hope today is off to a good start and that it ends on a good note! i tried reg mestinon but even though i slowly tapered up to 90 mg tid i had horrible muscle twitching everywhere! my face espec around mouth, arms/ abdominal area so much that i threw up occ. i was given time release mest and have none of these issues. i have tried adding reg mes occ for an extra boost but still can't tolerate it.maybe the feelings you have are related to med. no harm in asking dr. i also can't stand much espec after 3 pm so i make dinner sitting as much as possible and same for doing dishes,hubby brings laundry to me to fold,have a heavy bucket that flip over and sit in garden to weed ,etc.