I did read where ativan isn't good for MG patients either. Please go in to your PCP, or the doc who is folowing the MG case. This no sleeping can make a condition worse that it already is. The body doesn't do well without proper rest. There is medication that can help, please ask your doctor so she can get the rest she so needs. Don't be afraid to speak up to the doctor, ask for the help. I do wish you all the best, and I hope a better solution can be found. I will keep you in my prayers. ginnie