Hi, Hopful! Sorry, things are hectic lately.
Myletase was discontinued almost everywhere. Last time I heard, France still had the drug available. Too bad too, since it is more effective than Mestinon in some people.
Huperzine A and Ashwaganhda both have cholinesterase inhibitor properties like Mestinon does. But they are not regulated and dosing would be problematic. Ashwaganhda has other effects as well, and the plant should be run by a primary doctor before trying it, IMO.
Assessment of Cholinergic Properties of Ashwagandha Leaf-Extract in the Amnesic Mouse Brain
Caffeine also has cholinesterase inhibitor properties, but is not as good as plants.
Do you have issues with bromide? Some compounding pharmacies can make Mestinon without bromide. Do you have those in Canada?
There is lactose/dairy in the Mestinon tablets, which is not in the syrup. Are you sure the bromide is the issue?
I wish our country were more into Eastern medicine! We're just into big Pharma!
Does that help? Anything else we can do for you?!
Annie