Skip to main content

What the FDA labels say about taking them together

Pyridostigmine and succinylcholine

Pyridostigmine's FDA label (Pyridostigmine Bromide) of December 23, 2025 names succinylcholine in its drug interactions section; the succinylcholine labels PlainMeds reads (2) do not name pyridostigmine.

Check it at the source: the pyridostigmine FDA label on DailyMed (effective December 2, 2020, Bausch Health US, LLC); the succinylcholine FDA label on DailyMed (effective August 18, 2026, Hospira, Inc.).

What does the pyridostigmine label say about succinylcholine?

Pyridostigmine Bromide label (Surgeon General-Department of the Army (TSG-DA), December 23, 2025), drug interactions

Drugs that Interfere with Neuromuscular Transmission Particular caution should be observed in the administration of depolarizing neuromuscular blocking agents (e.g., succinylcholine) during surgery since the degree of neuromuscular blockade that ensues may be enhanced by previously administered pyridostigmine bromide.

Source: FDA drug label (Pyridostigmine Bromide, NDA020414), Surgeon General-Department of the Army (TSG-DA), effective December 23, 2025 (SPL set 0b296555-c32f-42db-b5f3-ea981a3dd2f8), via openFDA

Source: FDA drug label (Mestinon), Bausch Health US, LLC, effective December 2, 2020 (SPL set a851795e-b7a8-40c3-9922-5e79d3eb4d92), via openFDA; the full label on DailyMed

What does the succinylcholine label say about pyridostigmine?

Succinylcholine's label (effective August 18, 2026) and its 1 other brand-application label do not name pyridostigmine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (QUELICIN), Hospira, Inc., effective August 18, 2026 (SPL set fb08161e-7711-406d-e7b3-ea4515c07983), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

16Pyridostigmine generic labelers
26Succinylcholine generic labelers
PyridostigmineSuccinylcholine
Labeled forn/an/a
Boxed warningNoYes
Pharmacy cost (NADAC)$0.249 per tablet 60 mg tabletn/a
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?