Description
Neostigmine Bromide Tablets (15 mg)
Healthy Inc is a specialized global supplier and exporter of advanced neurology, autoimmune, and neuromuscular therapeutics. We provide ultra-high-purity, kinetically precise Neostigmine Bromide Tablets (15 mg), manufactured in WHO–GMP certified, high-precision oral solid dosage facilities. This “Reversible Acetylcholinesterase Inhibitor” is a highly lucrative, specialized export to neurology centers, autoimmune disease clinics, hospital pharmacies, and government health ministries in LATAM, the CIS, Africa, and Southeast Asia, serving as the globally mandated, life-sustaining intervention for the management of Myasthenia Gravis and the reversal of post-operative gastrointestinal and urinary paralysis.
Product Overview
This highly advanced formulation contains Neostigmine Bromide, a potent, synthetic quaternary ammonium compound that fundamentally alters the neurochemical environment of the muscles, forcing them to contract when autoimmune diseases or surgical trauma have paralyzed them.
The “Neuromuscular Junction & Cholinergic” Specialist:
- Mechanism 1 (The Acetylcholinesterase Blockade): In a healthy body, a chemical called acetylcholine signals muscles to contract, and an enzyme called acetylcholinesterase instantly breaks it down to let the muscle relax. Neostigmine aggressively binds to this enzyme, temporarily disabling it. This causes a massive, localized surge of acetylcholine to pool at the neuromuscular junction, violently amplifying the signal and forcing weak, paralyzed muscles into sustained, healthy contraction.
- Mechanism 2 (The Myasthenia Gravis Lifeline): Myasthenia Gravis is a severe autoimmune disease where the body’s own immune system destroys acetylcholine receptors. Patients suffer from paralyzing weakness, drooping eyelids, and an inability to swallow or breathe. Because Neostigmine floods the surviving receptors with massive amounts of acetylcholine, it physically restores the patient’s motor function, allowing them to perform normal daily activities.
- Mechanism 3 (Post-Operative Smooth Muscle Engine): After major abdominal surgeries, the smooth muscles of the intestines and bladder frequently shut down (paralytic ileus and urinary retention). Neostigmine forcefully stimulates the parasympathetic nervous system, kick-starting peristalsis and bladder contractions to clear the blockage without mechanical intervention.
Product Composition & Strength
We supply this product as a Precision-Blended Uncoated Tablet, packed exclusively in highly secure, moisture-resistant Alu-Alu or high-density PVC/PVDC blister strips to ensure the absolute chemical stability of the highly hygroscopic bromide salt.
| Active Ingredient | Strength | Primary Clinical Function |
|---|---|---|
| Neostigmine Bromide Ph.Eur./USP | 15 mg | Global Clinical Standard: Base therapeutic oral unit for the continuous, meticulously spaced symptomatic management of Myasthenia Gravis. |
| Excipients | Lactose Monohydrate / Maize Starch / Povidone K30 / Talc / Magnesium Stearate | Diluent / Binder / Glidant / Lubricant (Engineered specifically for rapid, predictable gastric dissolution to ensure precise symptom control within 30 to 45 minutes of ingestion) |
*Pack Sizes: 10×10 Blisters or Bottles of 100 (Optimized specifically for strict, high-volume chronic neurology dispensing, as patients may require up to 10-15 tablets per day in divided doses).
Technical & Logistics Specifications
Critical data for Pharmaceutical Importers, Neurology Distributors, and Hospital Procurement Boards.
| HS Code | 3004.90.99 (Medicaments containing other active substances – Neurology/Parasympathomimetics) |
| CAS Number | 114-80-7 (Neostigmine Bromide) |
| Dosage Form | Tablet (Immediate Release) |
| Packaging | High-Density PVC/PVDC or Alu-Alu Blisters. Neostigmine Bromide is hygroscopic. Strict barrier packaging guarantees absolute chemical stability and prevents degradation across Zone IVb tropical climates. |
| Storage | Store strictly below 25°C in a dry place. Protect heavily from Moisture and Light. |
Manufacturing Authority
Marketed and Distributed by Healthy Inc from WHO-GMP & ISO 9001:2015 certified units.
- Narrow Therapeutic Index (NTI) Geometric Blending: Neostigmine has a notoriously narrow safety window. A slight underdose leaves the patient paralyzed; a slight overdose triggers a life-threatening cholinergic crisis. Our facilities utilize advanced high-shear wet granulation and strict geometric dilution protocols. This is rigorously verified by high-frequency HPLC content uniformity testing to guarantee that every single tablet delivers the exact 15 mg dose, completely eliminating the risk of catastrophic manufacturing variances.
Therapeutic Indications (Human Use)
Indicated for the targeted management of severe neuromuscular and smooth-muscle dysfunction:
- Myasthenia Gravis: Symptomatic control of weakness and fatigue in patients with Myasthenia Gravis.
- Paralytic Ileus: Prevention and treatment of post-operative distension and paralysis of the intestinal tract.
- Post-Operative Urinary Retention: Treatment of non-obstructive urinary retention following surgery.
Dosage & Administration
Recommended Dosage (Strictly as per Neurologist Guidelines):
- Myasthenia Gravis: Dosing is highly individualized. The standard adult dose ranges from 15 mg (1 tablet) to 375 mg (25 tablets) per day, meticulously spaced throughout the day (e.g., every 3 to 4 hours) to coincide with times of greatest fatigue (such as 30 minutes before eating to prevent choking).
- Administration: Must be swallowed whole. To minimize severe gastrointestinal side effects (cramping, diarrhea), it may be taken with food or milk.
Safety Warnings (CRITICAL Regulatory & Clinical Data):
- Cholinergic Crisis vs. Myasthenic Crisis: Overdosing Neostigmine causes a “Cholinergic Crisis” (muscle paralysis, severe salivation, pinpoint pupils, respiratory failure). This looks almost identical to a “Myasthenic Crisis” (underdosing/disease worsening). Administering more drug during a cholinergic crisis is fatal. Atropine Sulfate must always be immediately available as a life-saving antidote.
- Mechanical Obstruction (Absolute Contraindication): Neostigmine violently forces the intestines and bladder to contract. If a patient has a physical, mechanical blockage in their intestines or urinary tract, this medication will cause catastrophic organ rupture.
- Asthma & Cardiac Arrhythmias: Because it heavily stimulates the parasympathetic nervous system, Neostigmine can cause sudden, severe bronchoconstriction (asthma attacks) and extreme bradycardia (slow heart rate). Use with extreme caution in asthmatics and cardiac patients.
Global Export & Contract Manufacturing Services
Healthy Inc stands as a premier Pharmaceutical Exporter in India, dedicated to serving the needs of international Pharma Traders, Wholesalers, and Neurology Networks. As a verified Medicine Supplier in Mumbai, we offer flexible Third Party Manufacturing (Contract Manufacturing) services for Advanced Neuromuscular and Narrow-Therapeutic-Index Formulations. Whether you are looking for a reliable Government Tender Supplier for autoimmune clinics in the CIS or a B2B Pharma Marketplace partner for Latin America, our logistics network ensures timely, secure delivery of highly stable, WHO-GMP certified products.










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