Hello Tom,
I started at 10 mg/d for a week and was very weak for several days then increase by 10 mg each week till 50 which I kept for a month. Due to the lack of results for my muscular weakness, I was upped to 60 and finally to 75 which was the maximum dosage for my weight (1 mg per kg).
I started early August and saw a first definite muscular response beginning of January.
My muscular score started at about 40, went down to 30 the first week of cortisone and was at 65 in January. It increased progressively afterwards.
I had generalized MG and my ocular problems (ptosis and DV) disappeared after about 3 or 4 weeks.
I also didn't responded to 2 series of IVIG's.
Maurice.