Im new to this forum and did a little search for different MG stuff..
Found this old thread.. I just need to tell you my mestinon intake..

I have been taking 60mg every 3rd hour im awake..for about 12 years..
I get double vision from time to time.. and then the mestinon don't seem to have any effekt.. but I just keep taking it..

And in Sweden this is no big dose!!.. its normal..

If I accedentaly forgot I took a pill and take another.. I can feel it..
I get some muscle spasms in my thumbs and a little in the face.. not visable.. but I feel it..

just sharing my experience