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Neostigmine Methylsulphate Injection

NAFDAC Reg. No. A4-7212 · Drug

Registered with NAFDAC. Registration activeAs of 27 October 2026 · synced automatically from official sources.
Product
Neostigmine Methylsulphate Injection
NAFDAC number
A4-7212
Active ingredient
Neostigmine
Strength
2.5 mg/mL
Form
Solution for injection
Pack size
10 x 1 mL ampoules
Manufacturer
Not listed
Applicant (holder)
Chez Resources Pharmaceutical Limited
Approved
28 Feb 2025
Status
Active View on NAFDAC ↗
Registration valid to
27 Feb 2030
WHO alerts
None found
Community reports
None
Times checked
0

What we found

  • Neostigmine Methylsulphate Injection is on the NAFDAC register with an active registration (A4-7212). 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. This is not medical advice. Always follow your doctor or pharmacist.

What Neostigmine Methylsulphate 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 Methylsulphate Injection

Add the expiry date on your pack for a full Trust Score.

3 free checks left today Official sources: NAFDAC Green Book & recalls · WHO · U.S. FDA · NLM RxNorm

About Neostigmine Methylsulphate Injection

What is in Neostigmine Methylsulphate Injection?

Neostigmine Methylsulphate Injection contains Neostigmine (2.5 mg/mL), as solution for injection, according to its NAFDAC registration record.

Is Neostigmine Methylsulphate Injection registered with NAFDAC?

Yes. Neostigmine Methylsulphate Injection is listed on the NAFDAC register under registration number A4-7212, and its registration is active as of 27 October 2026.

Has Neostigmine Methylsulphate Injection been flagged as fake or recalled?

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

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

Run a free authenticity scan with the NAFDAC number A4-7212, 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 Methylsulphate 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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