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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Costigmin Injection 5 ml is used to reverse the effects of muscle relaxants and anaesthesia medicines used during surgery. It contains Glycopyrrolate and Neostigmine which increase the level of an enzyme that is involved in transmission between nerve impulses and muscle movements. In some cases, this medicine may cause side effects such as constipation, dry mouth, nausea, vomiting, dizziness, diarrhoea, and dry skin. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Manufacturer/Marketer :

Miracalus Pharma Pvt Ltd

Consume Type :

PARENTERAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Costigmin Injection 5 ml

Costigmin Injection 5 ml belongs to a group of medicines called 'anticholinesterase agents/acetylcholinesterase inhibitors', primarily used to reverse the effects of muscle relaxant and anesthesia medicines used during surgery. Certain medicines like propofol, etomidate, ketamine which is an anesthetic medicine cause anesthesia (sedative action) during surgery. Several muscles relaxant medicines are also used during surgery like vecuronium, rocuronium relaxes the muscles during surgery.

Costigmin Injection 5 ml contains two medicines namely: Glycopyrrolate and Neostigmine. Neostigmine increases levels of a substance known as acetylcholine by stopping an enzyme required for the breakdown of acetylcholine involved in transmission between nerve impulses and muscle movements. It is used at the end of surgery to reverse the effects of several medicines used during surgery like anesthetics and muscle relaxants. Glycopyrrolate is an anticholinergic It works by blocking the activity of a chemical messenger (acetylcholine) in the brain. It is added to avoid the unwanted effects of Neostigmine like stomach acid, excess saliva production and decreased heart rate.

 You are advised to take Costigmin Injection 5 ml for as long as your doctor has prescribed it for you depending on your medical condition.  Some people may experience constipation, dry mouth, nausea, vomiting, visual disturbance, dizziness, diarrhea, too much saliva, dryness of skin, increased pressure of the eye, stomach cramps, the uncontrolled need of passing urine. Most of these side effects of Costigmin Injection 5 ml do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Do not use Costigmin Injection 5 ml if you are allergic to Costigmin Injection 5 ml or any of its contents. Costigmin Injection 5 ml should not be taken if you have difficulty in passing urine and blockage in the intestine. Costigmin Injection 5 ml should not be taken in the conditions like asthma, kidney disease and heart disease. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Costigmin Injection 5 ml. It is not recommended to drive after taking Costigmin Injection 5 ml as it may cause your eyesight to become week. Costigmin Injection 5 ml can be given to children if prescribed by the doctor, the dose depends on the child’s age and weight.

Uses of Costigmin Injection 5 ml

Used to reverse the effects of muscle relaxant and anesthesia medicines at the end of surgery.

Directions for Use

It will be administered by a healthcare professional; do not self-administer.

Medicinal Benefits

Costigmin Injection 5 ml contains two medicines namely: Glycopyrrolate and Neostigmine. It is primarily used to reverse the effects of muscle relaxant and anesthesia medicines at the end of surgery. Neostigmine increases levels of a substance known as acetylcholine by stopping an enzyme required for the breakdown of acetylcholine involved in transmission between nerve impulses and muscle movements. It is used at the end of surgery to reverse the effects of several medicines used during surgery like anesthetics and muscle relaxants. Glycopyrrolate is an anticholinergic It works by blocking the activity of a chemical messenger (acetylcholine) in the brain. It is added to avoid the unwanted effects of Neostigmine like stomach acid, excess saliva production and decreased heart rate.

How Costigmin Injection 5 ml Works

Costigmin Injection 5 ml contains two medicines namely: Glycopyrrolate and Neostigmine. Neostigmine increases levels of a substance known as acetylcholine by stopping an enzyme required for the breakdown of acetylcholine involved in transmission between nerve impulses and muscle movements. It is used at the end of surgery to reverse the effects of several medicines used during surgery like anesthetics and muscle relaxants. Glycopyrrolate is an anticholinergic It works by blocking the activity of a chemical messenger (acetylcholine) in the brain. It is added to avoid the unwanted effects of Neostigmine like stomach acid, excess saliva production and decreased heart rate.

