Neostigmine metilsulfate vs Pyridostigmine bromide
National NHS prescribing compared (Prescription Cost Analysis)
Pyridostigmine bromide was dispensed 1,976.3× as often as Neostigmine metilsulfate in February 2026 — 7,905 items versus 4 in England.
4items
Neostigmine metilsulfate · February 2026
NHSBSA Prescription Cost Analysis
7,905items
Pyridostigmine bromide · February 2026
NHSBSA Prescription Cost Analysis
Figure 1. Neostigmine metilsulfate versus Pyridostigmine bromide: national items dispensed by month
▬ Neostigmine metilsulfate · ╌ Pyridostigmine bromide
Source: NHSBSA Prescription Cost Analysis, to February 2026
| Measure | Neostigmine metilsulfate | Pyridostigmine bromide |
|---|---|---|
| Items, February 2026 | 4 | 7,905 |
| Items, last 12 months | 19 | 90,341 |
| Net ingredient cost, February 2026 | £156 | £164,274 |
See the full profile for Neostigmine metilsulfate or Pyridostigmine bromide.