Hate to reply to my own post, but seems no one had any answers. We are all differentand people react differently to meds..

I finally started the 3,4 Dap and have noticed a slight increase in my palpitations, but nothing like the mestinon did to me.
I also noted more anxiety and have had to take 7 ativans so far as to not go into a panic attack.

Also the 3,4 Dap to me is no wonder drug like many here claim BUT I am on a small dose yet
they started me as follows

week 1 5 mg a day
week 2 5 mg twice a day
week 3 5 mg three times a day
week 4 10 mg in the morning and 5 mg at noon and 5 mg at 6 pm
week 5 was supposed to be 10 mg in the morning 10 mg at noon 5 mg evening but i was getting no effect at all. I called and was put on
10 mg ( full pill) every 6 hours during waking time
so I take a 10 mg at 6 am 10 mg at noon and 10 mg at 6pm

So far the only results i see are a little less dry mouth and that is about it as far as the positives, i get no "tingle" an hour after a pill or anything.
I am still very weak and see no strength increase anywhere at all (legs,fingers,hands,arms,etc)

I was told if there is no result by Monday to call them and they will double my dosage to 20mg 3 times per day..