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A word of caution

Talk to your physician first

 

Talk to your physician about all medications you are taking. Bring everything you are taking to each appointment with every physician.  Below is a list of drugs that to avoid or use with caution. Your physician will advise you of their safely level. 


Cautionary drug list: 

Aminoglycosides (antibiotics)

Atenolol (Beta blocker)

Atorvastatin (statin)

Azithromycin (antibiotic)

Botulinum toxin (avoid Botox their commercials advise this as well)

Calcium channel blockers 

Clarithromycin (antibiotic)

Clindamycin (antibiotic)

Chloroquine (antibiotic)

Ciprofloxacin (fluoroquinolones)

Corticosteroids 

D - penicillamine (avoid)

Desferrioxamine

Erythromycin (antibiotic)

Fluoroquinolones (antibiotics)

Gabapentin 

Gentamycin (antibiotic)

Labetalol (Beta blocker)

Iodinated radiology contrast agents

Levofloxacin (fluoroquinolones)

Lidocaine 

Lithium (antipsychotic) 

Neomycin (antibiotic)

Nivolumab 

Magnesium (intravenous)

Metoprolol (Beta blocker)

Moxifloxacin (fluoroquinolones)

Pembrolizumab 

Propanolol (Beta blocker)

Provastatin (cardiovascular)

Procainamide (Antidysrhythmic)

Phenytoin (anti seizure)

Quinine 

Quinidine (cardiovascular)

Rosuvastatin (cardiovascular)

Riluzole 

Simvastatin (cardiovascular)

Timolol (ophthalmic)

Telithromycin (antibiotic)

Tetracycline (antibiotic)

Tobramycin (antibiotic)

Trimethaphan 

Vancomycin (antibiotic)

Verapamil (cardiovascular)

Sources: Medscape, Medline

Treatments

Based on your symptoms, your doctor may recommend one or more  treatment therapies.    Please research each one for yourself so that you are well informed of what may be available to you.  Balance each treatment with healthy lifestyle changes to help reduce symptom flares. 


FDA Approved for Myasthenia Gravis:


  • Mestinon (Pyridistigmine Bromide) tablet approved in 1959


  • Cellcept (Mycophenolate mofetil tablet) Orphan drug approved 2006


  • Soliris (Eculizumab) 

                  IV injection approved in 2017


  • Vyvgart (Efgartigimod alfa-fcab) 

                   IV injection approved 2021


  • Ultomiris (Ravulizumab - CWVZ)  

                  IV injection approved 2022


  • Vyvgart Hytrulo injection

                  subcutaneous injection 

                   approved 2023


  • Rystiggo (Rozanolixizumab) subcutaneous injection

                     approved 2023


  • Zilbrysq (Zilucoplan) injection

                    subcutaneous injection 

                    approved 2023


Other treatments that are used off-label that your doctor may use to enhance your care:


  • Prednisone Tablets
  • Plasma Exchange
  • Methotrexate injection
  • Human Immunoglobulin  (IVIG)
  • Imuran/Azasan/Azathioprine


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