When you say it causes MG symptoms, which symptoms? Are they happening immediately after taking the mestinon, or how long after? Some side effects of mestinon can also mimic MG symptoms.
The kidneys are responsible for clearing pyridostigmine (Mestinon) out of the body, so I would have them checked for proper functioning.
Are you on any other MG treatments, such as immunotherapy? Typically this is the next treatment step when mestinon stops doing the job. Or to increase the mestinon dose. I am unfamiliar with mestinon stop having an effect, but it could be the progression of your MG.
- Jodi, Team Member