Amygra tablet 60 mg 20?s works by preventing the breakdown of a certain natural substance (acetylcholine) in your body.
Side effects
Major & minor side effects for Amygra tablet 60 mg 20?s

Nausea and Vomiting

Diarrhea

Abdominal cramps

Increased salivation

Weakness

Muscle cramps

Skin Rash rare

Dizziness and Drowsiness

Uses of Amygra tablet 60 mg 20?s
What is it prescribed for?

Myasthenia gravis
This medicine is used to treat myasthenia gravis, a neuromuscular disorder where the muscles become weak and tire easily.

Reversal of nondepolarizing muscle relaxants
This medicine is used as a reversal agent to the neuromuscular blocking effects of nondepolarizing muscle relaxants.

Paralytic ileus
This medicine is used to treat paralytic ileus, a condition where the normal movements of the intestine are absent.

Urinary retention
This medicine is used to treat and prevent urinary retention after surgery

Concerns

Frequently asked questions

Onset of action
Parenteral Form: The effect of this medicine can be observed within 2- 5 minutes on an intravenous administration and within 15-30 minutes on an intramuscular administration of the dose. Oral Form: The effect of this medicine can be observed within 15-30 minutes on an oral administration of the dose.

Duration of Effect
Parenteral Form: The effect of this medicine lasts for an average duration of 2-3 hours. Oral Form: The effect of this medicine lasts for an average duration of 6-8 hours.

Safe with Alchohol?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Is it habit forming?
No habit-forming tendencies were reported.

Usage in pregnancy?
This medicine is not recommended for use in pregnant women unless absolutely necessary. Discuss all the risks and benefits with your doctor before receiving/taking this medicine.

Usage while breast-feeding?
This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before receiving/taking this medicine.

When not to use?

Allergy
This medicine is not recommended for use if you have a known allergy to Amygra tablet 60 mg 20?s or any other inactive ingredients present along with it.

Urinary tract obstruction
This medicine is not recommended for use in patients with urinary tract obstruction (blockage of the outflow of urine) due to the increased risk of worsening of the patient’s condition.

Mechanical Gastrointestinal Obstruction
This medicine is not recommended for use in patients with gastrointestinal tract obstruction due to the increased risk of worsening of the patient’s condition.

Warnings

Warnings for special population

Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. Discuss all the risks and benefits with your doctor before receiving/taking this medicine.

Breast-feeding
This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before receiving/taking this medicine.

General Warnings

Kidney diseases
This medicine should be used with caution in patients with kidney diseases since it may worsen the patients’ condition. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Bradycardia
This medicine should be used with extreme caution in patients with bradycardia (low heart rate) due to the risk of worsening of the patient’s condition. Appropriate corrective measures, dose adjustments or replacement with a suitable alternative should be considered based on the clinical condition.

Driving and operating machinery
This medicine may cause dizziness, fainting, drowsiness, or visual disturbances in some patients. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Hyperthyroidism
This medicine should be used with caution in patients with hyperthyroidism (a condition where the thyroid gland produces excess thyroid hormones) since it may worsen the patients’ condition. Close monitoring of thyroid function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Peptic ulcer
This medicine should be used with extreme caution in patients with a known history of peptic ulcer disease since it may worsen the patient’s condition. Report any unusual side effects to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Dosage

Missed Dose
Parenteral Form: Since this medicine is usually administered by a qualified healthcare professional in the clinical/hospital setting, the likelihood of a missed dose is very low. Oral Form: Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose
Parenteral Form: Since this medicine is administered in the hospital setting by a qualified healthcare professional, the likelihood of an overdose is very less. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected. Oral Form: Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions
Interaction with Medicines

Prednisolone moderate

Atropine moderate

Budesonide moderate

Clozapine moderate

Disease interactions

severe
This medicine should be used with caution in patients with a known history of respiratory disorders such as asthma, chronic obstructive pulmonary disease, etc. since it may worsen the patient’s condition. Close monitoring of respiratory function, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

severe
This medicine should be used with extreme caution in patients with coronary artery disease due to the risk of worsening of the patient’s condition. Appropriate corrective measures, dose adjustments or replacement with a suitable alternative should be considered based on the clinical condition.

severe
This medicine should be used with extreme caution in patients with parkinsonism due to the risk of worsening of the patient’s condition. Appropriate corrective measures, dose adjustments or replacement with a suitable alternative should be considered based on the clinical condition.

severe
This medicine should be used with extreme caution in patients with a known history of peptic ulcer disease since it may worsen the patient’s condition. Report any unusual side effects to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

severe
This medicine should be used with caution in patients with a known history of seizures since it may worsen the patients’ condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

moderate
This medicine should be used with caution in patients with hyperthyroidism (a condition where the thyroid gland produces excess thyroid hormones) since it may worsen the patients’ condition. Close monitoring of thyroid function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

General Instructions

Parenteral Form: This medicine is usually administered in the clinical setting under the supervision of a qualified healthcare professional. Follow all the instructions given by your doctor. Inform the doctor if you have a known allergy to this medicine. Report all your current medicines as well as your medical conditions to the doctor before receiving this medicine. Oral form: Take this medicine with or without food. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine before completion of the course/without consulting your doctor.

Other details

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

References

webmd.com –
Pyridostigmine Bromide [Internet].
Available from: https://www.webmd.com/drugs/2/drug-3753/pyridostigmine-bromide-oral/details
[cited 9/9/2020].