I found Mestinon too harsh to tolerate. It sent me to the ER, because it was too much too soon. (60 mg x 3)

That scared me more than anything, because I could not move a muscle for five hours. I stopped taking Mestion, but my breathing was still a challenge for me.

Eventually, I was told by my doctor to get back on them, but start with half a tab.

I must say that I am now more comfortable with Mestinon, and I have increased the dosage to the recommended dosage of 60mg/3times a day. It has helped controlled the symptoms, because once I start trying to skip a dosage, I get the same symptoms.