For illustration purposes only. Actual size and appearance may vary.

Pyridostigmine Bromide Oral Liquid

Prescription required.

Specify custom quantity (include units)
I'm not sure what strength, quantity and/or flavor options I need and would like my clinic to confirm before prescribing.
In stockFree shipping or pickup available

About this product.

Pyridostigmine Bromide Oral Liquid

  • Pyridostigmine is a medication used to treat muscle weakness in animals suffering from myasthenia gravis, a disorder that affects the nervous system and muscles.
  • The side effects that are commonly seen but not serious are:
  • Gastrointestinal issues such as nausea, vomiting and diarrhea, excessive drooling, constricted pupils, tearing eyes, muscle weakness and cramping. If you observe any of these symptoms, reach out to your veterinarian.
  • It is important to adjust the dosage to minimize side effects, If you experience any side effects, inform your veterinarian promptly.
  • This medication can be administered either with or without food, however, it should be given in the same manner consistently every time.

Directions for administration.

  • Solutions do not need to be shaken before use.
  • Suspensions need to be re-suspended before each use. Re-suspend by shaking the medication thoroughly for at least 15 seconds. 
  • Check the inside bottom of your bottle for an unwanted build-up called “caking.” This can be done by holding the bottle upside down (while it is still capped) and shining a bright light on the bottom of the bottle. If any solid matter remains at the bottom of your bottle after shaking takes place, caking has occurred. 
  • Caking can be remedied by running the outside of the medication bottle under some warm to hot water for 30-60 seconds. Then, shake the medication vigorously. The particles of drug caked at the bottom of the bottle should re-disperse.

Using the syringe.

  • Remove the cap from the syringe and insert the tip of the syringe into the self sealing hole in the center of the opening of the neck of the bottle.
  • With the syringe inserted, invert the bottle and slowly draw out the prescribed amount of medication. 
  • Hold your pet’s head steady and gently open their mouth.
  • Slowly insert the tip of the syringe into the side of your pet’s mouth. Aim the tip of the syringe towards the back of their throat. Avoid inserting the syringe into the center of their mouth, as this can cause them to gag.
  • Steadily push the plunger towards the tip of the syringe to administer the medication.

Medication storage.

  • Oral liquid medications should be kept in an airtight container, protected from light.
  • Store your oral liquid medications upright. Avoid storing oral liquid medications on their side.
  • Generally speaking, aqueous oral liquids, or oral liquids containing water, should be stored in the refrigerator.
  • Oral liquids made with oil should be stored at a controlled room temperature.
  • To determine if your oral liquid contains water or oil, reference the prescription label. The term “AQ” or “OIL” will be found immediately after the drug name in parentheses. 
  • It is very important to know that storage requirements vary on a drug-by-drug basis. Please reference and follow the specific storage recommendations for each individual drug. These recommendations can be found on the prescription label or auxiliary label affixed to the prescription bottle.

How do I request a refill of my medication?

There are three ways to refill your prescription at Northwest Compounders:

  • Call the pharmacy at 503-352-3811 and press “0” to speak with any staff member. We will be happy to assist you with your refill request.
  • You may also call the pharmacy at 503-352-3811 and press “2” to leave a voicemail requesting a refill. We will call you when your order is complete to let you know that it is ready for pick up or that we are shipping it out (per patient preference).
  • Finally, you can request a refill online.

Can my order be shipped?

Northwest Compounders offers free shipping on every order. 

Can my order be shipped to me in a different state?

Northwest Compounders is currently licensed in and can ship medications to OR, WA,ID, AK, WY, NM, CO, UT, ND, AZ, MT, SD, HI, MN, IL, IA, MO, NE, LA, WI, and FL. Northwest Compounders has licenses pending approval in CA, ND, NC, SC, FL, IN, GA, and TX, and will be able to ship into these states soon.

How long will it take for my order to arrive?

Please allow a period of 1 to 3 business days from the time it was ordered for your medication to be delivered. Orders placed at 4:30pm or later may take up to 4 business days to arrive in rare circumstances.

I left my medication out of the fridge accidentally, is it still okay to use?

Most of our liquid medications are stored refrigerated for flavor purposes only. If your bottle is labeled with an auxiliary label that says “may refrigerate,” refrigeration is not required for stability. If your bottle is labeled with an auxiliary label that says “refrigerate,” it is best to call the pharmacy at 503-352-3811 to confirm stability after a period of unrefrigerated storage.

