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Independent analysis of NHS open data
PharmaInsight

Pyridostigmine bromide

Musculoskeletal and Joint Diseases Drugs used in neuromuscular disorders BNF 1002010Q0
Data updated April 2026 Download CSV

Pyridostigmine bromide was ranked 533rd of 1,792 medicines by items in April 2026, with 7,789 items, up 9.9% on a year earlier.

7,789items +9.9%

Dispensed in April 2026

83,674items

Rolling 12 months

£166,444

Net ingredient cost · April 2026

Figure 1. Pyridostigmine bromide: national items dispensed by month

0 4k 8k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 Apr 2026 7,789 Jan 2021: 6k Feb 2021: 5k Mar 2021: 6k Apr 2021: 6k May 2021: 6k Jun 2021: 6k Jul 2021: 6k Aug 2021: 6k Sep 2021: 6k Oct 2021: 6k Nov 2021: 6k Dec 2021: 7k Jan 2022: 6k Feb 2022: 6k Mar 2022: 7k Apr 2022: 6k May 2022: 6k Jun 2022: 6k Jul 2022: 6k Aug 2022: 7k Sep 2022: 7k Oct 2022: 6k Nov 2022: 7k Dec 2022: 7k Jan 2023: 6k Feb 2023: 6k Mar 2023: 7k Apr 2023: 6k May 2023: 6k Jun 2023: 7k Jul 2023: 8k Aug 2023: 7k Sep 2023: 7k Oct 2023: 7k Nov 2023: 7k Dec 2023: 7k Jan 2024: 7k Feb 2024: 7k Mar 2024: 7k Apr 2024: 7k May 2024: 7k Jun 2024: 7k Jul 2024: 7k Aug 2024: 7k Sep 2024: 7k Oct 2024: 8k Nov 2024: 7k Dec 2024: 7k Jan 2025: 7k Feb 2025: 7k Mar 2025: 7k Apr 2025: 7k May 2025: 7k Jun 2025: 7k Jul 2025: 8k Aug 2025: 7k Sep 2025: 8k Oct 2025: 8k Nov 2025: 7k Dec 2025: 8k Jan 2026: 8k Feb 2026: 7k Mar 2026: 8k Apr 2026: 8k

Source: NHSBSA Prescription Cost Analysis, to April 2026

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At a glance

  • Therapeutic class Drugs used in neuromuscular disorders
  • Presentations 11 shown
  • Average cost / item £21.37
  • Year on year Up 9.9% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, April 2026

The individual products dispensed under Pyridostigmine bromide this month.

Presentations of Pyridostigmine bromide, April 2026
Presentation BNF code Items Net ingredient cost
Pyridostigmine bromide 60mg tablets 1002010Q0AAABAB 7,336 £122,126
Mestinon 60mg tablets 1002010Q0BBAAAB 326 £16,861
Pyridostigmine bromide 12mg/1ml oral solution sugar free 1002010Q0AABLBL 84 £19,722
Pyridostigmine bromide 20mg/5ml oral suspension 1002010Q0AABGBG 26 £1,550
Pyridostigmine bromide 30mg/5ml oral suspension 1002010Q0AABHBH 5 £233
Pyridostigmine bromide 60mg/5ml oral suspension 1002010Q0AABIBI 3 £3,476
Pyridostigmine bromide 50mg/5ml oral suspension 1002010Q0AABJBJ 3 £1,191
Pyridostigmine bromide 180mg modified-release tablets 1002010Q0AABKBK 3 £779
Pyridostigmine bromide 10mg tablets 1002010Q0AAAWAW 1 £38
Pyridostigmine bromide 60mg/5ml oral solution 1002010Q0AABFBF 1 £329
Mestinon retard 180mg tablets 1002010Q0BBACBK 1 £139

Source: NHSBSA Prescription Cost Analysis · to April 2026 OGL v3.0

Where Pyridostigmine bromide is dispensed

The regions and dispensing practices with the highest Pyridostigmine bromide volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Pyridostigmine bromide with

Other medicines in the same BNF section, by prescribing volume.