Tilstigmin (Neostigmine Bromide) Tablets 15 mg are used to manage conditions related to impaired neuromuscular transmission, such as myasthenia gravis, a chronic autoimmune disorder that causes muscle weakness. Neostigmine bromide is a cholinesterase inhibitor that works by enhancing the communication between nerves and muscles, thereby improving muscle strength and mobility.

• Improves muscle strength in patients with myasthenia gravis

• Enhances neuromuscular transmission by inhibiting acetylcholinesterase

• Provides symptomatic relief from fatigue and muscle weakness

• Useful in the management of postoperative urinary retention or abdominal distension (as prescribed)

• Rapid onset and predictable duration of action

Take Tilstigmin 15 mg tablets orally with water, preferably before or with meals. Do not crush or chew the tablet. Always follow the dosage and schedule prescribed by your healthcare provider.

For myasthenia gravis, the typical starting dose for adults is 15 mg every 3 to 4 hours, adjusted based on patient response. The total daily dose usually ranges from 75 mg to 375 mg. Dosage must be individualized and supervised by a physician. Never self-adjust the dose without consulting your doctor.

• Use with caution in patients with asthma, epilepsy, or cardiac arrhythmias

• Not suitable for individuals with mechanical obstruction of the gastrointestinal or urinary tract

• Regular monitoring may be required for optimal dose adjustment

• Inform your doctor if you are pregnant, breastfeeding, or taking other medications

• Avoid alcohol and certain sedatives which may interfere with the action of the drug

• Common side effects include nausea, abdominal cramps, diarrhea, excessive salivation, or muscle twitching. Serious effects may include slow heartbeat, low blood pressure, or breathing difficulties. Seek medical attention if you experience extreme weakness or difficulty in breathing.

   

Store below 30°C in a dry, cool place, protected from moisture and sunlight. Keep out of reach of children and do not use after the expiration date.

Q1: What is Tilstigmin 15 mg used for?
A1: Tilstigmin is primarily used to treat myasthenia gravis and sometimes postoperative urinary retention or abdominal bloating.

Q2: How does Neostigmine Bromide work?
A2: It inhibits acetylcholinesterase, increasing acetylcholine levels at neuromuscular junctions to improve muscle strength.

Q3: Can I stop taking Tilstigmin if I feel better?
A3: No, do not stop the medication without consulting your doctor, as symptoms may return or worsen.

Q4: Can Tilstigmin be taken with food?
A4: Yes, it is often taken before or with meals to help reduce gastrointestinal side effects.

Q5: Is Tilstigmin safe during pregnancy?
A5: It should be used during pregnancy only if clearly needed and prescribed by a healthcare professional.