Health Advices Blog

What can the doctor do?

Since Myasthenia gravis is an uncommon disease, your GP will advise you probably visit a specialist, a neurologist specifically for him to reconsider, ask for the necessary tests and initiate treatment. Once the diagnosis, your doctor may continue prescribing the medication recommended by the neurologist. It also may do regular checks.

What can patients do?

First, patients must take medication regularly, without missing any doses. They should also avoid hazardous activities that may increase suddenly weak (eg, swimming alone). Patients should know that certain drugs can worsen symptoms and should therefore be avoided. These include aminoglycoside antibiotics, d-penicillamine, chloroquine, quinine and procainamide.Certain drugs used in anesthesia can produce a deep and prolonged muscle paralysis in patients with myasthenia, such as pancuronium, d-tubocurarine and succinylcholine. Should only be used by an anesthesiologist with experience, who is aware of the patient’s diagnosis.

What is the prognosis of myasthenia gravis?

The prognosis of myasthenia gravis has greatly improved since the introduction of immunosuppressive treatments that control symptoms well when taken regularly and appropriate doses. However, most patients have to keep taking pills indefinitely, because the symptoms often recur when the patient stops taking the medication.

credit to: Dra. María del Mar Carreño Martínez, Dra. Camilla Buckley, Dr. John Newsom-Davis

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