Myasthenia gravis with hyperthyroidism

summary

Recently, my cousin feels uncomfortable in his eyes. He always can't open his eyes. He is very tired and weak. He went to the hospital for examination. The doctor said that it was myasthenia gravis. Now it's much better. Here I'd like to share myasthenia gravis with hyperthyroidism, hoping to help more people.

Myasthenia gravis with hyperthyroidism

Treatment 1: the application of anti cholinesterase drugs do not use the first phase of dosing, from the minimum dose of 30-60mg / time, 2-3 times / day, maintain the dosage for more than a week, according to whether the symptoms improve or not, and then gradually increase the dosage, when the symptoms begin to improve, maintain the dosage.

Treatment 2: after remission, the dosage gradually decreases: when the dosage reaches a certain degree and the symptoms are relieved, maintain the dosage for one week, then decrease by 1 / 3, maintain for 1-2 months, if the symptoms do not worsen, decrease by 1 / 3 again, and seek the minimum effective dosage within this range. If the dosage reaches 240 mg / day, the symptoms can not be effectively improved, the combination of immunosuppressants should be considered.

Treatment 3: avoid drug overdose: long term and large-scale use of anticholinesterase drugs may lead to accumulation of acetylcholine. If there are symptoms such as conscious neck tightness, nausea, vomiting, sweating, finger shaking, muscle tremor, local muscle numbness, significantly lower heart rate, and excessive stool frequency, it usually indicates that the dosage of drugs has exceeded, so the dosage should be reduced in time.

matters needing attention

It is suggested that we should pay attention to: the patients usually get up in the morning, and their weakness will become serious in the evening. The main performance for part of the muscle or the whole body muscle fatigue, a little activity will be weak symptoms will aggravate, but rest will reduce.