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It works by preventing the breakdown of a chemical called acetylcholine. This chemical is needed to stimulate muscle movement. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason.

This is a decision you and your doctor will make. Symptoms of an allergic reaction may include: This medicine may make the condition worse. Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.

If it has expired or is damaged, return it to your pharmacist for disposal. Tell your doctor if you have or have had any of the following medical conditions: Tell your doctor if you are breast- feeding. Taking other medicines Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.

Your doctor or pharmacist will advise you. How to take Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet. If you do not understand the instructions on the bottle, ask your doctor or pharmacist for help. Follow your doctor's orders or the directions on the label. The following doses include only the average doses of these medicines. Carefully follow your doctor's instructions about how much medicine to take and when to take it.

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of when you took each dose and how long the effects lasted.

This will help your doctor determine if your dose needs to be adjusted. If you need surgery, tell the surgeon ahead of time that you are using pyridostigmine. You may need to stop using the medicine for a short time. Store at room temperature away from moisture and heat. Keep the tablets in their original container, along with the canister of moisture-absorbing preservative that comes with this medicine. What happens if I miss a dose? Take the missed dose as soon as you remember.

Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at Overdose symptoms may include nausea, vomiting, diarrhea, stomach cramps, sweating, blurred vision, drooling, and weak or shallow breathing.

This has been a pretty discouraging few days, not so much for me but watching others struggle so much. I think it is as important to develope new tests and tools to diagnose MG to the comfort of dr. Why are they so afraid of Mestinon.

I would have thought it was radioactive or something. I know some think it is responsible for the illness the soldiers had after, now I am drawing a blank, is it desert storm. The one in anyway. I just think they are so tight with it and I don't really understand, if it could be a tool for diagnosis.

It's like they don't believe what the patient reports on it, weather it helps or not. It has to be something on paper from the lab or a machine. I see a big problem with trust here.

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