Cary D. Buckner, M.D. talks about Myasthenia Gravis initial treatment.
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Myasthenia Gravis Initial Treatment Male: If you make the diagnosis of Myasthenia Gravis, what’s the clinical approach to treat it? Male: Sure, I think about treatment in several different ways, one is simply Symptomatic Treatment and that’s similar to the Tensilon test is an IV form of the medicine which I prescribe called Mesthenon or Pyridostigmine but it works the same way as the Tensilon I.V. Male: How was that given? Male: Orally and swallowing. Male: Only once a day? Male: And usually it last about four-hours, so the usual dozes every four-hours. I have patients who they remain strong for six-hour maybe even eight-hours, but mostly four-hours to six-hours and you give it as frequently as the patients needs. I got patients who could take it every six-hours and other patients that need to take it every three-hours, which is fine you just have to judge depending on the patients symptom. If they start to get weak with in the three-hour period before they are ready to take there four-hour doze then you just increases the frequency of giving the medicine.