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A MGteam Member asked a question 💭
Tucson, AZ
3 days ago
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MGteam

Which blood pressure and heart rhythm medications should be avoided or used with caution when you have myasthenia gravis? Great question — and an important one!

Several types of these medications can worsen MG symptoms, so it's worth knowing what to watch out for. Calcium Channel Blockers

Some calcium channel blockers Show Full Answer

Which blood pressure and heart rhythm medications should be avoided or used with caution when you have myasthenia gravis? Great question — and an important one!

Several types of these medications can worsen MG symptoms, so it's worth knowing what to watch out for. Calcium Channel Blockers

Some calcium channel blockers have been linked to worsening MG symptoms, including:

- Felodipine
- Nifedipine (Procardia)
- Verapamil (Verelan)

People with severe MG who took nifedipine or verapamil were more likely to experience breathing difficulties. The good news is that most people recover once they stop taking these medications. Beta-Blockers

Beta-blockers like propranolol (Inderal) have been reported to temporarily worsen MG symptoms, though symptoms often improve over time. Heart Rhythm Medications (Anti-Arrhythmics)

Certain class 1a anti-arrhythmic drugs can also worsen MG symptoms, including:

- Quinidine
- Disopyramide
- Procainamide
- Lidocaine (systemic)
- Mexiletine
- Flecainide
- Propafenone

Always make sure every healthcare provider and your pharmacist knows about your MG diagnosis before starting any new medication. Working closely with your care team is the best way to find safe options for managing your heart health.

3 days ago
A MGteam Member

I had afib for 3+ years, finally got an ablation successfully. Episodic afib after 4 years. Seems I am hypersensitive or have unusual side effects to most meds. Finally my excellent cardiologist tried Propafanone. It is the only one (of about 9 ) that totally keeps me or of afib. I discussed with my neurologist and he said to continue with it. Even though it is on the contraindicated list, I am cardiac stable with it. It does not seem to affect my GMG.But everyone of us is different-would not take if alternative med worked!

3 days ago

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