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A MGteam Member asked a question 💭
Coral Springs, FL
June 22
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Answer Summary

Members discussed whether Mestinon or CellCept causes insomnia, with several pointing to Mestinon as the more likely culprit, noting that... Read more

Members discussed whether Mestinon or CellCept causes insomnia, with several pointing to Mestinon as the more likely culprit, noting that sleep improved as doses were reduced. One member shared an encouraging journey of being tapered off Mestinon entirely by their neurologist after symptoms like double vision and muscle weakness resolved, while others offered tips like Gatorade for weakness and UV-protective clothing due to CellCept's skin cancer risk. A recurring theme was hope and encouragement, as members supported each other through medication changes and celebrated positive progress.

MGteam

Both Mestinon (pyridostigmine) and CellCept (mycophenolate mofetil) are commonly used to manage myasthenia gravis, but they work differently and have different side effect profiles.

Mestinon is the more likely culprit when it comes to insomnia. Because it works by boosting acetylcholine activity in the nervous system, it Show Full Answer

Both Mestinon (pyridostigmine) and CellCept (mycophenolate mofetil) are commonly used to manage myasthenia gravis, but they work differently and have different side effect profiles.

Mestinon is the more likely culprit when it comes to insomnia. Because it works by boosting acetylcholine activity in the nervous system, it can have stimulating effects that may interfere with sleep, especially if taken too close to bedtime.

CellCept is an immunosuppressant and while it has its own side effects, insomnia is not one of its most commonly reported ones.

Here are a few tips that may help with sleep if Mestinon is affecting yours:

- Try taking your last dose of Mestinon earlier in the evening
- Avoid caffeine later in the day
- Keep a consistent sleep schedule
- Talk to your neurologist before making any changes to your dosing schedule It's always worth raising sleep concerns with your MG care team, as they can help figure out whether your medication timing or dosage might need adjusting. Don't make any changes on your own — your neurologist knows your full picture best!

June 22
A MGteam Member

I forgot to tell you I was diagnosed with MG in February on 2024

June 24
A MGteam Member

Carol my Neurologist is reducing it because I have no systoms , no muscle weakness ,no proppy eye , no double vision he said I don't need 90mg 3 x a day to start with 60mg 3 x a day for a week if no double vision then start 60mg 2 x a day for a week if ok go to 1 a day then off , if double vision comes back start mestinon slowly and call him , other wards I won't see him until next June , I don't take any other medicine never have , he said my MG was mild but I tested high for antibodies at first 2 1/2 years ago I was taking 120mg 4 x a day of mestinon ,I have a macular pucker ( wrinkle on my retina membrane ) and Macular degeneration (dry ) also so that mess with my vision a lot , hope all goes well I need something positive in my life for once❤

June 22
A MGteam Member

I started CellCept at the outset of MG, as I was told Mestinon would take longer to have any actual effects. That was 18 years ago. The biggest issue to watch out for with CC is skin cancer. If you are not told to stay out of the sun, ask your doctor why he is not mentioning this side effect.

Long sleeve T-shirts that offer UV protection and wide brim hats the offer UV protection SHOULD be in your closet.

June 22
A MGteam Member

Brinda - are you reducing it yourself or did Dr approve? Will you be on any other meds? How long have you been diagnosed with MG?

June 22

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