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Buy Mestinon (Pyridostigmine) Online from Canada

Mestinon Pyridostigmine Bromide


Mestinon is a brand name for the medication pyridostigmine. It belongs to a class of drugs known as cholinesterase inhibitors. Pyridostigmine is primarily used to improve muscle strength and tone in individuals with myasthenia gravis, a neuromuscular disorder. It works by preventing the breakdown of acetylcholine, a neurotransmitter that plays a crucial role in muscle contractions. This oral medication is available in a 60mg tablet strength and can be taken with or without food has Pyridostigmine Bromide as the generic name. Since its approval by the FDA in 1955, Mestinon’s effectiveness has undergone extensive study and analysis. So, if you want to buy Mestinon tablets from a Canadian Pharmacy, you must first obtain a prescription from your doctor.

Product Overview

With an active ingredient, pyridostigmine, Mestinon is a medication used to treat myasthenia gravis, a neuromuscular disorder. Its generic name is Pyridostigmine Bromide, which falls under the class of drugs called cholinesterase inhibitors. This FDA-approved medication works by preventing the breakdown of acetylcholine, a neurotransmitter essential for muscle contractions.

The dosage of Mestinon varies based on the severity of myasthenia gravis, typically ranging from 15mg to 60mg daily, divided into 3 or 4 doses. There are different formulations available, including an extended-release tablet and a liquid solution. The medication can also be used for conditions like Paralytic Ileus and Postoperative Urinary Retention.

It also has some side effects, including nausea, vomiting, blurred vision, cholinergic crisis or seizures, etc. It’s crucial to discuss potential interactions and any existing health conditions with the doctor before taking Mestinon. The medication should be taken orally, swallowing the whole tablet without chewing, and can be taken with or without food. If a dose is missed, consult with a healthcare provider. Overdose can lead to severe conditions, and immediate medical help is necessary.

Uses of Mestinon

  • Mestinon primarily treats myasthenia gravis, a neuromuscular disorder, in adults.
  • Used to treat Paralytic Ileus, a condition where intestines stop moving & contracting their contents along.
  • Used to treat Postoperative Urinary Retention, a condition where you can’t urinate after surgery.

How to Use Mestinon?


Mestinon tablets are taken orally and come in a strength of 60 mg.

Recommended Dosage for Mestinon

The dosage for myasthenia gravis treatment is determined by the condition’s severity, typically ranging from 15mg to 60mg daily, spread across 3 or 4 doses. Initial dosing should be conservative, gradually increasing until the desired effect or side effects manifest. However, there are two additional oral formulations of Mestinon available, including an extended-release (ER) tablet and a liquid solution, each with different strengths. 

Mestinon Dosage for myasthenia gravis include:

  • For Adults: ½ – 2 tablets per day.

Paralytic Ileus and Postoperative Urinary Retention:

  • Adult dose: 1-4 tablets

[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your Mestinon dosage accordingly.]

How to Take It?

  • Follow your doctor’s advice on how much and how long to take this medicine. 
  • Swallow the whole tablet without chewing, crushing, or breaking it. 
  • You can take a Mestinon 60mg tablet with or without food.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Mestinon Work?

Mestinon 60mg tablet helps the transmission between nerves & muscles by boosting the levels of a chemical messenger called acetylcholine, which is essential for normal muscle function.

Important Safety Information

Side Effects

Common side effects of Mestinon tablets include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Excessive Salivation
  • Blurred Vision
  • Breathlessness
  • Watery Eyes
  • Abdominal Pain
  • Sweating
  • Headache
  • Dizziness
  • Runny Nose
  • Increased Bronchial Secretions

Mild side effects of Mestinon tablets include:

  • Abdominal Cramps
  • Chest Pain
  • Difficulty Swallowing
  • Fatigue
  • Gas
  • Blurred Vision
  • Heartburn
  • Increased Saliva and Mucus
  • Symptoms of Increased Peristalsis
  • Needing to Urinate More Often Than Is Typical
  • Pinpoint Pupils
  • Mild Allergic Reaction
  • Muscle Cramping or Twitching
  • Muscle Weakness
  • Skin Rash

Serious side effects of Mestinon tablets include:

  • Cholinergic Crisis
  • Worsening Muscle Weakness
  • Difficulty Breathing 
  • Slow Heart Rate
  • Fatigue
  • Hallucinations 
  • Seizures.
  • Severe Allergic Reaction

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]


Certain health conditions or other factors may increase the risk of harm if you use Mestinon. Your doctor might avoid prescribing Mestinon in these situations. Here are instances where Mestinon may not be recommended:

Intestinal Blockage: Mestinon may not be prescribed if you have a blockage in your intestines. The medication can enhance muscle contractions in the intestines, posing a risk when there’s a blockage.

Urinary System Blockage: Mestinon may not be prescribed if there’s a blockage in your urinary system (bladder, ureters, or urethra). The drug can increase the frequency of urination, which may be unsafe with a urinary blockage.

Bowel Obstruction: Avoid using Mestinon (pyridostigmine) if you have a bladder or bowel obstruction.


Allergic Reaction: If you’ve experienced an allergic reaction to Mestinon or its active ingredient, your doctor is likely to avoid prescribing these tablets. Retaking the Mestinon could trigger another allergic reaction. Ask your doctor about alternative treatments that may be safer for you.

