When are you taking your meds? I take mestinon 1/2 to 1 hr before I eat, so I am strongest when I have to chew and swallow. I usually get a little flush about 20 minutes after taking mestinon, but it only lasts a couple of minutes.

Are you on any other med that could be causing the symptoms? Perhaps one of your other meds does not mix well with your mestinon. I generally take my mestinon alone and not with other medication.

I would try a call to your pharmacist to see which medicine might account for the symptoms and then give your doctor a call to see what he suggests.

MG is so stressful, I had to go on Effexor for the anxiety and I feel much better.

take care,
kathie