Side Effects of Costigmin Injection 5 ml

  • Constipation
  • Dry mouth
  • Nausea
  • Vomiting
  • Visual disturbance
  • Dizziness
  • Diarrhea
  • Too much saliva
  • Dryness of skin
  • Increased pressure of the eye
  • Stomach cramps
  • Uncontrolled need of passing urine

What if I have taken an overdose of Costigmin Injection 5 ml

Since Costigmin Injection 5 ml is administered by a healthcare professional, an overdose is unlikely to occur. However, seek medical attention if you experience any unusual symptoms.

Drug Warnings

Let your doctor know if you use any other medicines or supplements before using Costigmin Injection 5 ml. Do not use Costigmin Injection 5 ml if you are allergic to Costigmin Injection 5 ml or any of its contents. Costigmin Injection 5 ml should not be taken if you have difficulty in passing urine and blockage in the intestine. Costigmin Injection 5 ml should not be taken in the conditions like asthma, breathing difficulties, stomach ulcers, high blood pressure, high temperature (fever), kidney disease, and heart disease. Before taking Costigmin Injection 5 ml inform your doctor if you have muscle weakness (myasthenia gravis), fit disorder, parkinson’s disease, enlarged prostate gland, abdominal pain and vomiting. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Costigmin Injection 5 ml. It is not recommended to drive after taking Costigmin Injection 5 ml as it may cause your eyesight to become week. Costigmin Injection 5 ml can be given to children if prescribed by the doctor; the dose depends on the child’s age and weight.

Drug-Drug Interactions

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Glycopyrronium bromidePramlintide
Severe
Glycopyrronium bromideLevodopa
Severe

Drug-Drug Interactions

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Glycopyrronium bromidePramlintide
Severe
How does the drug interact with Costigmin Injection 5 ml:
Taking Pramlintide with Costigmin Injection 5 ml can cause slow stomach emptying or slow the intestinal absorption of nutrients.

How to manage the interaction:
Although using Pramlintide and Costigmin Injection 5 ml together can lead to an interaction, it can be taken if advised by your doctor.
Glycopyrronium bromideLevodopa
Severe
How does the drug interact with Costigmin Injection 5 ml:
Coadministration of levodopa with Costigmin Injection 5 ml can significantly decrease the blood levels of levodopa.

How to manage the interaction:
Although using Costigmin Injection 5 ml and levodopa together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without a doctor's advice.
Glycopyrronium bromideDigoxin
Severe
How does the drug interact with Costigmin Injection 5 ml:
Co-administration of Digoxin and Costigmin Injection 5 ml may increase the serum concentration of Digoxin and increase the risk or severity of adverse effects.

How to manage the interaction:
Although there is a possible interaction between Digoxin and Costigmin Injection 5 ml, you can take these medicines together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, confusion, loss of appetite, nausea, vomiting, diarrhea, change in vision such as blurry or yellow vision, fatigue, and fast or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Glycopyrronium bromideSecretin
Severe
How does the drug interact with Costigmin Injection 5 ml:
The combined use of secretin and Costigmin Injection 5 ml can inhibit gastric acid secretion.

How to manage the interaction:
Although using secretin and Costigmin Injection 5 ml together can lead to an interaction, it can be taken if advised by your doctor.
Glycopyrronium bromidePotassium chloride
Severe
How does the drug interact with Costigmin Injection 5 ml:
The use of Potassium chloride and Costigmin Injection 5 ml can increase the irritant effects of potassium on your stomach and upper intestine.

How to manage the interaction:
Using Potassium chloride and Costigmin Injection 5 ml together can lead to an interaction, however, it can be taken if advised by a doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
NeostigmineTramadol
Severe
How does the drug interact with Costigmin Injection 5 ml:
Co-administration of tramadol with Costigmin Injection 5 ml can increase the effect of tramadol.

