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Chemistry

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Also known as: 101-26-8, Mestinon, Regonol, Kalimin, Kalymin, 3-(dimethylcarbamoyloxy)-1-methylpyridinium bromide
Molecular Formula
C9H13BrN2O2
Molecular Weight
261.12  g/mol
InChI Key
VNYBTNPBYXSMOO-UHFFFAOYSA-M
FDA UNII
KVI301NA53

Pyridostigmine
A cholinesterase inhibitor with a slightly longer duration of action than NEOSTIGMINE. It is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants.
1 2D Structure

Pyridostigmine

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(1-methylpyridin-1-ium-3-yl) N,N-dimethylcarbamate;bromide
2.1.2 InChI
InChI=1S/C9H13N2O2.BrH/c1-10(2)9(12)13-8-5-4-6-11(3)7-8;/h4-7H,1-3H3;1H/q+1;/p-1
2.1.3 InChI Key
VNYBTNPBYXSMOO-UHFFFAOYSA-M
2.1.4 Canonical SMILES
C[N+]1=CC=CC(=C1)OC(=O)N(C)C.[Br-]
2.2 Other Identifiers
2.2.1 UNII
KVI301NA53
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Bromide, Pyridostigmine

2. Mestinon

3. Pyridostigmine

2.3.2 Depositor-Supplied Synonyms

1. 101-26-8

2. Mestinon

3. Regonol

4. Kalimin

5. Kalymin

6. 3-(dimethylcarbamoyloxy)-1-methylpyridinium Bromide

7. 3-((dimethylcarbamoyl)oxy)-1-methylpyridin-1-ium Bromide

8. Regonal

9. Mestinon Bromide

10. Pyridostigmini Bromidum

11. Pyridostigmine (bromide)

12. (1-methylpyridin-1-ium-3-yl) N,n-dimethylcarbamate;bromide

13. Nsc-679759

14. Nsc-758435

15. Pyridinium, 3-(((dimethylamino)carbonyl)oxy)-1-methyl-, Bromide

16. Mls000028385

17. 3-[(dimethylcarbamoyl)oxy]-1-methylpyridin-1-ium Bromide

18. Kvi301na53

19. Pyridinium, 3-[[(dimethylamino)carbonyl]oxy]-1-methyl-, Bromide

20. Ro 1-5130

21. 3-hydroxy-1-methylpyridinium Bromide Dimethylcarbamate

22. Ncgc00094324-02

23. 3-(((dimethylamino)carbonyl)oxy)-1-methylpyridinium Bromide

24. Smr000058605

25. Ro-1-5130

26. 3-(dimethylcarbamyloxy)-1-methylpyridinium Bromide

27. Dsstox_cid_3540

28. 1-methyl-3-hydroxypyridinium Bromide Dimethylcarbamate

29. Dsstox_rid_77069

30. Dsstox_gsid_23540

31. Dimethylcarbamic Acid Ester Of 3-hydroxy-1-methylpyridinium Bromide

32. Chembl812

33. Carbamic Acid, Dimethyl-, Ester With 3-hydroxy-1-methylpyridinium Bromide

34. Unii-19qm69hh21

35. 3-dimethylcarbamoyloxy-1-methylpyridinium Bromide;3-dimethylcarbamoyloxy-1-methylpyridinium Bromide

36. Cas-101-26-8

37. Piridostigmina Bromuro [dcit]

38. Ccris 6798

39. Piridostigmina Bromuro

40. Hsdb 3924

41. Sr-01000003072

42. Bromure De Pyridostigmine

43. Bromuro De Piridostigmina

44. Einecs 202-929-9

45. Pyridostigmini Bromidum [inn-latin]

46. Bromure De Pyridostigmine [inn-french]

47. 3-{[(dimethylamino)carbonyl]oxy}-1-methylpyridinium Bromide

48. Unii-kvi301na53

49. Bromuro De Piridostigmina [inn-spanish]

50. Mestinon-sr

51. Pyridinium, 3-[[(dimethylamino)carbonyl]oxy]-1-methyl-, Bromide (1:1)

52. Pyridinium, 3-(((dimethylamino)carbonyl)oxy)-1-methyl-, Bromide (1:1)

53. Mestinon (tn)

54. Pyridostigminebromine

55. Mfcd00079283

56. Pyridinium, 3-hydroxyl-1-methyl-, Bromide, Dimethylcarbamate

57. Opera_id_420

58. 3-hydroxy-1-methylpyridinium Bromide Dimethylcarbamate (ester)

