Hi Kasper...Welcome!

There is a great group of folks here - most with more experience than me. As you will find, Mestinon (and indeed the MG as well) is never exactly the same day in and day out.

Mestinon only lasts 4 hours and kicks in about 20 minutes after swallowing (pill). The side effects of too much are about the same as when you have none. The weakness and heaviness isn't improved and may be worse.

Each of us has to find what works best. Keep some notes and share with neuro. Don't make any med modifications without your neuro approving. But if you consistently feel worse an hour or so after the 60 mg dose - - and better as the pill wears off, then I would call neuro with that info pretty soon. He may want to adjust dosage.

Glad you found this site...but sorry you have MG!

Sue