Regulatory PathRegulatory requirements compared

Active substance

Neostigmine methylsulfate

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
EPISTIGMIN 2.5MG/ML VIAL2.5 mg/mlSolution for injection · Intravenous use1 VialSAR 7.75NCE · PrescriptionEIPICOValid
NEOSTIGMINE METHYLSULFATE 0.5 MG/ML AMPOULE0.5 mg/mlSolution for injection · Intramuscular use5 AmpouleSAR 13.75Generic · PrescriptionALAMRIAH FOR PHARMACEUTICALS INDUSTRIESValid
NEOSTIGMINE 2.5MG-ML AMP2.5 mg/mlInjection · Intravenous use10 AmpouleSAR 14.75NCE · PrescriptionANTIGENWithdrawn by MAH · Not Marketed
Indications — CHI Daman Drug Formulary

ANESTHESIA; MYASTHENIA GRAVIS

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML); 3MG/3ML (1MG/ML)solution · intravenousFRESENIUS KABI USAPrescription8 Jan 2015
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousHIKMA PHARMSPrescription28 Dec 2015
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousPH HEALTHPrescription26 Apr 2017
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousAMPHASTAR PHARMS INCPrescription25 Sep 2017
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousDR REDDYSPrescription10 Jul 2018
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousJ MOLNERPrescription22 Aug 2018
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousBE PHARMSPrescription13 May 2019
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousGLANDPrescription16 Oct 2019
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousMEITHEALPrescription5 Apr 2021
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousCAPLINPrescription20 Apr 2021
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousREGCON HOLDINGSPrescription1 Oct 2021
NEOSTIGMINE METHYLSULFATE3MG/3ML (1MG/ML)solution · intravenousDR REDDYSPrescription6 Jul 2022
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousNIVAGENPrescription3 Nov 2022
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousAVET LIFESCIENCESPrescription25 Nov 2022
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousSAGENT PHARMS INCPrescription17 Feb 2023
NEOSTIGMINE METHYLSULFATE5MG/10ML(0.5MG/ML); 10MG/10ML(1MG/ML)injectable · injectionEUGIA PHARMAPrescription2 Nov 2023
BLOXIVERZ5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML); 5MG/5ML (1MG/ML)solution · intravenousEXELA PHARMADiscontinued31 May 2013
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousAM REGENTDiscontinued4 May 2018
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousAMNEALDiscontinued15 Jun 2018
NEOSTIGMINE METHYLSULFATE3MG/3ML (1MG/ML)solution · intravenousHIKMADiscontinued13 Jul 2022
NEOSTIGMINE METHYLSULFATE5MG/10ML (0.5MG/ML); 10MG/10ML (1MG/ML)solution · intravenousEUGIA PHARMADiscontinued2 Nov 2023

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
NEOSTIGMINE METHYLSULFATE INJECTION USP024754800.5 MG / MLSOLUTION · INTRAVENOUS; INTRAMUSCULAR; SUBCUTANEOUSMARCAN PHARMACEUTICALS INC
NEOSTIGMINE METHYLSULFATE INJECTION USP024754991 MG / MLSOLUTION · SUBCUTANEOUS; INTRAMUSCULAR; INTRAVENOUSMARCAN PHARMACEUTICALS INC
NEOSTIGMINE METHYLSULFATE INJECTION, USP025375160.5 MG / MLSOLUTION · SUBCUTANEOUS; INTRAMUSCULAR; INTRAVENOUSJAMP PHARMA CORPORATION
NEOSTIGMINE OMEGA022305921 MG / MLLIQUID · INTRAMUSCULAR; SUBCUTANEOUS; INTRAVENOUSOMEGA LABORATORIES LIMITED
NEOSTIGMINE OMEGA022305930.5 MG / MLLIQUID · INTRAVENOUS; INTRAMUSCULAR; SUBCUTANEOUSOMEGA LABORATORIES LIMITED
NEOSTIGMINE OMEGA023871662.5 MG / MLSOLUTION · INTRAVENOUS; INTRAMUSCULAR; SUBCUTANEOUSOMEGA LABORATORIES LIMITED

Safety signals and safety-related labeling changes

All safety entries for neostigmine methylsulfate →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.