The Mestinon prescribing information suggests that 10 pills a day is typical.
"The average dose is ten 60 mg tablets or ten 5 mL teaspoonfuls daily, spaced to provide maximum relief when maximum strength is needed. In severe cases as many as 25 tablets or teaspoonfuls a day may be required, while in mild cases one to six tablets or teaspoonfuls a day may suffice."
http://www.mestinon.com/Portals/25/P...g_PI_May01.pdf
http://www.mestinon.com/