Mestinon
Pyridostigmine 60mg tablets, used in the management of myasthenia gravis. It blocks acetylcholinesterase, so acetylcholine lingers at the junction.
- Category
- Neurology
- Active ingredient
- Pyridostigmine
- Route
- Oral use
- Form
- Tablet
- Strengths
- 60mg
You will receive a quality generic equivalent, depending on stock.
No prescription needed: we place your order for Mestinon on your behalf.
- Condition
- Myasthenia Gravis
- Therapeutic class
- Acetylcholinesterase Inhibitor
- Pharmacological class
- Parasympathomimetic
- Contraindications
- mechanical intestinal obstruction; urinary tract obstruction; hypersensitivity
- Minor side effects
- nausea; abdominal cramps; diarrhoea
- Moderate side effects
- bradycardia; bronchial secretions; muscle fasciculations
- Dosage forms
- Tablet
- Administration route
- Oral use
- Originator
- Meda
- Onset time
- 30–60 minutes
- Duration
- 4–6 hours
- Storage instructions
- Store at room temperature in a dry place.
- Drug interactions
- beta-blockers; aminoglycosides
- Age restrictions
- Suitable for children and adults under specialist guidance.
Precautions and warnings
caution in patients with asthma; monitor for cholinergic crisis; use with care in patients with bradycardia
Serious side effects
cholinergic crisis, requires immediate medical attention; convulsions, requires immediate medical attention
Patient summary
Pyridostigmine 60mg tablets, used in the management of myasthenia gravis. It blocks acetylcholinesterase, so acetylcholine lingers at the junction.
Mechanism of action
Pyridostigmine inhibits the enzyme acetylcholinesterase, which breaks down acetylcholine at the neuromuscular junction, thereby increasing the availability of acetylcholine to stimulate muscle contraction.
Pregnancy and breastfeeding
Pregnancy: Use only when strictly necessary. Breastfeeding: Small amounts excreted; monitor infant.
Mestinon is the established brand name for pyridostigmine, a treatment used to support better muscle function for patients managing Myasthenia Gravis. This medication is supplied as a 60mg tablet. Supporting the connection between nerves and muscles helps to manage the symptoms associated with the condition.
Buying Mestinon online
As Myasthenia Gravis requires consistent daily management, regular access to medicine is a priority for expats living across the region. Generic pyridostigmine, often sourced from India, is far more affordable than the branded version. We provide access to this essential therapy, ensuring that patients across Thailand and the rest of Asia can maintain their routine reliably and affordably.
Will I receive the original Mestinon?
No. Mestinon is the originator brand name, made by Meda, and Yasabai uses it to identify the medicine: you receive a generic with the same active ingredient (pyridostigmine) at the same dose, mostly a recognised Indian branded generic. The exact brand depends on stock.
How much does Mestinon cost?
The price varies with strength and pack size. Mestinon comes in a 60mg strength, in packs of 30 to 240 tablets, and the price per tablet for every option is shown above, in US dollars or the currency you choose. Larger packs cost less per tablet. Paying with Bitcoin or Ethereum gives you an extra 10% off.
What is Mestinon used for?
Mestinon contains pyridostigmine, used for myasthenia gravis. Pyridostigmine inhibits the enzyme acetylcholinesterase, which breaks down acetylcholine at the neuromuscular junction, thereby increasing the availability of acetylcholine to stimulate muscle contraction.
How long does Mestinon take to work?
Pyridostigmine usually starts to work within 30 to 60 minutes, and its effect lasts about 4 to 6 hours. It varies from person to person.
What are the side effects of Mestinon?
The common side effects of pyridostigmine are nausea, abdominal cramps and diarrhoea. Less common ones include bradycardia, bronchial secretions and muscle fasciculations. Serious but less common side effects include cholinergic crisis and convulsions, which need urgent medical attention.
Can I take Mestinon with other medicines?
Pyridostigmine can interact with beta-blockers and aminoglycosides. Tell your doctor or pharmacist about every medicine you take before you start Mestinon.
Do I need a prescription to buy Mestinon in Thailand?
No. In Thailand pyridostigmine is sold by pharmacists without a prescription, and Yasabai does not ask for one either. We are an online store, not a dispensing pharmacy; we arrange your order and delivery on your behalf.
Ordering without a prescription →Can I get Mestinon delivered in Thailand?
Yes. Our pharmacy partners ship from India to Thailand and across Asia in discreet packaging. Standard Airmail takes up to 3 weeks; Express Tracked Courier takes up to 1 week.
How ordering works →What you will receive
Mestinon is the originator brand name, made by Meda. We use it here to identify the medicine only; we are not affiliated with Meda and do not ship the original Mestinon.
- You receive a generic equivalent: the same active ingredient (Pyridostigmine) at the same dose, mostly recognised Indian branded generics from vetted manufacturers.
- The exact brand supplied depends on what is in stock at the dispatching warehouse.
- A regulated generic matches the original ingredient for ingredient by legal standard.