What GRAVITOR SR 180MG is used for?

• GRAVITOR SR 180MG is used treat patients who suffer from myasthenia gravis where muscles quickly become tired and weak and, in severe cases, the muscles may become paralysed
• GRAVITOR SR 180MG is also used to treat some rare forms of constipation (paralytic ileus) and inability to pass urine after an operation

Tell your doctor if you are taking or have recently taken any of the following medicines as they may interfere with GRAVITOR SR 180MG:

• medicines known as steroids or other immunosuppressant medicines
• medicines known as antimuscarinics (e.g. atropine, hyoscine)
• medicines containing methylcellulose
• antibiotics
• medicines to treat an irregular heart beat
• other medicines that interfere with transmission between nerves and muscles
• pancuronium, vencuronium
• other muscle relaxants (e.g. suxamethonium)

• Swallow the tablets with water or another nonalcoholic drink
• If you have difficulty swallowing, you can break the tablets into pieces
• You should check with your doctor if you are not sure how to take GRAVITOR SR 180MG
• The dose will depend on your illness, your needs and on your age as

For myasthenia gravis:

• The usual adult dose is 1/2 to 2 tablets (30 to 120 mg Mestinon) to be taken five to six times daily, or higher doses if needed, as recommended by your doctor
• For children under 6 years, the usual dose is 1/2 a tablet (30 mg). For children aged 6 to 12 years, the usual starting dose is 1 tablet (60mg)
• The doctor will then gradually increase the dose until maximum improvement is seen. In children the total dose per day is usually 30 to 360 mg
• The tablets take 30 to 60 minutes to start working after you have taken them
• The effect of each dose should last about four hours during the day and about six hours at night
• You should try to take your medicine so that it can work when your muscles are needed most, for example, when you get up and about 30 to 60 minutes before a meal

For paralytic ileus (constipation) and

Post-operative inability to pass urine:

• The usual adult dose is 1 to 4 tablets (60 to 240 mg Mestinon) daily and for children 1/4 to 1 tablet (15 to 60 mg) daily, depending on the needs of the patient

If you take more GRAVITOR SR 180MG

• If you take too many tablets or someone else accidentally takes your medicine, contact your doctor or nearest hospital straight away

If you forget to take GRAVITOR SR 180MG

• If you forget to take one of your daily doses, take it as soon as you remember, and take the next dose at the normal time
• Do not take a double dose to make up for a forgotten dose. If you miss more than a single dose, you should contact your doctor for advice

If you stop taking GRAVITOR SR 180MG

• Do not stop taking GRAVITOR SR 180MG unless your doctor advice you to do so