I occasionally use 1-2 pills more or less in a day depending how I am feeling. BUT i could never take less than 3 pills a day. I especially need those 3 doses scheduled around my 3 main meals to avoid swallowing issues. My doctor has me on 4 - 60 mg and 180 slow release at night. He does not promote flexibility although I think I need some.

I have eliminated the 180 at night and seen improvement in my Crohn symptoms, but some more breathing issues. I think I need 60 every 2.5 hours to eliminate the rollercoaster ride. I am going to ask the neuro on Wednesday. I am going to try just a 60 mg at night also.

I was out in the heat for 1 hr today and was short of breath for 3 hours.
Thank God the thunderstorms have started and the heat will begin to break. I am going to try some gardening tomorrow. I am tired of looking at the weeds in my flower beds.

Mestinon has a short life in your system. There really is not a build up in your body so I do not think starting and stopping is a big issue as long as you pay careful attention to what your body is telling you and keep pills handy if issues arrive.

good luck
kathie