59. Pyridostigmine Bromide [usp:inn:ban:jan]

60. Schembl41147

61. Mls001074080

62. Spectrum1503240

63. Chebi:8666

64. 3-(dimethylaminocarbonyloxy)-1-methylpyridinium Bromide

65. Dtxsid9023540

66. Hms500k09

67. Hy-b0207a

68. Pyridostigmine Bromide (mestinon)

69. Hms1922m05

70. Hms2092p14

71. Hms2234d06

72. Hms3259m16

73. Hms3263o11

74. Hms3369p02

75. Hms3651g13

76. Hms3884m21

77. Pharmakon1600-01503240

78. Pyridostigmine Bromide [mi]

79. Bcp02148

80. Pyridostigmine Bromide [inn]

81. Pyridostigmine Bromide [jan]

82. Tox21_111266

83. Tox21_501035

84. Ccg-40306

85. Nsc679759

86. Nsc758435

87. Pyridinium, 3-hydroxy-1-methyl-, Bromide, Dimethylcarbamate (ester)

88. Pyridostigmine Bromide [hsdb]

89. S1608

90. Akos015895321

91. Pyridostigmine Bromide [mart.]

92. Tox21_111266_1

93. Ac-8143

94. Lp01035

95. Nc00581

96. Nsc 758435

97. Pyridostigmine Bromide [usp-rs]

98. Pyridostigmine Bromide [who-dd]

99. Pyridostigmine Bromide [who-ip]

100. Ncgc00015862-07

101. Ncgc00094324-01

102. Ncgc00094324-03

103. Ncgc00094324-04

104. Ncgc00261720-01

105. Pyridostigmine Bromide (jp17/usp/inn)

106. As-13164

107. Pyridostigmine Bromide [ep Impurity]

108. Pyridostigmine Bromide [orange Book]

109. Eu-0101035

110. Ft-0603307

111. P1339

112. Pyridostigmine Bromide [ep Monograph]

113. Sw199029-2

114. Pyridostigmine Bromide [usp Monograph]

115. Pyridostigmini Bromidum [who-ip Latin]

116. D00487

117. P 9797

118. T71526

119. Q-201644

120. Sr-01000003072-2

121. Sr-01000003072-4

122. Q26840825

123. 3-((dimethylcarbamoyl)oxy)-1-methylpyridin-1-iumbromide

124. Z1541632810

125. Pyridostigmine Bromide, European Pharmacopoeia (ep) Reference Standard

126. Pyridostigmine Bromide, United States Pharmacopeia (usp) Reference Standard

2.4 Create Date
2005-03-26
3 Chemical and Physical Properties
Molecular Weight 261.12 g/mol
Molecular Formula C9H13BrN2O2
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count3
Rotatable Bond Count2
Exact Mass260.01604 g/mol
Monoisotopic Mass260.01604 g/mol
Topological Polar Surface Area33.4 Ų
Heavy Atom Count14
Formal Charge0
Complexity183
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count2
4 Drug and Medication Information
4.1 Drug Information
1 of 4  
Drug NameMestinon
PubMed HealthPyridostigmine Bromide (By mouth)
Drug ClassesCentral Nervous System Agent, Immunological Agent, Nerve Gas Antidote
Drug LabelMestinon (pyridostigmine bromide) is an orally active cholinesterase inhibitor. Chemically, pyridostigmine bromide is 3-hydroxy-1-methylpyridinium bromide dimethylcarbamate. Its structural formula is:Mestinon is available in the following forms: Syru...
Active IngredientPyridostigmine bromide
Dosage FormTablet, extended release; Tablet; Syrup; Injectable
RouteInjection; Oral
Strength180mg; 60mg/5ml; 5mg/ml; 60mg
Market StatusPrescription
CompanyValeant Pharm North; Valeant Pharm Intl; Valeant Pharms

2 of 4  
Drug NamePyridostigmine bromide
PubMed HealthPyridostigmine Bromide (By mouth)
Drug ClassesCentral Nervous System Agent, Immunological Agent, Nerve Gas Antidote
Drug LabelPyridostigmine bromide is an orally active, reversible cholinesterase inhibitor. Its chemical name is: 3-hydroxy-1-methylpyridinium bromide dimethylcarbamate.CAS registration number is 101-26-8.Pyridostigmine bromide has a molecular formula of C9H13B...
Active IngredientPyridostigmine bromide
Dosage FormTablet
RouteOral
Strength60mg
Market StatusPrescription
CompanyImpax Labs

