Why is neostigmine used with anticholinergic?

Answer 1

Neostigmine is a potent cholenergic which if given alone can cause a sever cholinergic crisis. the symptoms are usually described as SLUD BB M

Salivation

Lacrimation

Urination

Deification

Bradycardia

Bronchoconstriction

Miosis

If given with a anticholinergic like glycopyrolate, those actions are blocked and the only real action left is neostigmines' ability to block acetylcholinesterase which will allow acetylcholine to build up and allow muscles to work or

function better (stronger)