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Neostigmine Methyl Sulphate Injection

NAFDAC Reg. No. C4-1811 · Drug

Registered with NAFDAC — registration activeAs of 5 November 2026 · synced automatically from official sources.
Product
Neostigmine Methyl Sulphate Injection
NAFDAC number
C4-1811
Active ingredient
Neostigmine
Strength
0.5 mg/mL
Form
Solution for injection
Pack size
5 x 1 mL; 1 x 5 mL (in ampoules)
Manufacturer
Not listed
Applicant (holder)
Phillips Pharmaceuticals (Nigeria) Limited
Approved
26 Aug 2021
Status
Inactive View on NAFDAC ↗
Registration valid to
25 Aug 2026
WHO alerts
None found
Community reports
None
Times checked
0

RxVerify commentary

  • Neostigmine Methyl Sulphate Injection is on the NAFDAC register with an active registration (C4-1811). A valid number alone does not prove a pack is genuine — counterfeiters copy real numbers, so also check the expiry date, seal and print quality.

Generated automatically from the NAFDAC register, WHO alerts and community data as of today. Not medical advice — always follow your doctor or pharmacist.

What Neostigmine Methyl Sulphate Injection is used for

From the official U.S. FDA label for neostigmine, the active ingredient registered with NAFDAC.

What it is used for

Neostigmine methylsulfate injection is a cholinesterase inhibitor indicated for the reversal of the effects of non-depolarizing neuromuscular blocking agents after surgery. Neostigmine methylsulfate injection, a cholinesterase inhibitor, is indicated for the reversal of the effects of non-depolarizing neuromuscular blocking agents (NMBAs) after surgery (1) .

Possible side effects

Most common adverse reactions during treatment: bradycardia, nausea and vomiting ( 6) To report SUSPECTED ADVERSE REACTIONS, contact Dr. Reddy's Laboratories Inc., at 1-888-375-3784 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1. Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Adverse reactions to neostigmine methylsulfate are most often attributable to exaggerated pharmacological effects, in particular, at muscarinic receptor sites. …

Do not use if

Neostigmine methylsulfate injection is contraindicated in patients with: • known hypersensitivity to neostigmine methylsulfate (known hypersensitivity reactions have included urticaria, angioedema, erythema multiforme, generalized rash, facial swelling, peripheral edema, pyrexia, flushing, hypotension, bronchospasm, bradycardia and anaphylaxis). • peritonitis or mechanical obstruction of the intestinal or urinary tract. …

Warnings

• Bradycardia: Atropine or glycopyrrolate should be administered prior to neostigmine methylsulfate injection to lessen risk of bradycardia. ( 5.1 ) • Serious Reactions with Coexisting Conditions: Use with caution in patients with, coronary artery disease, cardiac arrhythmias, recent acute coronary syndrome or myasthenia gravis. ( 5.2 ) • Neuromuscular Dysfunction: Can occur if large doses of neostigmine methylsulfate injection are administered when neuromuscular blockade is minimal; reduce dose if recovery from neuromuscular blockade is nearly complete. ( 5.4 ) 5.1. Bradycardia Neostigmine has been associated with bradycardia. …

Pregnancy & breastfeeding

8.1 Pregnancy Risk Summary There are no adequate or well-controlled studies of neostigmine methylsulfate injection in pregnant women. It is not known whether neostigmine methylsulfate injection can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. The incidence of malformations in human pregnancies has not been established for neostigmine as the data are limited. …

General information only — not dosing advice. Always follow the leaflet in your pack and your doctor or pharmacist.

Check your pack of Neostigmine Methyl Sulphate Injection

Add the expiry date printed on your pack for a full Trust Score — or look up uses, side effects and cheaper generics.

3 free checks left today · no signup Official sources: NAFDAC Green Book & recalls · WHO · U.S. FDA · NLM RxNorm

About Neostigmine Methyl Sulphate Injection

What is in Neostigmine Methyl Sulphate Injection?

Neostigmine Methyl Sulphate Injection contains Neostigmine (0.5 mg/mL), as solution for injection, according to its NAFDAC registration record.

Is Neostigmine Methyl Sulphate Injection registered with NAFDAC?

Yes. Neostigmine Methyl Sulphate Injection is listed on the NAFDAC register under registration number C4-1811, and its registration is active as of 5 November 2026.

Has Neostigmine Methyl Sulphate Injection been flagged as fake or recalled?

No WHO falsified or substandard medical product alert currently matches Neostigmine Methyl Sulphate Injection in our automatically synced alert list.

How can I check that my pack of Neostigmine Methyl Sulphate Injection is genuine?

Run a free authenticity scan with the NAFDAC number C4-1811, your pack's expiry date and batch number to get a Trust Score, compare the pack with the NAFDAC record (ingredient, strength, form, manufacturer), and buy only from licensed pharmacies.

What is Neostigmine Methyl Sulphate Injection used for?

Neostigmine methylsulfate injection is a cholinesterase inhibitor indicated for the reversal of the effects of non-depolarizing neuromuscular blocking agents after surgery. Neostigmine methylsulfate injection, a cholinesterase inhibitor, is indicated for the reversal of the effects of non-depolarizing neuromuscular blocking agents (NMBAs) after surgery (1) . (Summarised from the official U.S. FDA label for neostigmine. Always follow your doctor or pharmacist.)

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