Kendra, You need to go into your doctor and ask to have a fasting blood glucose level done. The fact that you are feeling shaky in the morning is the biggest clue. It may be that your blood sugar is rising at night and dropping in the morning. Taking the Mestinon may just be a "coincidence." Do you take it first thing in the morning, like so many MGers do? I take mine throughout the night!

Low blood sugar, alternating with high, can make you short of breath. I used to have reactive hypoglycemia and it can cause all sorts of nasty symptoms.

It does not make sense to me that Mestinon is causing the "shaky" feeling. Not at all - sorry guys. The twitching, yes.

So please get this checked out right away. Some people are more prone to having Pred-induced diabetes.

Annie