What is the proper way to dispose of unwanted medication?

  • Unwanted and unused drugs may be dropped at some police and sheriff stations.
  • Unwanted medications may also be brought to a hazardous waste facility or collection event in your area.
  • If you must dispose of the medication at home, the best way to do so is to fill a ziplock bag with kitty litter or coffee grounds and dump the medication into the ziplock bag. The ziplock bag containing the grounds/litter and medication can then be disposed of in your regular garbage.
  • If you have non-expired medication that you no longer need, you may be able to donate it to a veterinary clinic. It is best to check with the clinic beforehand to see if they are able to accept your donation. 

Is it possible to return an unused compounded medication for a refund?

Due to the custom-made nature of compounded medications, we are unable to accept returns and cannot offer refunds on medications once compounding has been performed.

How can we help you?

We’re here to answer any questions.

William Kenward, CPhT

project manager

Team member since 2015

Chris Gralian, CPhT

Quality Control Lead

Team member since 2019

Rose Hood, CPhT

Quality Control Lead

Team member since 2016

Matthew Peterson, CPhT

Quality Control Lead

Team member since 2016

Helen Dubintsov, CPhT

Quality Control Lead

Team member since 2016

Shannon Kimball, PharmD

Compounding Pharmacist

Doctor of Pharmacy, Pacific University 2022

B.S. Biohealth Science, Oregon State University 2019

Team member since 2018

Mark Liu, PharmD

Compounding Pharmacist

Doctor of Pharmacy, Oregon State University 2005

BA Biology, Reed College 1998

12 years of retail experience

Team member since January 2017

Jill Snyder, RPh

Compounding Pharmacist

B.S. Pharm. 1994 Oregon State University

5 years of retail pharmacy experience

17 years of long-term care experience

Certificate in Veterinary Pharmacy, 2016

Team member since May 2016

Scott Williams, RPh

Compounding Pharmacist

B.S. Pharm. 1992 Oregon State University

24 years of experience in Retail Pharmacy

Team member since November 2015

Certificates in CPR, Diabetes Management, Immunization, Cholesterol Management and Medication Therapy Management

Bob Templin, RPh

Director of Training

B.S. Pharm. 1976 Oregon State University

Certificate in Veterinary Pharmacy, 2019

Over 37 years of pharmacy experience

Over 33 years as a Pharmacy Manager

Team member since February 2013

Megan Gustafson, PharmD

Director of Training

Doctor of Pharmacy, Oregon State University 2021

B.S. Bio-Health Sciences, Oregon State University 2017

Team member since 2016

Sam Llona, PharmD

Director of Sterile Operations

Doctor of Pharmacy, Creighton University 2019

B.S. Biology, Santa Clara University

Certificate in Aseptic Compounding, PCCA 2014

Certificate in Human Compounding, PCCA, 2016

Certificate in Veterinary Compounding, PCCA, 2017

Team member since September 2019

Vivian Pham, PharmD

Senior Operations Manager,
Director of Accounting

Doctor of Pharmacy, Oregon State University 2016

Has worked as a technician, bookkeeper, pharmacy intern and now pharmacist for Northwest Compounders

Team member since May 2008

Jessie Vo, PharmD

Pharmacy Manager,
Director of Quality Assurance

Doctor of Pharmacy, Pacific University 2011

Preceptor for Pacific University SOP, Oregon State SOP

Team member since January 2006

Luke Eilers, PharmD

Chief Executive Officer

Doctor of Pharmacy, Pacific University 2014

B.S. General Science, Oregon State University 2011

Certificate in Veterinary Pharmacy, 2018

Certificate in Basic Compounding, PCCA 2014

Certificate in Aseptic Compounding, PCCA 2014

Preceptor for Pacific University SOP, Oregon State SOP

Team member since October 2005

Tom Eilers, RPh

Founder, Chairman

B.S. Pharm. 1976 Oregon State University

Founder, Northwest Compounders 2005

Member, International Academy of Compounding Pharmacists

Member, PCCA (Professional Compounding Centers of America)

Certificate in Basic Compounding Techniques, PCCA, 2001

Certificate in Aseptic Compounding, PCCA 2005

Preceptor for Pacific University SOP, Oregon State SOP, Washington State SOP

Filter products by drug name.