I also have generalized MG since last June and I'm under treatment since 4 and a half months: mestinon (2x60mg +2x180mg, started with 4x60mg but was not enough), prednisone (now 65mg/day, down from 75, started at 10) and Cellcept (2x2g from the beginning) and it's only now that something (probably prednisone) is working, my condition is slowly but consistenly improving.
You have to consider the onset of action of all these medications:
mestinon acts within an hour, corticoïds within 1 to 5 months and Cellcept could take more (1 to 12 months). It's like a multiple-stage rocket…each stage is used during a definite period and then discarded (or reduced in our case) but the stages are present from the beginning.
This is also necessary to minimize the side effects which could be serious in sone cases (corticoïds, for example).
Cellcept is known to have very few side effects but its efficiency is questioned by some.
Keep faith and hope
Maurice.