Neostigmine in myasthenia gravis

summary

I feel it's very difficult to lift my arm. When I go up the stairs, I feel that my lower limbs don't have much strength. Sometimes I wrestle. After the examination, I found myasthenia gravis. Now the situation is stable, so myasthenia gravis neostigmine you know? Let's talk about neostigmine for myasthenia gravis.

Neostigmine in myasthenia gravis

Treatment 1: anti cholinesterase drugs (also known as cholinesterase inhibitors): the representative drug is pyridostigmine. Usage: 3-4 times a day, oral. Dosage: 5 mg for newborn, 10-15 mg for infant, 20-30 mg for elder, no more than 60 mg each time.

Treatment 2: adrenocortical hormone: hormone therapy can be applied to systemic type and ocular muscle type. The representative drug was prednisone, regular long-term treatment, 1mg / (kg. D). After the symptoms were completely relieved, the treatment was continued for 3-4 months according to the original dose. 5 mg / kg every other day for 1-1.5 years, with a total course of 1.5-2 years. Cyclophosphamide or azathioprine can be used cautiously in refractory cases.

Treatment 3: high dose gamma globulin: for refractory myasthenia gravis or myasthenia gravis crisis. 400 mg / (kg. D), 5 days as a course of treatment. On the 10th to 50th day, the patient's condition improved obviously. Repeated use will not reduce the efficacy.

matters needing attention

Warm reminder: daily care of myasthenia needs to pay attention to invigorating the spirit, happy mood, physiological changes of the human body and a person's mental state and mood are closely related, happy mood, hyperactivity, the body's Qi and blood running smoothly, vigorous, so that the disease is difficult to invade, on the contrary, bad mood, mental depression lead to imbalance of yin and Yang, healthy gradually weak, it is easy to induce disease.