I've found that since staring Mestinon only a week ago I am able to get more done with less difficulty. The doctor has started me on a small dose (30mg 4x daily), no real side effects to speak of either. Just being able to walk up steps in an almost normal fashion has been a great improvement in itself!! I have a bit more stamina as well.

Make sure you speak to your neuro about any problems you think you may be having, no matter how big or small. Together both of you will figure out what dose works best for your activity levels and the needs of your body to make things easier.

Hope you get everything figured out,
Rachel