I'm a 44 year old female and newly diagnosed with ocular myasthenia. I'm currently taking 90 mg of Mestinon three times a day and 180 mg time released Mestinon at night. I think that the medicine is helping a little, but I still have double vision, right eyelid drooping, and my right eye has limited movement. My neurologist and I have discussed prednisone. I'm very hesitant to start prednisone with all of the side effects. Yet, I also know there are studies that have shown prednisone can help with OMG limit the chance of developing generalized myasthenia. For those of you that have used prednisone, what kinds of side effects did you have and how did it help with your symptoms- short and long term?

Any thoughts or suggestions are greatly appreciated.