3 of 4  
Drug NameMestinon
PubMed HealthPyridostigmine Bromide (By mouth)
Drug ClassesCentral Nervous System Agent, Immunological Agent, Nerve Gas Antidote
Drug LabelMestinon (pyridostigmine bromide) is an orally active cholinesterase inhibitor. Chemically, pyridostigmine bromide is 3-hydroxy-1-methylpyridinium bromide dimethylcarbamate. Its structural formula is:Mestinon is available in the following forms: Syru...
Active IngredientPyridostigmine bromide
Dosage FormTablet, extended release; Tablet; Syrup; Injectable
RouteInjection; Oral
Strength180mg; 60mg/5ml; 5mg/ml; 60mg
Market StatusPrescription
CompanyValeant Pharm North; Valeant Pharm Intl; Valeant Pharms

4 of 4  
Drug NamePyridostigmine bromide
PubMed HealthPyridostigmine Bromide (By mouth)
Drug ClassesCentral Nervous System Agent, Immunological Agent, Nerve Gas Antidote
Drug LabelPyridostigmine bromide is an orally active, reversible cholinesterase inhibitor. Its chemical name is: 3-hydroxy-1-methylpyridinium bromide dimethylcarbamate.CAS registration number is 101-26-8.Pyridostigmine bromide has a molecular formula of C9H13B...
Active IngredientPyridostigmine bromide
Dosage FormTablet
RouteOral
Strength60mg
Market StatusPrescription
CompanyImpax Labs

4.2 Therapeutic Uses

Cholinesterase Inhibitors; Parasympathomimetics

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


A QUATERNARY AMMONIUM ANTICHOLINESTERASE DRUG ...PRINCIPAL USE IS IN THE TREATMENT OF MYASTHENIA GRAVIS. ...

Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980., p. 842


DOSAGE: THE EQUIVALENT PARENTERAL DOSE OF...PYRIDOSTIGMINE IS APPROX 1/30TH OF THE ORAL DOSE.

Miller, R. R., and D. J. Greenblatt. Handbook of Drug Therapy. New York: Elsevier North Holland, 1979., p. 1029


PYRIDOSTIGMINE HAS A SLOWER ONSET (13 MIN) THAN EDROPHONIUM (3 MIN) OR NEOSTIGMINE (6-8 MIN), BUT A LONGER DURATION OF ACTION THAN EITHER. FOR THIS REASON, IT HAS BEEN RECOMMENDED FOR PATIENTS WITH RENAL IMPAIRMENT.

American Medical Association, AMA Department of Drugs. AMA Drug Evaluations. 5th ed. Chicago: American Medical Association, 1983., p. 424


For more Therapeutic Uses (Complete) data for PYRIDOSTIGMINE BROMIDE (9 total), please visit the HSDB record page.


4.3 Drug Warning

BROMIDE SENSITIVITY OCCASIONALLY OCCURS.

Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980., p. 842


Maternal Medication usually Compatible with Breast-Feeding: Pyridostigmine: Reported Sign or Symptom in Infant or Effect on Lactation: None. /from Table 6/

Report of the American Academy of Pediatrics Committee on Drugs in Pediatrics 93 (1): 141 (1994)


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Cholinesterase Inhibitors

Drugs that inhibit cholinesterases. The neurotransmitter ACETYLCHOLINE is rapidly hydrolyzed, and thereby inactivated, by cholinesterases. When cholinesterases are inhibited, the action of endogenously released acetylcholine at cholinergic synapses is potentiated. Cholinesterase inhibitors are widely used clinically for their potentiation of cholinergic inputs to the gastrointestinal tract and urinary bladder, the eye, and skeletal muscles; they are also used for their effects on the heart and the central nervous system. (See all compounds classified as Cholinesterase Inhibitors.)


5.2 FDA Pharmacological Classification
5.2.1 Pharmacological Classes
Cholinesterase Inhibitors [MoA]; Cholinesterase Inhibitor [EPC]
5.3 Absorption, Distribution and Excretion

ITS ONSET OF ACTION BY ORAL ROUTE IS ABOUT 320 MIN...ITS DURATION OF ACTION BY THE ORAL ROUTE IS USUALLY SOMEWHAT LONGER AND ABSORPTION IS LESS ERRATIC THAN NEOSTIGMINE, WHICH ARE ADVANTAGES.

Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980., p. 842


Plasma concn of pyridostigmine was determined in 2 nursing mothers who were receiving oral doses of pyridostigmine bromide, 120-300 mg daily. The drug was not detectable in infant plasma and there were no signs of drug effects in the infant.

Hardell LI et al; Pyridostigmine in human breast milk; Br J Clin Pharmacol 14 (Oct): 565-7 (1982)


5.4 Metabolism/Metabolites

PYRIDOSTIGMINE AND ITS QUATERNARY ALCOHOL ARE...THE PREDOMINANT ENTITIES FOUND IN URINE AFTER ADMIN OF THIS DRUG TO MAN.

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 108


5.5 Biological Half-Life

After admin of pyridostigmine bromide (200 nmol/kg, iv) to human subjects, the disposition half-life was 0.6-1.78 min and terminal half-life was 14.81-37.01 min. Clearance was 9.3-26.5 ml/min/kg which was greater than the presumptive value for glomerular filtration rate and the vol of distribution was 246.5-833.9 ml/kg.

Calvey TN et al; Kinetics of intravenous pyridostigmine in man; Br J Clin Pharmacol 11 (4): 406-8 (1981)


5.6 Mechanism of Action

...PHARMACOLOGICAL EFFECTS OF ANTICHOLINESTERASE AGENTS ARE DUE PRIMARILY TO PREVENTION OF HYDROLYSIS OF /ACH/ ACETYLCHOLINE BY ACHE /ACETYLCHOLINESTERASE/ @ SITES OF CHOLINERGIC TRANSMISSION. TRANSMITTER THUS ACCUMULATES, AND THE ACTION OF ACH /ACETYLCHOLINE/ THAT IS LIBERATED BY CHOLINERGIC IMPULSES OR THAT LEAKS FROM THE NERVE ENDING IS ENHANCED.

Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980., p. 103


Following admin of pyridostigmine bromide to rats, erythrocyte acetylcholinesterase activity recovered only slowly due to the covalent nature of inhibition. The logarithm of the plasma concn of pyridostigmine bromide was linearly related to the increase in tibialis twitch tension due to facilitation of neuromuscular transmission.

Barber HE et al; The relationship between the pharmacokinetics, cholinesterase inhibition and facilitation of twitch tension of the quaternary ammonium anticholinesterase drugs, neostigmine, pyridostigmine, edrophonium and 3-hydroxyphenyltrimethylammonium; Br J Pharmacol 66 (4): 525-30 (1979)


Of 12 analogs of pyridostigmine prepared by reacting 2-substituted 3-pyridinols with the desired carbamoyl chloride 2-iodo-3-(dimethylcarbamoyloxy)pyridine methiodide was the most active inhibitor of acetylcholinesterase and butyrylcholinesterase. The progressive inhibition curves for AChE and BuChE are compared and related to ionic attraction and steric requirements of the inhibitors.

Millner OE Jr et al; Synthesis and enzymic evaluation of pyridostigmine analogs used to probe the active sites of acetylcholinesterase and butyrylcholinesterase; J Med Chem 17 (1): 13-8 (1974)


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Certificate Number : CEP 2008-111 - Rev 03

Status : Valid

Issue Date : 2024-05-06

Type : Chemical

Substance Number : 1255

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Certificate Number : R1-CEP 2001-348 - Rev 04

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Pyridostigmine bromide

Registration Number : 221MF10103

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Pyridostigmine bromide

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Pyridostigmine bromide

Registrant Name : Sungjin Exim Co., Ltd.

