Hi Annie,

Yes, I take Mestinon. I take one pill every three hours while I am awake. I have the same problem you report, that I have about 2 good hours after I've taken the Mestinon. Then the last hour is difficult until it is time for the next dose.

Unfortunately, I can't tolerate coffee or other drinks with caffeine. I mostly drink water.

Sending good wishes to you and everyone else here who is dealing with MG.

Take care,
Erin