Neostigmine in Tanzania: NEMLIT level, who can prescribe it and STG references

Neostigmine is on Tanzania's National Essential Medicines List (NEMLIT, 7th edition, 2026) at levels B and C, from level B (health centre). It is not on the DukaDawa pharmacy network yet, so we show no brands or prices for it. The Standard Treatment Guidelines mention it in 2 sections.

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Is neostigmine available on the DukaDawa pharmacy network?

Not yet. Neostigmine is not in the DukaDawa network catalogue, so we have no brands, prices or stock for it.

Prescribers can still write it on a DukadawaRx prescription, and we show it here as soon as a network pharmacy lists it.

Is neostigmine on the NEMLIT, and who can prescribe it?

Yes. Neostigmine is on Tanzania's National Essential Medicines List (NEMLIT, 7th edition, 2026) at levels B and C, from level B (health centre). At level B it may be prescribed by specialists, medical officers, dental officers, assistant medical officers and clinical officers.

Level
B (health centre), C (council or district hospital)
Category
Muscle Relaxants and Cholinesterase Inhibitors (Anaesthetics, Preoperative Medicines and Medical Gases)
Listed forms
Injection (hydrochloride or hydrogen tartarate),1mg/mL in 1ml, 2.5mg/mL in 1mL ampoule; Injection: 500microgram in 1mL ampoule; 2.5 (metilsulfate) in 1mL ampoule
Page
NEMLIT, p. 4
Who may prescribe at each NEMLIT level (STG/NEMLIT 7th edition, Part I, Table 1). Levels listed for this medicine are highlighted.
LevelFacilityWho may prescribe
ADispensarySpecialist, Medical Officer, Dental Officer, Assistant Medical Officer, Clinical Officer, Assistant Clinical Officer
B (listed)Health centreSpecialist, Medical Officer, Dental Officer, Assistant Medical Officer, Clinical Officer
C (listed)Council or district hospitalSpecialist, Medical Officer, Dental Officer, Assistant Medical Officer
DRegional referral hospitalSpecialist, Medical Officer, Dental Officer
SZonal, special and national hospitalsSpecialist

A medicine is listed from the lowest facility level where it should be available.

Where is neostigmine in the Standard Treatment Guidelines?

The Standard Treatment Guidelines (7th edition, 2026) mention neostigmine in 2 sections, most often section 2.1.3 Anaesthesia > Neuromuscular Blocking Drugs (NMBD) (p. 59). See the STG for treatment details.

  • 2.1.3 Anaesthesia > Neuromuscular Blocking Drugs (NMBD), p. 59
  • 4.3.3 Protozoa and Others > Snake Bites, p. 120

Sections that mention Neostigmine, most mentions first. Positions only: see the STG for treatment details.

All muscle relaxants and cholinesterase inhibitors on the NEMLIT

Sources

  • Standard Treatment Guidelines and National Essential Medicines List (STG/NEMLIT), 7th edition, 2026, Ministry of Health, United Republic of Tanzania

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STG positions are section numbers and printed page numbers only.

This page supports licensed prescribers and pharmacists. It is not medical advice and does not replace the Standard Treatment Guidelines, the product information or professional judgement. Prices and stock change often: confirm with the pharmacy.

For licensed prescribers and pharmacists. Not medical advice. Check the Standard Treatment Guidelines before prescribing.