Registration Date : 2021-05-12

Registration Number : 20210512-211-J-632

Manufacturer Name : Procos SPA

Manufacturer Address : Viamatteotti 249, Cameri(Novara)28062 Italy

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A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"CENTAUR PHARMACEUTICALS PRIVATE LTD","customerCountry":"INDIA","quantity":"65.00","actualQuantity":"65","unit":"KGS","unitRateFc":"365","totalValueFC":"24059","currency":"USD","unitRateINR":"31536","date":"27-May-2025","totalValueINR":"2049840","totalValueInUsd":"24059","indian_port":"Bombay Air","hs_no":"29333916","bill_no":"2307267","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI (NO) ITALY SDNF Italy","customerAddress":"CENTAUR HOUSE, SHANTI NAGAR,"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1749061800,"product":"PYRIDOSTIGMINE BROMIDE, USP BATCH 0000423664 PYRIDOSTIGMINE BROMIDE, USP BATCH 0000423664","address":"882\/1-871, NEAR KANKAVATI ,VILLAGE-","city":"AHMEDABAD, GUJARAT","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"AMNEAL PHARMACEUTICALS PRIVATE LTD","customerCountry":"INDIA","quantity":"210.00","actualQuantity":"210","unit":"KGS","unitRateFc":"350","totalValueFC":"73906","currency":"USD","unitRateINR":"30240","date":"05-Jun-2025","totalValueINR":"6350400","totalValueInUsd":"73906","indian_port":"Ahmedabad Air","hs_no":"29333911","bill_no":"2473868","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI SDNF SDNF ITALY","customerAddress":"882\/1-871, NEAR KANKAVATI ,VILLAGE-"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1750012200,"product":"PYRIDOSTIGMINE BROMIDE PYRIDOSTIGMINE BROMIDE","address":"76, C.P.RAMASAMY ROAD,","city":"CHENNAI, TAMIL NADU","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"APEX LABORATORIES PRIVATE LTD","customerCountry":"INDIA","quantity":"165.00","actualQuantity":"165","unit":"KGS","unitRateFc":"374.1","totalValueFC":"62315.2","currency":"EURO","unitRateINR":"32451.3","date":"16-Jun-2025","totalValueINR":"5354456.25","totalValueInUsd":"62315.2","indian_port":"Madras Air","hs_no":"29333990","bill_no":"2676572","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI IT","customerAddress":"76, C.P.RAMASAMY ROAD,"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q3","strtotime":1753641000,"product":"PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 (FOC) PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 (FOC)","address":"882\/1-871, NEAR KANKAVATI ,VILLAGE-","city":"AHMEDABAD, GUJARAT","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"AMNEAL PHARMACEUTICALS PRIVATE LTD","customerCountry":"INDIA","quantity":"0.20","actualQuantity":"0.2","unit":"KGS","unitRateFc":"350","totalValueFC":"70.6","currency":"USD","unitRateINR":"30380","date":"28-Jul-2025","totalValueINR":"6076","totalValueInUsd":"70.6","indian_port":"Ahmedabad Air","hs_no":"29333990","bill_no":"3534985","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI (NO) SDNF IT","customerAddress":"882\/1-871, NEAR KANKAVATI ,VILLAGE-"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q3","strtotime":1753641000,"product":"PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 , 0000424542 (FOC)PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 , 0000424542 (FO","address":"882\/1-871, NEAR KANKAVATI ,VILLAGE-","city":"AHMEDABAD, GUJARAT","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"AMNEAL PHARMACEUTICALS PRIVATE LTD","customerCountry":"INDIA","quantity":"0.20","actualQuantity":"0.2","unit":"KGS","unitRateFc":"350","totalValueFC":"70.6","currency":"USD","unitRateINR":"30380","date":"28-Jul-2025","totalValueINR":"6076","totalValueInUsd":"70.6","indian_port":"Ahmedabad Air","hs_no":"29333990","bill_no":"3534985","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI (NO) SDNF IT","customerAddress":"882\/1-871, NEAR KANKAVATI ,VILLAGE-"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q3","strtotime":1753641000,"product":"PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 , 0000424542 PYRIDOSTIGMINE BROMIDE BATCH NO: 0000424361 , 0000424542","address":"882\/1-871, NEAR KANKAVATI ,VILLAGE-","city":"AHMEDABAD, GUJARAT","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"AMNEAL PHARMACEUTICALS PRIVATE LTD","customerCountry":"INDIA","quantity":"210.00","actualQuantity":"210","unit":"KGS","unitRateFc":"350","totalValueFC":"74126.9","currency":"USD","unitRateINR":"30380","date":"28-Jul-2025","totalValueINR":"6379800","totalValueInUsd":"74126.9","indian_port":"Ahmedabad Air","hs_no":"29333990","bill_no":"3534985","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI 249 28062 CAMERI (NO) SDNF IT","customerAddress":"882\/1-871, NEAR KANKAVATI ,VILLAGE-"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q3","strtotime":1753727400,"product":"PYRIDOSTIGMINE BROMIDE USP PYRIDOSTIGMINE BROMIDE USP","address":"ZYDUS TOWER, SARKHEJ-GANDHINAGAR","city":"AHMEDABAD\/GUJRAT","supplier":"PROCOS S P A","supplierCountry":"ITALY","foreign_port":"MILAN","customer":"ZYDUS LIFESCIENCES LTD","customerCountry":"INDIA","quantity":"366.25","actualQuantity":"366.25","unit":"KGS","unitRateFc":"390","totalValueFC":"144055.8","currency":"USD","unitRateINR":"33852","date":"29-Jul-2025","totalValueINR":"12398295","totalValueInUsd":"144055.8","indian_port":"Bombay Air","hs_no":"29333990","bill_no":"3563900","productDescription":"API","marketType":"REGULATED MARKET","country":"ITALY","selfForZScoreResived":"Pharma Grade","supplierPort":"MILAN","supplierAddress":"VIA MATTEOTTI, 249 28062 CAMERI NO ITALY Cameri, , Italy SDNF Italy","customerAddress":"ZYDUS TOWER, SARKHEJ-GANDHINAGAR"}]
29-Jan-2022
29-Jul-2025
KGS
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Average Price (USD/KGS)

