Questions?Call us at +1 (408) 668-1880
Treatments/Pyridostigmine
Pyridostigmine

Boost your energy, exercise without pain, and reduce heart racing

Get a safe and clinician approved prescription for Pyridostigmine.

Only pay if your prescription is approved

How does it work?

Access to medications as easy as 1-2-3

Step 1Step 1
Fill out a condition assessment.
Share your symptoms, current conditions, allergies and complete a health assessment.
Step 2Step 2
Our clinicians will review your health profile.
An expert clinician from RTHM’s provider team will review your case and prescribe if appropriate.

Pay zero fees if you're not approved.

Step 3Step 3
Get approved and pick up your prescription.
Pick up and pay for the prescribed treatments at your pharmacy. Start your treatment in as early as 1 business day.

Affordable Access to Pyridostigmine

RTHM Direct
Online assessment fee for prescription
Only pay if prescription is approved
$59
Pharmacy Cost
Estimated 90 day supply price
you pay at pharmacy
$30
Estimated Total for 90 days
With the CareCard
discount
$89

Key Benefits

Stabilize Your Heart Rate
Pyridostigmine helps to alleviate a rapid heart rate that occurs when standing, promoting stability for those experiencing autonomic dysfunction.
Improve Exercise Tolerance
By regulating the autonomic nervous system, pyridostigmine may enhance exercise capacity and neurovascular dysregulation, helping you regain physical activity.
Improves Orthostatic Hypotension (OH)
By enhancing nerve transmission, pyridostigmine improved standing blood pressure in patients with OH, without raising blood pressure while laying down.

Is Pyridostigmine right for me?

Pyridostigmine is particularly effective for:

  • Orthostatic intolerance
  • Fatigue and exercise intolerance
  • Post-exertional malaise
  • Dizziness and syncope

Patients with POTS, Long COVID, and ME/CFS experiencing these symptoms may benefit from pyridostigmine as it addresses underlying autonomic dysfunction.

What Does the Research Say?

What are patients saying about Pyridostigmine?

Roughly 70% of patients reported that pyridostigmine was at least somewhat effective for POTS.
stuffthatworks.health
I've tried many drugs for my POTS/Dysautonomia with no success, but Mestinon is really helping me. I'm able to function more, and my fatigue is reduced. It sometimes has a side effect of extreme perspiration, but I can manage. It has been a game changer for me.
Chrdrugs.com
Pyridostigmine is way better for me. Propranolol helped somewhat with POTS but made the fatigue worse, and didn't do much for the fight or flight. Pyridostigmine doesn't cross the blood brain barrier though, it helps with POTS and shifting the body to a parasympathetic state but it's unlikely to help with sound/light sensitivity, brain fog, etc.
wyundsrreddit.com
It's been a life saver for me. I've been on it almost two years now….I find mestinon really helpful for blood pooling, fatigue and brain fog. It was a game changer in allowing me to be upright again.
Treadwell2022reddit.com

Safety Is Our Top Priority

llene S. Ruhoy

llene S. Ruhoy

MD, PhD, Neurologist

Sarah Almilli

Sarah Almilli

PharmD, APh., IA, Clinical Pharmacist

Stuart Malcolm

Stuart Malcolm

MD, Internist

Jennifer Curtin

Jennifer Curtin

MD, Internist

1. All treatments, including pyridostigmine, are carefully reviewed by RTHM clinicians and pharmacists.

2. We use dosing protocols designed to minimize side effects and ensure safe use.

3. Comprehensive treatment guides are vetted by our expert clinical team.

As you navigate your health journey, we're here to provide safe and effective care.