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      Why is neostigmine preferred over pyridostigmine? Neostigmine and pyridostigmine are quaternary amines that are incompletely absorbed from the gut. Pyridostigmine is preferred for the treatment of myasthenia gravis because it has a longer duration of action and is less likely to cause unwanted effects.
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      How does CellCept work for myasthenia gravis? CellCept works by stopping these antibodies from forming. It directly interferes with DNA replication in immune cells, which slows down the formation of new cells. CellCept reduces the levels of antibodies that attack acetylcholine receptors, thereby improving symptoms of muscle weakness.
      Can myasthenia gravis cause death? The most common cause was cardiovascular disease in 31 cases (31%). The myasthenia gravis mortality rate, defined as myasthenia gravis as either an underlying or a contributory cause of death, was 1.4 per million (range 1.1-1.8). Table 2 shows the age and sex specific mortality rates.
      Why is gentamicin contraindicated in myasthenia gravis? Aminoglycoside antibiotics impair neuromuscular transmission and can cause clinically significant muscle weakness, resulting in respiratory depression in myasthenia patients. Gentamicin is therefore contraindicated in MG; amikacin, tobramycin, neomycin and streptomycin are also contraindicated.
      How quickly does myasthenia gravis progress? Muscle weakness caused by myasthenia gravis worsens as the affected muscle is used repeatedly. Because symptoms usually improve with rest, your muscle weakness may come and go. However, myasthenia gravis symptoms tend to progress over time, usually reaching their worst within a few years after the onset of the disease.
      Can myasthenia gravis cause pain? Myasthenia Gravis itself does not cause pain, but the weakness may lead to non-specific aches and pains. For instance, neck pain may occur because of weakness in the neck muscles.
      Can myasthenia gravis be prevented? There are no known ways to prevent myasthenia gravis. If you already have the condition, take these steps to avoid an exacerbation: Try to prevent infections with careful hygiene and by avoiding sick people. Treat infections promptly.
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