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Get emergency medical help if you have any of these signs of an allergic reactionhivesdifficulty breathingswelling of your facelipstongueor throat.

DosageThe size and frequency of the dosage must be adjusted to the needs of the individual patient.

Tell your doctor right away if you have any serious side effectsincludingnew or increased muscle cramps/weakness/twitchingslow heartbeatdizziness.

Mestinon is a cholinesterase inhibitor that reversibly inhibits the esterase enzyme that is responsible for breaking down acetylcholinea neurotransmitter that transmits nerve signals to the musclesresulting in increased levels as well as duration of the acetylcholine activity.

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