Myastenia gravis

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Treatment

AChE inhibitors (pyridostigmine):

  • First line
  • Abdominal cramps
  • Fasciculations or muscle weakness

Immunosuppresants (prednisone):

  • Poor response to AChE inhibitors

Plasmapheresis / IVIG:

  • If seriously ill and other treatments are contraindicated
  • Myasthenia crisis

Thymectomy