Annie, I think that speaking to your regular doctor first is absolutely essential in this case. If you can't do without Mestinon, then you need to figure out something you can do. It doesn't really matter if you get Mestinon via the mouth or injection because if it upsets your stomach, it's more than likely due to an increased amount of stomach acid due to the increased amount of acetylcholine. Another option is Mestinon syrup, which your neuro can give you a small prescription of (like one bottle).

Anesthetic agents can make MG much worse. Pedatric gas is sometimes used instead, because it wears off more quickly and may cause less muscle weakness.

I honestly think you need to discuss this again and talk about doing it in a hospital setting.

Annie