Number of Transactions

Total Quantity (KGS)

Total Value (USD)

Quantity (KGS) & Unit rate (USD/KGS) over time

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API Imports and Exports

Importing Country Total Quantity
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Average Price
(USD/KGS)
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FDA Orange Book

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01

ALVOGEN

U.S.A
World Dairy Expo
Not Confirmed
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ALVOGEN

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET, EXTENDED RELEASE;ORAL

Dosage Strength : 180MG

Approval Date : 2015-06-26

Application Number : 204737

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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02

AMNEAL

U.S.A
World Dairy Expo
Not Confirmed
arrow

AMNEAL

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : SYRUP;ORAL

Dosage Strength : 60MG/5ML

Approval Date : 2020-01-10

Application Number : 212702

RX/OTC/DISCN : RX

RLD : No

TE Code : AA

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03

AMNEAL

U.S.A
World Dairy Expo
Not Confirmed
arrow

AMNEAL

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET, EXTENDED RELEASE;ORAL

Dosage Strength : 105MG

Approval Date : 2024-10-04

Application Number : 217604

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

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04

BAUSCH

Canada
World Dairy Expo
Not Confirmed
arrow

BAUSCH

Canada
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : MESTINON

Dosage Form : TABLET;ORAL

Dosage Strength : 60MG

Approval Date : 1982-01-01

Application Number : 9829

RX/OTC/DISCN : RX

RLD : Yes

TE Code : AB

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05

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET;ORAL

Dosage Strength : 60MG

Approval Date : 2002-12-26

Application Number : 40457

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

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06

IMPAX LABS

U.S.A
World Dairy Expo
Not Confirmed
arrow

IMPAX LABS

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET;ORAL

Dosage Strength : 60MG

Approval Date : 2003-04-24

Application Number : 40502

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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07

IMPAX LABS

U.S.A
World Dairy Expo
Not Confirmed
arrow

IMPAX LABS

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET;ORAL

Dosage Strength : 30MG

Approval Date : 2022-06-28

Application Number : 40502

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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08

RISING

U.S.A
World Dairy Expo
Not Confirmed
arrow

RISING

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET, EXTENDED RELEASE;ORAL

Dosage Strength : 180MG

Approval Date : 2017-08-15

Application Number : 205464

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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09

RISING

U.S.A
World Dairy Expo
Not Confirmed
arrow

RISING

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : SYRUP;ORAL

Dosage Strength : 60MG/5ML

Approval Date : 2020-01-09

Application Number : 208797

RX/OTC/DISCN : RX

RLD : No

TE Code : AA

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10

ZYDUS PHARMS

U.S.A
World Dairy Expo
Not Confirmed
arrow

ZYDUS PHARMS

U.S.A
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET;ORAL

Dosage Strength : 60MG

Approval Date : 2015-06-22

Application Number : 205650

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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Europe

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01

2Care4 Aps

Denmark
World Dairy Expo
Not Confirmed
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2Care4 Aps

Denmark
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Tablet

Dosage Strength : 10mg

Packaging :

Approval Date : 19/08/2015

Application Number : 20150227000025

Regulatory Info : Approved

Registration Country : Sweden

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02

2Care4 Aps

Denmark
World Dairy Expo
Not Confirmed
arrow

2Care4 Aps

Denmark
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Coated Tablet

Dosage Strength : 60mg

Packaging :

