So I was taking 20mg prednisone and has a relapse after 15 days of taking and got no improvement. My neuro has told me to for a plasma exchange and has upped my Imuran. I am currently on 10mg Prednisone and Mistinon 5 times a day... Please help me in guidance. What should I do now? I told my neuro that I am a poor women and cannot afford plasma exchange after I've spend almost 700,000 on Thymectomy in June. I am so depressed right now. Please help me... I have no hope left. When am I going to see the effect of Imuran? I do job as a teacher. If I lose it I will be homeless. I have kids to feed and they are school going. I cannot end my life. Please answer my questions. Should I go to a new neuro? She should've had prescribed me Cyclosporine? Methotrexate? CellCept?