That's great news Stellatum!

You will notice the difference immediately. Mestinon only lasts for about 4 hours (and takes effect 20 minutes or so after taking it).

I could feel it kicking in - and easily noticed when three and a half hours had passed. But in between those times, I just felt normal without muscle fatigue. Now I am quite content with 30 mg 4 x/day - - but take more when very active or in the hot, hot weather.

My neuro has given me parameters to work with now (as opposed to a specific dose at specific times). But they started me out slow and followed up frequently until they were sure I had the hang of it. Too much Mestinon can have the same symptoms as too little.

Anyway, sounds like you have an 'enlightened' neuro - and you will do fine. So glad it worked out this way for you!!

Sue