I was diagnosed by a Neuro-ophthalmologist when my MG was only ocular. He put me on mestinon at 5x30mg a day for 2 months without any benefit.

When I started displaying signs of generalized MG he sent me packing to a regular Neuro but not before prescibing 60mg a day of prednisone. My double vision and ptosis was gone in 2 days.

I still take it but I am down to 20mg every other day and it is likely to be reduced Sept. 1 when I see my Neuro. I have been taking it for about 20 months but I had a miserable 2009 so I did not start reducing it til this year.

Good luck;
Tony