Distigmine (as distigmine bromide) is a parasympathomimetic. Distigmine is similar to pyridostigmine and neostigmine but has a longer duration of action. It is available as tablets on prescription only. It is commonly used to treat various conditions, including myasthenia gravis and underactive bladder. Distigmine has a greater risk of causing cholinergic crisis because of accumulation of the drug being more likely than with neostigmine or pyridostigmine and so distigmine is rarely used as a treatment for myasthenia gravis, unlike pyridostigmine and neostigmine.
{{Drugbox | Verifiedfields = changed | verifiedrevid = 443699749 | IUPAC_name = (1-methylpyridin-1-ium-3-yl) N-methyl-N-{6-[methyl-(1-methylpyridin-1-ium-3-yl)oxycarbonylamino]hexyl}carbamate dibromide | image = Distigmine bromide.svg | image_class = skin-invert-image | width = 250 | caption = Distigmine bromide
| tradename = | pregnancy_AU = | pregnancy_category = | legal_AU = | legal_CA = | legal_UK = | legal_US = | legal_status = | routes_of_administration = By mouth, i.m.
Discovered by embedding cosine similarity (sentence-transformers MiniLM, 384-dim).