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A 22-year-old male asked:

hello doctor, i would like to know about myasthenia gravis symptoms trearment and if there is preventions. thanks?

2 doctor answers2 doctors weighed in
Dr. Stuart Hickerson
Family Medicine 32 years experience
MG: Autoimmune disorder affecting the neuromuscular junction. It is characterized by progressive onset of symmetrical fluctuating proximal and ocular muscle weakness. Treatment for MG includes pyridostigmine, neostigmine, prednisolone, azathioprine and IVIG. Some evidence to look into for prevention suggests food allergy testing of benefit given the autoimmune nature of the disease.
Dr. Barrett Mclaughlin
Emergency Medicine 9 years experience
Very brief overview:: Myasthenia gravis (MG) symptoms: drooping eyelids, double vision, & sometimes trouble speaking or swallowing. Treatment: medications to suppress the immune system (steroids, cyclosporine, azathioprine). In flares/severe cases, plasmapharesis or IVIG is used. MG is an autoimmune disorder = there is no prevention. If diagnosed, there are medications to avoid, because they can make it worse.

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A 45-year-old member asked:

What is the treatment for myasthenia gravis?

2 doctor answers2 doctors weighed in
Dr. Djamchid Lotfi
Neurology 58 years experience
Complex Q: See a neurolgist the treatment can be medical (steroids, plasma exchange other immunosuppressives anticholinesterases) or surgical (removal of the thymus).
A 43-year-old member asked:

What canworsen my myasthenia gravis symptoms?

1 doctor answer2 doctors weighed in
Dr. Nilofer Nisar
Neurology 39 years experience
Medications: Infections and medications can cause worionsening og mg. Medications like certain antibiotics, anesthetic agents, muscle relaxants, Botox injections etc. Decrease immune system related to multiple factors like lack of sleep, overexhaustion etc.
A 37-year-old member asked:

What is dyemilinating disease & myasthenia gravis?

1 doctor answer2 doctors weighed in
Dr. Julian Bragg
Neurology 17 years experience
Nerve disease: In patients with myasthenia, the acetylcholine receptor that helps form the neuromuscular junction is destroyed by the immune system. This causes nerves to be unable to trigger muscle contraction, leading to fatigable weakness. In demyelinationg disease, the myelin insulation surrounding the nerve is attacked by the immune system, disrupting signal transmission.
A 51-year-old member asked:

How do medications treat myasthenia gravis?

1 doctor answer1 doctor weighed in
Dr. Bennett Machanic
Neurology 52 years experience
Two ways: Some medications are designed to enhance the neuromuscular junction connection, and prolong presence of acetylcholine. Since myasthenia is an autoimmune disorder, steroids and other immune agents can address the underlying causation.
A 43-year-old member asked:

What medications can aggravate myasthenia gravis?

1 doctor answer1 doctor weighed in
Dr. Bennett Machanic
Neurology 52 years experience
Comments: The best documented problems occur with many but not all -mycin antibiotics, and may be best to avoid Cipro, (ciprofloxacin) Ketek, Z-pak, but also most fluoroquinolones. Stay away from Botox, Quinine, and all beta-blockers.

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Last updated Feb 13, 2020

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