Hameed A, Charles T J
Glan Clwyd Hospital, Bodelwyddan, Wales.
Br J Clin Pract. 1994 Mar-Apr;48(2):103-4.
Distigmine bromide is a long-acting anticholinesterase, available for the treatment of postoperative urinary retention. Its effectiveness is unproven and administration may be hazardous. We describe a case in which oral distigmine bromide was used for postoperative retention, resulting in a potentially life-threatening 'cholinergic crisis'. We review the literature and conclude that the use of oral distigmine bromide in postoperative urinary retention is not justified.
