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A MGteam Member asked a question 💭
Wilmington, NC

Hello fine folks in the MG group! I just wanted to share that I have been finally diagnosed after a year and a half of CT Scans, MRI's, and neurologists visits. I am experiencing only ocular MG with both diplopia and ptosis. An EMG finally showed the MG. Was an interesting ride to say the least. I am happy to have this wonderful group to connect with.

I was wondering: My neurologist has started me on prednisone (40 mg a day) and I was wondering if any of you that have been prescribed this have… read more

December 8, 2025
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Answer Summary

Members warmly welcomed Kevin after his ocular myasthenia gravis diagnosis and shared their varied experiences with prednisone, with many... Read more

Members warmly welcomed Kevin after his ocular myasthenia gravis diagnosis and shared their varied experiences with prednisone, with many reporting that it effectively resolved double vision and ptosis within days to weeks, though some experienced side effects like weight gain, moon face, elevated blood sugar, insomnia, and mood changes. Several members described the typical treatment approach of starting with high-dose steroids alongside medications like Mestinon, CellCept, or Azathioprine, then slowly tapering the prednisone over months or years while transitioning to longer-term immunosuppressants, with one inspiring member sharing that low-dose prednisone helped maintain remission for over 30 years. A recurring theme was the importance of working closely with a neurologist to find the right medication balance, advocating for bone-protecting medications like Fosamax when on long-term steroids, and holding onto hope that symptoms can be managed and even achieve remission with patience and the right treatment plan.

A MGteam Member

WOW!!! Thank you so much, Kay. Your words were music to my ears. I feel the same way about the steroids and I think I am engaging them in a healthy relationship. 😁. I am going to meet with my Doctor soon and sort of speak with her about just what you are and have experienced. I am in the process of taking mycophenolate with the steroids and slowly titrating down on the steroids. I haven't had any negative side effects of the steroids. I am currently on 20 mg a day and titrating down as in next month I will go down to 10mg and then eventually 0---BUT--I think will ask my doctor if I can stay on the lowest dose of prednisone possible that will still keep the symptoms at bay and maybe try to get off of the mycophenolate. I too wish you all the continued healing on your profound journey.

March 19
A MGteam Member

Good luck on your journey my good man.

March 18
A MGteam Member

Thank you so much for your response. I always get a little worried that releasing the prednisone will mean the symptoms will reappear. Hoping the Cellcept will keep them at bay as the prednisone has. Happy that you have experienced the same positive results of this treatment journey.

March 18
A MGteam Member

My neurologist at the time introduced prednisone along side the other meds I was taking. When it got to 40 mg I could no longer tolerate that amount with the side effects, couldn't sleep, no more caffeine, depression, and weight gain. They tapered me off at my assistance and I felt better & mg did not get extremely worse. Today with a new medical team & new treatment the doctor will give me small doses to assist the others when I start to flare. Each person and their treatment. Is different. ( Was in the hospital a few times with flares and they need to get me out of the , I understood the need for that medication)

December 9, 2025
A MGteam Member

My neurologist started me on 60mg prednisone, I noticed a change for about a week then symptoms started coming back and other medications were added as well. The side effects for me weren’t that bad I did get the moon face that happens with prednisone and some weight gain but that was about it. It has taken my neurologist almost 3 years to find something to get me close to stable. I did experience my first MG crisis within the first year and a half of being diagnosed and mine was a pretty bad one that had other non MG related complications come in to play as well so left me in the hospital for 4 months. Hope your neurologist can get you headed in the right direction soon.

December 8, 2025

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