigmine.
Primidone The therapeutic efficacy of Primidone can be decreased when used in combination with Neostigmine.
Dicyclomine The therapeutic efficacy of Dicyclomine can be decreased when used in combination with Neostigmine.
Biperiden The therapeutic efficacy of Biperiden can be decreased when used in combination with Neostigmine.
Brompheniramine The therapeutic efficacy of Brompheniramine can be decreased when used in combination with Neostigmine.
Methylphenobarbital The therapeutic efficacy of Methylphenobarbital can be decreased when used in combination with Neostigmine.
Quinidine The therapeutic efficacy of Quinidine can be decreased when used in combination with Neostigmine.
Amantadine The therapeutic efficacy of Amantadine can be decreased when used in combination with Neostigmine.
Maprotiline The therapeutic efficacy of Maprotiline can be decreased when used in combination with Neostigmine.
Methantheline The therapeutic efficacy of Methantheline can be decreased when used in combination with Neostigmine.
Hexafluronium The therapeutic efficacy of Hexafluronium can be decreased when used in combination with Neostigmine.
Cycrimine The therapeutic efficacy of Cycrimine can be decreased when used in combination with Neostigmine.
Desloratadine The therapeutic efficacy of Desloratadine can be decreased when used in combination with Neostigmine.
Tolterodine The therapeutic efficacy of Tolterodine can be decreased when used in combination with Neostigmine.
Oxybutynin The therapeutic efficacy of Oxybutynin can be decreased when used in combination with Neostigmine.
Promethazine The therapeutic efficacy of Promethazine can be decreased when used in combination with Neostigmine.
Diphenhydramine The therapeutic efficacy of Diphenhydramine can be decreased when used in combination with Neostigmine.
Pentolinium The therapeutic efficacy of Pentolinium can be decreased when used in combination with Neostigmine.
Doxepin The therapeutic efficacy of Doxepin can be decreased when used in combination with Neostigmine.
Flavoxate The therapeutic efficacy of Flavoxate can be decreased when used in combination with Neostigmine.
Desipramine The therapeutic efficacy of Desipramine can be decreased when used in combination with Neostigmine.
Orphenadrine The therapeutic efficacy of Orphenadrine can be decreased when used in combination with Neostigmine.
Phenobarbital The therapeutic efficacy of Phenobarbital can be decreased when used in combination with Neostigmine.
Escitalopram The therapeutic efficacy of Escitalopram can be decreased when used in combination with Neostigmine.
Quetiapine The therapeutic efficacy of Quetiapine can be decreased when used in combination with Neostigmine.
Levacetylmethadol The therapeutic efficacy of Levacetylmethadol can be decreased when used in combination with Neostigmine.
Diphenidol The therapeutic efficacy of Diphenidol can be decreased when used in combination with Neostigmine.
Aripiprazole The therapeutic efficacy of Aripiprazole can be decreased when used in combination with Neostigmine.
Chlorprothixene The therapeutic efficacy of Chlorprothixene can be decreased when used in combination with Neostigmine.
Fenoterol The therapeutic efficacy of Fenoterol can be decreased when used in combination with Neostigmine.

Target Protein

Acetylcholinesterase ACHE

Referensi & Sumber

Belum ada data referensi/link/attachment untuk obat ini pada database. Jalankan import DrugBank untuk mengisi field referensi.

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