Approval Date : 07/08/2013

Application Number : 20121009000076

Regulatory Info : Deregistered

Registration Country : Sweden

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03

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Pyridostigmine 180Mg 50 Combined Oral Use Rp

Dosage Strength : 50 CPR 180 mg prolonged release

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Italy

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04

Medartuum Ab

Sweden
World Dairy Expo
Not Confirmed
arrow

Medartuum Ab

Sweden
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Coated Tablet

Dosage Strength : 60mg

Packaging :

Approval Date : 12/08/2015

Application Number : 20150605000067

Regulatory Info : Deregistered

Registration Country : Sweden

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05

Orifarm Ab

Denmark
World Dairy Expo
Not Confirmed
arrow

Orifarm Ab

Denmark
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Coated Tablet

Dosage Strength : 60mg

Packaging :

Approval Date : 28/04/2010

Application Number : 20091030000027

Regulatory Info : Approved

Registration Country : Sweden

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06

Orifarm Ab

Denmark
World Dairy Expo
Not Confirmed
arrow

Orifarm Ab

Denmark
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Coated Tablet

Dosage Strength : 60mg

Packaging :

Approval Date : 15/09/2004

Application Number : 20040915000027

Regulatory Info : Deregistered

Registration Country : Sweden

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07

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Coated Tablet

Dosage Strength : 60mg

Packaging :

Approval Date : 04/03/2015

Application Number : 20141015000075

Regulatory Info : Deregistered

Registration Country : Sweden

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08

Viatris Ab

U.S.A
World Dairy Expo
Not Confirmed
arrow

Viatris Ab

U.S.A
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Tablet

Dosage Strength : 10mg

Packaging :

Approval Date : 16/02/1955

Application Number : 19550216000021

Regulatory Info : Approved

Registration Country : Sweden

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09

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon

Dosage Form : Tablet

Dosage Strength : 10mg

Packaging :

Approval Date : 19/12/1953

Application Number : 19945

Regulatory Info : Allowed

Registration Country : Switzerland

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10

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine Bromide

Brand Name : Mestinon retard

Dosage Form : Tablet

Dosage Strength : 180mg

Packaging :

Approval Date : 01/09/2010

Application Number : 56387

Regulatory Info : Allowed

Registration Country : Switzerland

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Canada

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01

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : MESTINON

Dosage Form : TABLET

Dosage Strength : 60MG

Packaging : 100 TAB

Approval Date :

Application Number : 869961

Regulatory Info : Prescription

Registration Country : Canada

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02

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : MESTINON-SR

Dosage Form : TABLET (EXTENDED-RELEASE)

Dosage Strength : 180MG

Packaging : 30

Approval Date :

Application Number : 869953

Regulatory Info : Prescription

Registration Country : Canada

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03

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : JAMP PYRIDOSTIGMINE BROMIDE

Dosage Form : TABLET

Dosage Strength : 60MG

Packaging :

Approval Date :

Application Number : 2508362

Regulatory Info : Prescription

Registration Country : Canada

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04

LABORATOIRE RIVA INC.

Country
World Dairy Expo
Not Confirmed
arrow

LABORATOIRE RIVA INC.

Country
arrow
World Dairy Expo
Not Confirmed

PYRIDOSTIGMINE BROMIDE

Brand Name : RIVA-PYRIDOSTIGMINE

Dosage Form : TABLET

Dosage Strength : 60MG

Packaging :

Approval Date :

Application Number : 2495643

Regulatory Info : Prescription

Registration Country : Canada

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Australia

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01

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon

Dosage Form :

Dosage Strength :

Packaging : 50

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

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02

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon Timespan

Dosage Form :

Dosage Strength :

Packaging : 50

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

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03

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon

Dosage Form :

Dosage Strength :

Packaging : 150

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

blank

04

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon

Dosage Form :

Dosage Strength :

Packaging : 150

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

blank

05

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon Timespan

Dosage Form :

Dosage Strength :

Packaging : 50

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

blank

06

World Dairy Expo
Not Confirmed
arrow
arrow
World Dairy Expo
Not Confirmed

Pyridostigmine

Brand Name : Mestinon

Dosage Form :

Dosage Strength :

Packaging : 50

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Australia

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ABOUT THIS PAGE

Looking for 101-26-8 / Pyridostigmine API manufacturers, exporters & distributors?

