7 results
Drugs associated with worsening of Myasthenia Gravis (MG):
•	D-penicillamine 
•	Botulinum toxin.
•	Telithromycin
•	Fluoroquinolones 
•	Quinine
•	Magnesium
•	Macrolide antibiotics 
•	Corticosteroids (may cause transient
intravenousimmunoglobulin #IVIG #Pyridostigmine
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Yes → Consider pyridostigmine
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Yes → Consider Pyridostigmine
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Pyridostigmine (
POTS (Postural Orthostatic Tachycardia Syndrome) - Management
Activity:
 • Exercise training
 • Avoidance of deconditioning
Volume Expansion:
 •
but also ↓BP) • Pyridostigmine
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Pyridostigmine
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
cholinesterase inhibitor pyridostigmine