I was recently diagnosed with MG (recent as in last week). I was started on Mestonin. My neuro told me to start with 30mg every 4 hours and increase to 60 if needed. The 30 didn't do anything at all so, after a couple of days, I increased to 60. I became overwhelmingly sweaty and hyper and the twitching (which had gotten worse with only 30mg) became ridiculous. I stopped taking the drug and called my neuro. He told me that people often have side effects but that I would get used to it and that I should try 45 mg instead of 60. I tried 45 but still got the side effects. Now the plot thickens. I have 2 severely herniated cervical discs that are indenting my spinal cord. Obviously, I am scheduled for surgery next month but need to get my meds straightened out since MG patients have so many problems with anasthesia. I am, therefore, on a time constraint. Aside from that, the symptoms of the pressure on my spinal cord include weakness in my arms and legs (sound familiar?) making it very difficult to tell if the Mestonin is even helping me because of the problem with my neck. To add one more difficulty, I have been having periodic panic attacks off and on for the last year or so. Now I'm so upset about the side effects of the Mestonin that I think my anxiety is exacerbating the side effects. Does anyone have any sort of advice? I'm desperate due to both my desire to start fixing the MG (as much as it can be) and the time constraints due to my impending surgery.

Thank you so much.