What was the first treatment your doctor prescribed for MG?

When I was first diagnosed, I received a 5 day course of IVIG. I would also take Pyridostigmine 3x daily and Neostigmine 3x daily.

Now, I get IVIG every 3 weeks, Rituxan every 6 months, and Mestinon 4x daily.

For me, a 5 day round of IVIG followed by prednisone (I think it was 60mg a day), mestinon (I forget exactly how much I was taking per day), and CellCept (2000mg/day). Got my symptoms under control to where I stopped the mestinon 8 months later, had a thymectomy 11 months after my first crisis and diagnosis. Since then I weaned off the other meds one by one over the next 3 years after my thymectomy and just last month finished the weaning period of CellCept. So far no flare of symptoms 😀

Upon diagnosis of MG, my PCP prescribed 20 mg per day of prednisone until I could see a neurologist. It actually made my muscle weakness worse, to the point of having to go the the ER because I could barely walk. After consultation with a neurologist (telemed in ER), I was immediately hospitalized for three days of IVIG infusions. While in hospital, my neurologist put me on pyridostigmine as well as continuing the prednisone. I was much better when released from the hospital. Prednisone often has that effect on MG before it works positively to control the MG.

Prednisone