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Neostigmine+Glycopyrronium

Pusan National University Yangsan Hospital · FDA-approved active Small molecule

Neostigmine inhibits acetylcholinesterase to increase acetylcholine levels, while glycopyrronium blocks muscarinic receptors to counteract cholinergic side effects.

Neostigmine inhibits acetylcholinesterase to increase acetylcholine levels, while glycopyrronium blocks muscarinic receptors to counteract cholinergic side effects. Used for Myasthenia gravis, Reversal of neuromuscular blockade.

At a glance

Generic nameNeostigmine+Glycopyrronium
Also known asNeostigmine
SponsorPusan National University Yangsan Hospital
Drug classAcetylcholinesterase inhibitor + Anticholinergic agent
TargetAcetylcholinesterase; Muscarinic acetylcholine receptors
ModalitySmall molecule
Therapeutic areaNeurology
PhaseFDA-approved

Mechanism of action

Neostigmine is a reversible acetylcholinesterase inhibitor that increases acetylcholine concentration at the neuromuscular junction and in the central nervous system. Glycopyrronium is an anticholinergic agent added to this combination to prevent excessive parasympathomimetic effects (salivation, bronchospasm, bradycardia) that would otherwise result from neostigmine monotherapy. This combination is used to enhance neuromuscular transmission while maintaining tolerability.

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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