Pyridostigmine manufacturers, exporters & distributors 1

85

PharmaCompass offers a list of Pyridostigmine API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Pyridostigmine manufacturer or Pyridostigmine supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Pyridostigmine manufacturer or Pyridostigmine supplier.

PharmaCompass also assists you with knowing the Pyridostigmine API Price utilized in the formulation of products. Pyridostigmine API Price is not always fixed or binding as the Pyridostigmine Price is obtained through a variety of data sources. The Pyridostigmine Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Pyridostigmine

Synonyms

101-26-8, Mestinon, Regonol, Kalimin, Kalymin, 3-(dimethylcarbamoyloxy)-1-methylpyridinium bromide

Cas Number

101-26-8

Unique Ingredient Identifier (UNII)

KVI301NA53

About Pyridostigmine

A cholinesterase inhibitor with a slightly longer duration of action than NEOSTIGMINE. It is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants.

Kalymin Manufacturers

A Kalymin manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Kalymin, including repackagers and relabelers. The FDA regulates Kalymin manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Kalymin API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Kalymin manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Kalymin Suppliers

A Kalymin supplier is an individual or a company that provides Kalymin active pharmaceutical ingredient (API) or Kalymin finished formulations upon request. The Kalymin suppliers may include Kalymin API manufacturers, exporters, distributors and traders.

click here to find a list of Kalymin suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Kalymin USDMF

A Kalymin DMF (Drug Master File) is a document detailing the whole manufacturing process of Kalymin active pharmaceutical ingredient (API) in detail. Different forms of Kalymin DMFs exist exist since differing nations have different regulations, such as Kalymin USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Kalymin DMF submitted to regulatory agencies in the US is known as a USDMF. Kalymin USDMF includes data on Kalymin's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Kalymin USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Kalymin suppliers with USDMF on PharmaCompass.

Kalymin JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The Kalymin Drug Master File in Japan (Kalymin JDMF) empowers Kalymin API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the Kalymin JDMF during the approval evaluation for pharmaceutical products. At the time of Kalymin JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of Kalymin suppliers with JDMF on PharmaCompass.

Kalymin KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a Kalymin Drug Master File in Korea (Kalymin KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of Kalymin. The MFDS reviews the Kalymin KDMF as part of the drug registration process and uses the information provided in the Kalymin KDMF to evaluate the safety and efficacy of the drug.

After submitting a Kalymin KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their Kalymin API can apply through the Korea Drug Master File (KDMF).

click here to find a list of Kalymin suppliers with KDMF on PharmaCompass.

Kalymin CEP

A Kalymin CEP of the European Pharmacopoeia monograph is often referred to as a Kalymin Certificate of Suitability (COS). The purpose of a Kalymin CEP is to show that the European Pharmacopoeia monograph adequately controls the purity of Kalymin EP produced by a given manufacturer. Suppliers of raw materials can prove the suitability of Kalymin to their clients by showing that a Kalymin CEP has been issued for it. The manufacturer submits a Kalymin CEP (COS) as part of the market authorization procedure, and it takes on the role of a Kalymin CEP holder for the record. Additionally, the data presented in the Kalymin CEP (COS) is managed confidentially and offers a centralized system acknowledged by numerous nations, exactly like the Kalymin DMF.

A Kalymin CEP (COS) is recognised by all 36 nations that make up the European Pharmacopoeia Convention. Kalymin CEPs may be accepted in nations that are not members of the Ph. Eur. at the discretion of the authorities there.

click here to find a list of Kalymin suppliers with CEP (COS) on PharmaCompass.

Kalymin NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Kalymin as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Kalymin API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Kalymin as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Kalymin and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Kalymin NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Kalymin suppliers with NDC on PharmaCompass.

Kalymin GMP

Kalymin Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Kalymin GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Kalymin GMP manufacturer or Kalymin GMP API supplier for your needs.

Kalymin CoA

A Kalymin CoA (Certificate of Analysis) is a formal document that attests to Kalymin's compliance with Kalymin specifications and serves as a tool for batch-level quality control.

Kalymin CoA mostly includes findings from lab analyses of a specific batch. For each Kalymin CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Kalymin may be tested according to a variety of international standards, such as European Pharmacopoeia (Kalymin EP), Kalymin JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Kalymin USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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