Why don't you write a letter to Michael Pearson of Valeant Pharmaceuticals? CC it to the the head of Alfesa? Ask if they might work together to bring the drug back to the US? Explain how it makes some MGers better than Mestinon.

http://www.alfresa.com/eng/about/concept.html

http://www.valeant.com/about/board-of-directors

It's certainly worth the effort.

Annie