Pyridostigmine [peer-id-oh-STIG-meen] and ambenomium [am-be-NOE-mee-um] are other cholinesterase inhibitors that are used in the chronic management of myasthenia gravis. Their durations of action are intermediate (3 to 6 hours and 4 to 8 hours, respectively), but longer than that of neostigmine. Adverse effects of these agents are similar to those of neostigmine.

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