Hi Tracy,
Are you taking the mestinon with food? I've had that type of reaction in the past a few times and it was because I took the mestinon on a empty stomach. Also, it could be that the 60mg is too much at one time for you. I don't want to tell you to take half the dosage because I am not your doctor. I sometimes take 1/2 pill instead of the full 60 mg BUT that is only because I have had MG for 16 years and am able to determine when I need to cut back on the dosage from time to time.

Did your Neuro refer you to another one before they moved?

Shari