Mefloquine and Pyridostigmine interaction

Mefloquine and Pyridostigmine: the Pyridostigmine prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Pyridostigmine (Pyridostigmine bromide) label · effective 2026-05-13

Moderate

Mefloquine: Additive effect on gastrointestinal tract and atrial rate.

Drug interactionsnames MefloquineView label on DailyMed
Moderate

Mefloquine Concomitant use of mefloquine and pyridostigmine bromide may have additive effects on the gastrointestinal tract, the most common of which is loose bowels.

Drug interactionsnames MefloquineView label on DailyMed
Moderate

Additive effects on the atrial rate may also occur with concomitant use of mefloquine and pyridostigmine bromide.

Drug interactionsnames MefloquineView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.