alianazli, Welcome to the forum.

It's hard to predict when the Imuran will kick in. Prednisone can make a person with MG temporarily worse before they are better. But it does "kick in" after a fairly short time. But it also can come with a lot of side effects. There's such as an immune system being suppressed too much.

Did your docs say to take flax or fish oil to help with the gel coating of your stomach, which Pred has a tendency to reduce? Did they say to take calcium and vitamin D3 daily?

I hope you will be able to work. Many people with MG can. The hardest part is to be patient, take care of yourself, and see what happens on the meds.

If you become worse, please call your neuro. If you are really bad and can't swallow, move, or breathe well, please go to the ER/hospital.

What are your symptoms now? Are you doing better on the treatments?

Take it easy!!!

Annie