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Meds for ocular myasthenia gravis

I developed double vision and a droopy eyelid direction after my 2nd cataract surgery. It took 7 months and 5 providers later to diagnose my ocular mg (no other generalized mg symptoms). I started almost 3 months ago with 60 mg of pyridostigmine 3x a day and am now taking 180mg 4 x a day + 1 mg daily of Glycopyrrolate. Although this helped with double vision I still had blurriness and dizziness. Ten days ago the dr. added 20 mg of prednisone daily, which so far I have not seen any significant improvement. I see the dr tomorrow to see if I go on strictly higher dose prednisone or begin injections or infusions of immunosuppressants. I’m happy to read that the pyridostigmine is helping so my people; unfortunately not for me.

  1. I take it also never new this Neurologist never told me , I sure will check into it thanks.

    1. Ask your neuro to treat your diarrhea with something else, I'm sure there's a lot out there and it doesn't have to be prescription. Mestinon is great but terrible for that problem. I ended up taking Huperzine A as an alternative, work similar to mestinon with less side effects.

      1. I also have ocular MG diagnosed in 8/24. Taking 90mg mestinon 3x’s per day. Was at a higher dose, but g.i. Side effects were not worth it. Plus, it does nothing for double vision. Started ivig infusions in January. I have had 2 rounds of 3 infusion days. So far, infusions are not working & double vision persists. In fact my “good” eye has started to droop. Very discouraging. Have others had experience with ivig & how long til some positive results occurred?
        Next step for me is likely vyzulta. Cannot take prednisone due to severe glaucoma.

        1. I have ocular MG, prednisone is the only thing that works for me. Started at 60mg and was able to drop down to 1.5mg.

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