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Neostigmine, Atropin Biotika

University Hospital Olomouc · FDA-approved active Small molecule

Neostigmine inhibits acetylcholinesterase, allowing acetylcholine to accumulate at neuromuscular junctions and enhance muscle contraction.

Neostigmine inhibits acetylcholinesterase, allowing acetylcholine to accumulate at the neuromuscular junction and enhance muscle contraction. Used for Myasthenia gravis, Reversal of neuromuscular blockade, Postoperative urinary retention.

At a glance

Generic nameNeostigmine, Atropin Biotika
Also known assyntostigmine, atropine
SponsorUniversity Hospital Olomouc
Drug classCholinesterase inhibitor
TargetAcetylcholinesterase
ModalitySmall molecule
Therapeutic areaNeurology
PhaseFDA-approved

Mechanism of action

Neostigmine is a reversible cholinesterase inhibitor that prevents the breakdown of acetylcholine by blocking the enzyme acetylcholinesterase. This leads to increased acetylcholine concentration at the neuromuscular junction, enhancing parasympathomimetic effects and improving muscle strength in conditions characterized by neuromuscular dysfunction. Atropine is often co-administered to counteract the muscarinic side effects of neostigmine.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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