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Real members of MGteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 1, 2025
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A MGteam Member

I think doses are all related to symptoms. There is no set dose, at new diagnosis I think they are trying to get the symptoms under control and then dosages can go up or down. I took very large doses of Prednisone to get things under control for me in the beginning and my dose was constantly going up and down. Mestinon did not work at all, but I also have Musk MG. I have been in total remission now for 5 years, so there is hope!

July 1, 2025
A MGteam Member

I started on Mestinon right after my initial postive diagnosis in 2022, and since then dosage has varied between a high of 180 mg/day, to my current dosage of 25 mg twice a day.

July 1, 2025
MGteam

Medication dosages for myasthenia gravis are highly individualized based on symptom severity and how they interfere with quality of life. For prednisone and other corticosteroids, doctors carefully balance effectiveness against potential side effects like:

- Weight gain
- High blood pressure
- Changes in blood sugar
- Show Full Answer

Medication dosages for myasthenia gravis are highly individualized based on symptom severity and how they interfere with quality of life. For prednisone and other corticosteroids, doctors carefully balance effectiveness against potential side effects like:

- Weight gain
- High blood pressure
- Changes in blood sugar
- Increased cholesterol levels
- Eye problems like cataracts or glaucoma For medications like Mestinon (pyridostigmine), timing is crucial. The recommendation is to take meals about an hour after medication for optimal muscle function. Work with your healthcare provider to:

- Find your optimal dosage
- Time medications around your energy levels
- Consider your lifestyle and medication preferences
- Monitor and adjust based on symptom control

Remember that morning strength is often better than evening strength for many people with MG, which may affect medication scheduling.

July 1, 2025
A MGteam Member

If you're having problems with the dosage talk to your doctor first. Send a message to the office or something like that.
I take mine in the morning before breakfast and in the evening before or after dinner
But never at bed time. It works best during the time you're active.

July 12, 2025
A MGteam Member

Follow Doctors orders! Myasthenia Gravis is the snowflake disease. It doesn't affect any two people the same way. The medications are similar different doses for different people.

July 1, 2025

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