I have given some more thought to why mestinon isn't working for you or anyone.
I read. About how to store mestinon.
It has to be kept in a cool, dark place in its original packaging.
When I started mestinon again last year because I complained it didn't work. I read up on contraindications and that's when I learned this one true thing.
I had been keeping it on my bedside table in a pill holder.
Now I keep it in the drawer in its original container from the pharmacy. And just like that problem solved.
The nurse practioner for my neurologist said I should see results in a couple hours. She was right and 2 weeks later I didn't have anymore bilateral shoulder pain. And fewer headaches.
mestinon causes foot cramps,
For me at night when I go to bed.
Fyi: foot cramps are real with mestinon.
Doc lowered my dosage and I take a shot of pickle juice when i get any type of muscle cramps.👍🏾😉😎
Stay hopeful

Wishing everyone, no matter where you are a very Happy Thanksgiving.
Enjoy the day with your Family.

Hi Joe 3
I am glad you were able to get your medication under control and you are starting to feel better.
Continue to Take One Day At A Time and Make It Count.
God Bless You and Keep You Safe and Healthy.
HUGS

I was up to two 60 mg tabs four times a day, but the side effects were unmanageable for me. My neurologist knocked it down to one tab three times a day plus a monthly infusion. Works much better.

I take it 3 times a day. My neurologist told me I can go to 4-5 times a day if my symptoms persist. I only have to go to this higher amount when I am sick.