Pregnancy and Breastfeeding: The safety of taking Mestinon during pregnancy or while breastfeeding is unknown. If you are pregnant, breastfeeding, planning to become pregnant, or planning to breastfeed, consult with your doctor before starting Mestinon treatment.

Missed Dose

In the event of a missed dose of Mestinon, it is advisable to consult with your healthcare provider. Your Mestinon dosing regimen is tailored to your specific needs. It may involve a combination of immediate-release and extended-release formulations, each designed to release the medication into your system at different time intervals. Consequently, missing a dose becomes a more complicated matter. So, it’s important to speak with your doctor if you miss taking it. If you struggle to remember when to take Mestinon, you can use a reminder. Set an alarm or use a reminder app on your phone to help you remember.

[Note: If you have missed a medication dose and are unsure when to take the next one, immediately consult your doctor or pharmacist.]


Taking too much Mestinon can result in a cholinergic crisis, a severe and potentially life-threatening condition. Signs of a cholinergic crisis include strong muscle weakness, muscle twitching, trouble breathing, too much sweating, and more. Seek medication help immediately if you are experiencing such symptoms.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]


  • Make sure to keep your tablets inside the bottle until it’s time to use them. 
  • Store the tablets in a cool, dry place where the temperature is below 25°C, and shield them from light and moisture.
  • Don’t keep Mestinon in the bathroom, near a sink, on a windowsill, or in the car. Heat and dampness can ruin Mestinon 60 mg tablets. 
  • Moreover, keep them out of reach of children. 
  • A locked cupboard at least one-and-a-half meters above the ground is a good place to store Mestinon tablets.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

Mestinon Interactions

Mestinon (Pyridostigmine) may interact with several medications. 

  • Anticholinergic drugs may reduce its effectiveness, while cholinergic agonists may lead to additive effects. 
  • Corticosteroids can enhance its therapeutic effects. Succinylcholine’s neuromuscular blocking effects may be prolonged. 
  • Quinine, quinidine, and nondepolarizing neuromuscular blockers may interfere with Mestinon’s action. Magnesium sulfate may exacerbate muscle weakness in myasthenia gravis. 
  • Local anesthetics can potentiate the effects of neuromuscular blocking agents. 
  • Lithium may enhance Mestinon’s neuromuscular blocking effects. 
  • Botulinum toxin effects may be potentiated when used with Mestinon 60 mg buy online, and other cholinesterase inhibitors may lead to additive effects.

[Note: This isn’t a complete list, and there could be other drugs that interact with Mestinon. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

Mestinon Alternatives

  • Rayos (prednisone) 
  • Trexall (methotrexate)
  • CellCept (mycophenolate mofetil)
  • Soliris (eculizumab)
  • Vyvgart (efgartigimod alfa-fcab) 
  • Ultomiris (ravulizumab-cwvz)
  • Rystiggo (rozanolixizumab)
  • Gengraf (cyclosporine)
  • Neoral (cyclosporine)
  • Sandimmune (cyclosporine)
  • Rituxan (rituximab)

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.] 

Frequently Asked Questions

How long does it take for Mestinon to start working?

Mestinon (Pyridostigmine) typically starts working within 30 minutes to 2 hours after administration. However, the onset of action may vary depending on factors such as the individual’s response to the medication, the dosage, and the treatment condition. It’s essential to follow the prescribed dosage and frequency as the healthcare provider advises. If there are concerns about the effectiveness or timing of Mestinon, it’s recommended to consult with a healthcare professional for personalized guidance.

Is Mestinon available in generic form?

Yes, Mestinon is available in generic form. The generic version is typically called Pyridostigmine Bromide and contains the same active ingredient as the brand-name medication. Generic versions are often more affordable than the brand-name product and are considered equally effective. Always consult your healthcare provider or pharmacist for information about specific generic versions available in your region.

What to avoid when taking Mestinon?

This medication has the potential to induce blurred vision or hinder cognitive function and reaction times. Be careful when engaging in activities such as driving or any tasks that demand alertness and clear vision. It is important to be mindful of the potential impact on your ability to see clearly. Additionally, it is advised to avoid consuming alcohol as it may amplify specific side effects associated with pyridostigmine (the active ingredient of Mestinon).

How do I know if Mestinon is working?

Mestinon (Pyridostigmine) usually begins to work within 30 minutes to 2 hours after you take it. However, how quickly it works can differ from person to person, depending on how they react to the medicine, the amount they take, and what they’re being treated for. It’s important to take the medication as your healthcare provider tells you to. If you’re worried about whether Mestinon is working well for you or if you’re taking it at the right times, it’s a good idea to talk to a healthcare professional for advice that’s tailored to your situation.

What is the shelf life of Mestinon?

The shelf life of Mestinon is 3 years. To maintain its effectiveness, storing it in a location where the temperature is below 25°C (77°F) is recommended. This ensures the medication remains stable and safe for use throughout the specified period. Always check the expiration date on the packaging and avoid using Mestinon if it has passed its expiration date.

Our Guarantee

At, we assure you the most affordable price to buy Mestinon online from Canada. Rest easy knowing that your order will be dispatched from a reputable Licensed Canada Pharmacy Online, adhering to the highest standards of quality and authenticity. Our discounted medications are shipped directly from Canada to your doorstep, ensuring a swift and secure delivery experience. To conveniently access Mestinon tablets at a substantial cost, call us at 1-888-779-2193 toll-free.


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