Kendra,

It is possible that your insomnia is from Mestinon. I don't have this problem now, but when I was taking a larger dose of Mestinon I was having trouble sleeping all night, similar to what you have described. The first day after lowering my dose I was so happy to be able to sleep properly again.

Even now I have found that the timing of the Mestinon pills decides what time I will be able to go to sleep at night and what time I wake up in the morning. I try to start taking my pills as soon as possible in the morning.

I am only taking Mestinon so I don't know about Pred (and the more I learn about Pred the more I know that it is definitely a last resort medication for me, I hope I never need to take it).

Thank you for sharing your experience. We all benefit from sharing our MG related experiences.