Hi JerzyBoy,
What a pity to rely on people with little experience...
Regular Mestinon acts for about 3 to 4 hours and is normally taken during the day. To cope with the night period and facilitate life in the morning, slow release Mestinon is normally prescribed to be taken just before going to bed and acts for 12 hrs.
Forget about your present neuro and go back to your primary care physican, explain your situation and try to have him prescribe about 4x60 mg per day to be taken every 4 hours and take the slow release nightly.
You could also take two slow release per day, one in the morning and the other at night.
This until you see the MG specialist.
If your symptoms worsen, reduce the Mestinon dosage.
Be careful with swallowing problems, choking could be lethal...
Take more meals of reduced quantities, do not speak while chewing or swallowing (the same muscles are involved), drink liquids with a straw and take little sips. While swallowing, your jaw shoud be about 2 inches from your chin. Mix your meat wih a blender and do not hesitate to add spices. Some foods are easier to chew and swallow than other. Lettuce for ex, requires a lot of work for little benefits, I found raviolis smarter than spaghetti, aso...
Were you advised to avoid medications which increase MG, were you advised to avoid beverages containing quinine?
The MG specialist should give you the appropriate treatment for your case.
Keep us informed.
Maurice.