Patient Information:
        
        
            
	Ref- Advice for the Patient - Drug Information in Lay Language- USPDI (1997)
	 
	Antimyasthenics - Systemic
	Includes- Ambenonium, Neostigmine, Pyridostigmine
	 
	1.Allergies-
	  Tell your doctor if you have ever had any unusual or allergic reaction to ambenomium,
	 bromides, neostigmine or pyridostigmine.   Also tell your healthcare provider if you are
	  allergic to any other substances,  such as preservatives or dyes.
	 
	2.Pregnancy-
	  Antimyasthenics have not been reported to cause birth defects, however, muscle 
	 weakness has occured temporarily in some new borns babies whose mother took
	 antimyasthenics during pregnancy  
	 
	3. Breast-feeding-
	  Antimyasthetics  have not been  reported to cause problems in nursing babies 
	  
	4.Children-
	  Although there is no specific information comparing use of antimyasthenics 
	  in children with use in other age groups,these medicines are not expected to cause
	  different side effects or  problems in children than in adults. 
	 
	5.Older adults-
	   Many medicines have not been studied specifically in older people. Therefore, it 
	   may not be known whether they work exactly the same way they do in younger 
	   adults, or if they cause different side effects or problems in older people 
	  Although there is no specific information comparing use of antimyasthenic 
	  in the elderly to use in other age groups, they are not expected  to cause
	  different side effects or problems in older people than they do in  younger adults 
	 
	 
	6.Other medicines-
	   Although certain medicines should not be used together at all, in other cases two
	 different medicines may be used together even interaction might occur. In such
	 cases your doctor may want to change the dose , or other precautions may be
	 necessary.
	  When you are taking an antimyasthenic,  it is especially important that
	  your doctor know if you are taking any of the following-. 
	 
	 Demercarium (eg.Humorsol) or
	 Echothiophate (eg.Phospholine iodide) or
	 Malathion (eg.Floropryl ) or
	 Guanadrel (eg. Hylore ) or
	 Guanethidine (eg.Ismelin ) or
	 Mecamylamine (eg.Inversine) or
	 Procainamide ( eg.Pronestyl ) or
	Trimthanaphan ( eg.Arfonald)   - the effects of thes medicines may interfere
	 with the actions of antimyasthenics
	 
	7.Other medical problems-
	  The presence of other medical problems may affect the use of antimyasthenics. 
	  make sure you tell your doctor if you have other any other medical problems,
	 
	   Intestinal blockage or
	  Urinary tract blockage or
	  Urinary tract infection- these medicines may make the condition worse.