[momma3love]

Today all I did was clean out two litter boxes and take out the garbage. I am winded and my muscles are cramping really bad! I mean they hurt enough to make activity very painful. And of course the spasms have started up again too. All I have done other than that all day is sit at this computer. It is ridiculous. I have 3 boys I have to take care of. Needless to say it has been very difficult over the last 5 years.

I take 60 mgs of mestinon(the generic actually) 3 to 5 times a day. I take the max dose(1800mgs) of Gabapentin a day to counteract the migraines from mestinon. Other than that I take a bunch of unrelated drugs. I do not tolerate pred well at all. My heart pounds and I feel like I am gonna pass out if I dont go up super slow or take more than 30 mg. They are gonna start me on Imuran. Finally got the ok to start it today.

I just feel like the meds are not doing enough for my weakness. And then the cramps and spams are very hard to deal with. I have had this disease for 5 years. I recently had a thymectomy, I had gone undiagnosed until recently. I have a few other things wrong with me too but I definitely find the MG the hardest by far to contend with. Even the pain from osteo arthritis and fibromyalgia, or the difficulties of celiac disease, do not compare to MG.

Just wish my life was not spent on a couch(out of necessity).......
Carrie

[momma3love]

Sorry I have been reading a lot of posts and I am confused about something....

I see that a lot of people are take high doses of mestinon. My neuro doctor said no more than 90 mg at a time and no more than 240mgs in one day.

Besides I have trouble tolerating any more than 90 mg in a 4 hour period and definitely no more than 240 in a day. If I take 90 then my muscles get super spasmy, I start to get the really bad stomach side effects, and the migraines become unbearable. I have had what they said was an overdose before. That was really bad scary. I was taking recommended amount.

So just curious what actual dosing is and if anyone else has these issues with higher doses. Thanks all......

[Brennan068]

Actual dosing is set by individual. I'm on 90 3x per day and allowed at my discretion to take up to 2 extra doses a day if I feel I need it.

Originally Posted by momma3love

Sorry I have been reading a lot of posts and I am confused about something....

I see that a lot of people are take high doses of mestinon. My neuro doctor said no more than 90 mg at a time and no more than 240mgs in one day.

Besides I have trouble tolerating any more than 90 mg in a 4 hour period and definitely no more than 240 in a day. If I take 90 then my muscles get super spasmy, I start to get the really bad stomach side effects, and the migraines become unbearable. I have had what they said was an overdose before. That was really bad scary. I was taking recommended amount.

So just curious what actual dosing is and if anyone else has these issues with higher doses. Thanks all......

[scarpettafan]

I am sorry you are having a really hard time right now. I know how frustrating it is when you want to do the things that you "should" be able to but can't. You want to take care of your kids, husband, house, pets, etc. but just aren't physically able to. I will be praying for you.

Shannon

[Joanmarie63]

I know what you are feeling as I have been there. Take heart as I went into remission for 17 after my thymectomy. I was taking 120 mg mestinon at a time and everything else, now I am out of remission but can't take any of the meds as I react to badly to them. This morning I drove to town to pay 2 bills and by the time I got home I could hardly move my arms. Summer is VERY hard on us MGer's so try and make your family understand. Don't feel bad that you have to stay on the couch, I know that is hard as MGer's seem to be the "have to get it done now" kind of people. My husband wanted to go to the movies tonight but I just can't, he says he understands but... I can't help but feel bad that he is not getting 100% of me, so come rant with us as we all have or are going through the same thing and we are hear to share the frustration.

[Joanmarie63]

ooppss I meant we are HERE not hear..LOL, finger farts when I am weak..LOL

[AnnieB3]

Carrie, I haven't been on for awhile - not feeling well. But I wanted to say that I hope you will ask your primary doctor to make sure you don't have any electrolytes that are off that could make your muscles cramp up. Or thyroid either. And it's hard to know if you are taking too much or not enough Mestinon. When you are off of it, in between doses, does the cramping get better or worse? If it gets better, you might be taking too much. If it gets worse, you may need more. I just wanted to make sure you are checking all possibilities. Take care.

Annie

I take 90 mg. every 3 hours, round the clock.

PS - Do you take vitamin D and calcium?

[stayathomemom]

When I was doing really well, I took 60 mg. every 4 hours & a 180 mg. Timespan at night.
Now, with things not doing so well, I take 90 mg. every 3 hours until midnight & a 180 mg. Timespan then.

Jenna

[xmas 25]

i konw how you feel.i took reg mest,tapering up slowly to 60-90 mgs every 6 hrs. i had horrible spams including my stomach which then made me vomit. we sat and just laughed watching my face and ars twitching away!! dr then put me on time rel mest starting again slowly at 90 mgs bid then increasing slowly when i felt ok. i took the second 1/2 at lunch time and had no issues. i also took 60 mg reg mest last week 3 times[daughter moved etc] and the spasms started immed ,taking 180 mg of time rel mest made my stomach ache .not too bad but the time rel ismuch better for me. they want to start me on imuran but i will wait until the fall. vacation is coming up, i'm going to be a gramma in aug,we have a wedding in new york in aug etc. i do not want to screw up the summer with sideeffects since we only get one a year since i was disabled 8 yrs ago from another illness. maybe you could try ths time rel also taper up slowly is the best thing to do. have a good w/e!!

[SharS]

Jenna, I'm pretty much the same as you. When I was doing well, I was taking 60mg every 3 to 4 hours and 180mg timespan at night. I've been taking 60mg every 2 to 3 hours with the timespan at night most recently. My doctor just increased it to 90mg every 3 hours with the timespan at midnight. We also settled on IVIG once per week and I take CellCept.

By the way, as an update, I had posted about a month ago asking if people could work full time. I have been out of work since the first of April on short-term disability but had hoped to be back at work by the first of July at the latest. Oh, well, it didn't happen. My doctor has said no and the disability was extended. It doesn't matter, I couldn't have done it anyway yet. But I am beginning to feel a little better as long as I keep things slow and behave.