How to manage the interaction:
Taking Costigmin Injection 5 ml with tramadol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any symptoms such as confusion, hallucination, seizure, increased heart rate, blurred vision, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Maintain proper weight by following a healthy diet.
  • Avoid smoking and alcohol consumption.
  • Try to avoid stress by practising meditation or yoga.
  • Include fruits and vegetables in your diet as they contain anti-oxidants.
  • Limit foods with high cholesterol and saturated fats.
  • Cut down on sugar, salt and processed foods.
  • Drink plenty of water.

Habit Forming

No

Therapeutic Class

MUSCLE STIMULANTS AND CHOLINESTERASE INHIBITORS

Costigmin Injection 5 ml Substitute

Substitutes safety advice
  • MYO PYROLATE IV INJECTION

    111.20per tablet
  • Myo Pyrolate Injection 5 ml

    22.24per tablet
  • Glycopyrolate and Neostigmin 0.5 mg/2.5 mg Injection

    17.82per tablet
  • Glycoaish N 0.5mg/2.5mg Injection

    13.50per tablet
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Alcohol

Unsafe

Avoid consuming alcohol while taking Costigmin Injection 5 ml as it may cause increased dizziness.

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Pregnancy

Caution

Costigmin Injection 5 ml contains neostigmine which is a pregnancy category C drug. It may be unsafe to use during pregnancy since animal studies of Costigmin Injection 5 ml showed harmful effects on the fetus. Please consult your doctor before taking Costigmin Injection 5 ml if you are pregnant or planning to conceive.

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Breast Feeding

Caution

It is not known if Costigmin Injection 5 ml is excreted into the breast milk. Please consult your doctor before taking Costigmin Injection 5 ml if you are a breastfeeding mother.

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Driving

Unsafe

Costigmin Injection 5 ml can make you feel dizzy, eyesight becomes a week and affect your ability to drive. It is advised not to drive or operate machinery while using Costigmin Injection 5 ml if you are not mentally alert and focused.

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Liver

Caution

If u have or had a history or evidence of any liver-related diseases, please consult the doctor before taking Costigmin Injection 5 ml. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Kidney

Caution

If u have or had a history or evidence of any kidney-related diseases, please consult the doctor before taking Costigmin Injection 5 ml. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Children

Safe if prescribed

Costigmin Injection 5 ml can be given to children with caution if prescribed by the doctor, the dose depends on the child’s age and weight.

FAQs

Costigmin Injection 5 ml is used to reverse the effects of muscle relaxants and anaesthesia medicines used during surgery.
Costigmin Injection 5 ml contains two medicines namely: Glycopyrrolate and Neostigmine. Neostigmine increases levels of a substance known as acetylcholine by stopping an enzyme required for the breakdown of acetylcholine involved in transmission between nerve impulses and muscle movements. It is used at the end of surgery to reverse the effects of several medicines used during surgery like anesthetics and muscle relaxants. Glycopyrrolate is an anticholinergic It works by blocking the activity of a chemical messenger (acetylcholine) in the brain. It is added to avoid the unwanted effects of neostigmine like stomach acid, excess saliva production and decreased heart rate.
Costigmin Injection 5 ml should be used with caution in the medical history of asthma, breathing problems, stomach ulcers, high temperature, high blood pressure, heart attack, heart disease, overactive thyroid (hypothyroidism). Please let your doctor know if you have any other medical problems before starting Costigmin Injection 5 ml.
Do not stop taking Costigmin Injection 5 ml on your own. To treat your condition effectually please continue taking Costigmin Injection 5 ml for the prescribed period. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Costigmin Injection 5 ml.
Take the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the dose.
Keep Costigmin Injection 5 ml in a cool, dry place away from direct sunlight. Dispose of unused medicine and keep it out of sight and reach from children and pets.

Country of origin

INDIA

Manufacturer/Marketer address

213, Shivai Dongre Industrial Premises, Andheri - Kurla Road, Andheri(E), Mumbai - 400 072, Maharashtra, India.
Other Info - COS0126

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Keep Refrigerated. Do not freeze.

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