PROSTIGMIN

Drug Name: PROSTIGMIN

PROSTIGMIN DESCRIPTION:
NEOSTIGMINE BROMIDE - ORAL (nee-oh-STIG-min)

COMMON PROSTIGMIN BRAND NAME(S):
Prostigmin

PROSTIGMIN SIDE EFFECTS:
Vision changes, stomach upset, flushing, flatulence, dizziness, drowsiness, muscle cramps, muscle twitching or increased urination may occur. These effects should subside as your body adjusts to the medication. If they continue or become bothersome, inform your doctor. Notify your doctor if you develop nausea, vomiting, severe stomach pains, diarrhea, sweating, increased salivation, irregular heartbeat, muscle weakness, difficulty speaking or swallowing or breathing difficulty while taking PROSTIGMIN. PROSTIGMIN may cause dizziness or drowsiness. Use caution engaging in activities requiring alertness. If you notice other effects not listed above, contact your doctor or pharmacist.

HOW TO USE PROSTIGMIN:
PROSTIGMIN: Take PROSTIGMIN by mouth as directed usually in multiple doses throughout the day and night. It is important to keep a record of all doses taken and how you are feeling so adjustments can be made if necessary. Note any periods of fatigue or muscle weakness. Do not increase your dose or take this more often than directed as serious side effects can occur.

PROSTIGMIN USES:
PROSTIGMIN is a muscle stimulant used in the treatment of muscle diseases such as myasthenia gravis. Also used to counteract the effects of certain muscle relaxant medications.

PROSTIGMIN PRECAUTIONS:
Tell your doctor if you have a history of asthma, seizure, disorder, heart disease, thyroid disorders, intestinal disorders, ulcers, urinary problems or if you have any allergies, especially to bromides. PROSTIGMIN should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if PROSTIGMIN appears in breast milk, consult your doctor before breast-feeding.

PROSTIGMIN DRUG INTERACTIONS:
Tell your doctor of any over-the-counter or prescription medication you may take especially antibiotics, other muscle stimulants, steroids, muscle relaxants, any heart medication or magnesium. Do not start or stop any medicine without doctor or pharmacist approval.

PROSTIGMIN OVERDOSE:
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include stomach cramps, diarrhea, vomiting, excess saliva, blurred vision, and difficulty swallowing.

PROSTIGMIN NOTES:
Inform your doctor if you feel PROSTIGMIN is not as effective as it once was. Some patients may experience lack of sensitivity to the medication which requires a reduced dose or stopping therapy for a period of time. Discuss this with your doctor.

MISSED PROSTIGMIN DOSE:
For best results, it is important to take each dose as prescribed. However, if you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

PROSTIGMIN STORAGE:
Store at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from heat and light. Do not store in the bathroom. Your condition can cause complications in a medical emergency. For information on enrollment call Medic Alert(TM) at 1-800-854-1166. In Canada call 1-800-668-1507.