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A MGteam Member asked a question 💭
Ontario Canada
June 29
 · 
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A MGteam Member

I have a few of those symptoms but not all the time - diarrhea, frequent urination and muscle twitching.

Another thing to worry about lol

June 29
MGteam

Figuring out whether Mestinon (pyridostigmine) is too high or causing a cholinergic crisis involves looking at symptoms and, when needed, a medical test.

Here are the key warning signs of a cholinergic crisis to watch for:

- Difficulty breathing
- Slow heart rate
- Nausea, vomiting, or diarrhea
- Excessive sweating or Show Full Answer

Figuring out whether Mestinon (pyridostigmine) is too high or causing a cholinergic crisis involves looking at symptoms and, when needed, a medical test.

Here are the key warning signs of a cholinergic crisis to watch for:

- Difficulty breathing
- Slow heart rate
- Nausea, vomiting, or diarrhea
- Excessive sweating or saliva
- Blurred or double vision
- Muscle twitching
- Needing to urinate more frequently Both a cholinergic crisis and a myasthenic crisis can cause muscle weakness and breathing trouble, which makes them hard to tell apart on symptoms alone.

A healthcare provider can give a drug called edrophonium to help distinguish between the two:

- If symptoms worsen after the test, a cholinergic crisis is likely
- If symptoms improve, a myasthenic crisis is more likely

Tracking your symptoms regularly is really valuable, as it helps your care team spot patterns and respond faster in an emergency. It's worth noting that a cholinergic crisis is actually quite rare at normally prescribed Mestinon doses. However, if any of those warning signs appear, seeking medical attention immediately is critical — it can be life-threatening.

June 29

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