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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.
A MGteam Member asked a question 💭
New Braunfels, TX

I was just diagnosed with MG. I started seeing double vision back in August. I started taking Pyridostigmine this week. I am getting some relief. Does it get any better after taking the meds longer term, or basically after a few days, it is the best the vision will get? Will an increase in dosage make it better.

December 14, 2025
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A MGteam Member

I noticed my eyes got better and a lot of my other symptoms when they added prednisone the steroid I’ve been on it now for maybe a month and a half. The issue is it’s increasing my blood glucose level way too high so they’re gradually decreasing it down and at the same time replacing it with CellCept. I still take the other 60 mg pill six times a day. My only issue I have right now is weakness some days I got energy other days none.

December 15, 2025
A MGteam Member

Hi George, for myself, the pyridostigmine worked within 30 min, I started taking 60mg 3x daily since July 2025, my droopy eye & double vision has not returned. I believe everyone's experience is different, for me it's working.

December 15, 2025
MGteam

How does pyridostigmine help with double vision over time?

It's encouraging that you're already getting some relief! Pyridostigmine works by improving communication between nerves and muscles, which helps reduce muscle weakness around the eyes.

While you may notice initial improvement within days, your response can Show Full Answer

How does pyridostigmine help with double vision over time?

It's encouraging that you're already getting some relief! Pyridostigmine works by improving communication between nerves and muscles, which helps reduce muscle weakness around the eyes.

While you may notice initial improvement within days, your response can continue to evolve. Some MGteam members have shared that Mestinon (pyridostigmine) keeps their eyelids open and helps manage their vision symptoms effectively.

Your neurologist can work with you on dosage adjustments. Since pyridostigmine needs to be taken multiple times per day, finding the right dose and timing is important for optimal symptom control.

If pyridostigmine alone doesn't provide enough relief, there are additional treatment options available:

- Corticosteroids like prednisone
- Intravenous immunoglobulin (IVIG)
- Other immunosuppressant medications
- Prism lenses to help correct double vision
- Eye patches or eyelid tape for temporary relief

Keep in close contact with your neurologist about your symptoms. They can help determine if dosage adjustments or additional treatments might improve your vision further. Regular monitoring is key, especially in the early stages after diagnosis.

December 14, 2025

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