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Independent analysis of NHS open data
PharmaInsight

Neostigmine bromide vs Pyridostigmine bromide

National NHS prescribing compared (Prescription Cost Analysis)
Data updated February 2026

Pyridostigmine bromide was dispensed 8,110.0× as often as Neostigmine bromide in February 2026 — 8,110 items versus 1 in England.

1items

Neostigmine bromide · February 2026

NHSBSA Prescription Cost Analysis

8,110items

Pyridostigmine bromide · February 2026

NHSBSA Prescription Cost Analysis

Figure 1. Neostigmine bromide versus Pyridostigmine bromide: national items dispensed by month

▬ Neostigmine bromide   ·   ╌ Pyridostigmine bromide

0 4k 8k Jan 2021 Mar 2021 May 2021 Aug 2021 Feb 2026 Pyridostigmine b… 1 Jan 2021: 14 Feb 2021: 9 Mar 2021: 2 Apr 2021: 1 May 2021: 1 Jul 2021: 3 Aug 2021: 1 Sep 2021: 1 Feb 2026: 1

Source: NHSBSA Prescription Cost Analysis, to February 2026

Neostigmine bromide versus Pyridostigmine bromide, February 2026
Measure Neostigmine bromide Pyridostigmine bromide
Items, February 2026 1 8,110
Items, last 12 months 33 92,199
Net ingredient cost, February 2026 £140 £175,489

See the full profile for Neostigmine bromide or Pyridostigmine bromide.