Pyridostigmine for Dysautonomia User Reviews

• KDK
• Taken for 1 to 6 months
• February 17, 2021

Mestinon Timespan (pyridostigmine) "Pyridostigmine ER 180 has been life changing. The temperature intolerance has become balanced. I am no longer freezing nonstop. The ability to gain muscle strength is amazing. I can walk longer and stand and have increased energy. The blood pooling in my feet is not nearly as bad. The small fiber neuropathy has decreased in episodes and flares. It has helped with rapid heart beat and less dizziness. The side effects in the beginning are not pleasant. However, if you know going in that you may experience severe cramping, diarrhea, runny nose and watery eyes. As time goes by the body adjusts and the benefits are worth it and the discomfort. My record is if your physician prescribe the dosage of 180 ER time released x 2 per day. Start with only one a day your body may not be able to handle the side effects. I noticed with in two days taking Pryidostigmine I was able to walk without muscle weakness and small fiber neuropathy."

• svhar...
• Taken for 1 to 2 years
• October 29, 2022

Mestinon (pyridostigmine) "It took me quite a while to tolerate mestinon, mostly nausea and headache and twitchiness, but after being on it for about two years I have almost no side effects. It wears off after several hours and I take it 3 times a day. It is difficult for me to take it at night but would probably help even more if I could. I also take Magnesium which stopped my ectopic heart beats and muscle rigidity, cramps and spasms. I was pretty lucky to be prescribed this so soon after having Covid."

• Super...
• July 31, 2015

Mestinon (pyridostigmine) "The good: less dizziness and blood pooling in legs due to POTS. The bad: I have all of the negative common side effects: I sweat horribly, I have a regular cough with mucous, I drool a lot and not just at night, I have frequent loose stool, my eyes are super blurry sometimes AND my tongue cramps so sometimes I sound like I've had a stroke or a severe speech impediment. Dose: 30-60 mg with dinner and 180 mg time span before bed. (I can't handle the side effects during the day) I have been on this for over a year. I take this and accept the side effects because without it I would not be able to work due to my brand of POTS. The side effects aren't consistent and my body metabolizes things differently every day."

• Mammy
• June 29, 2014

Mestinon (pyridostigmine) "I've been on 30mg of Mestinon two times a day for about three months, I had diarrhea the first few days, more shortness of breath, and some drowsiness, after that I started noticing improvement in my cognition (the worst part of my dysautonomia & Fibromyalgia, to me), and I am able to keep 'doing' things longer than I could before. I do notice when it begins to wear off and I may go up to three times a day on it. I'm very pleased. The only negative I have is big increase in eyelid twitching, and awful muscle spasms in my feet. My neurologist has had me start B-6 for this and it helps a lot."

• Christy
• Taken for 1 to 6 months
• May 22, 2023

Mestinon (pyridostigmine) "I’ve tried many drugs for my POTS/ Dysautonomia with no success, but Mestinon is really helping me. I’m able to function more and my fatigue is reduced. It sometimes has a side effect of extreme perspiration , but I can manage. It has been a game changer for me."

• Aalexpp
• Taken for 2 to 5 years
• March 13, 2022

Mestinon (pyridostigmine) "Mestinon used to be a very helpful medication for myself, I have AAG/pandysautonomia along with many other diagnosis’. I personally found this medication helped quite a bit for the first while I was on it. (I’ve been on a lot of different medications and this one helped more than any other thing for my dysautonomia and my blood pressure issues particularly.) Anywho my blood pressure and other related things were somewhat stable for a little while after starting Mestinon but it only lasted for a couple months before I became too tolerant and my body was no longer getting help from it, the opposite in fact.. sadly we had to discontinue it since it was only causing side effects and nothing beneficial but I’ve gone on it a couple other times for short periods after being off of it for a long while and it helps again, I find it is very useful to use when in a particularly bad flare and only need it for a little while so it keeps it’s effects if it helps you :)"

• D1ano
• September 1, 2018

Mestinon (pyridostigmine) "I have been on this a week and seems to be significantly helping breathing issues at night, overall dryness everywhere, constipation, nausea and urinary retention. Side effects though are very unpleasant- very blurry vision (especially at night or in darker lighting), headaches, pelvic pain, muscle cramps, and overall fatigue. I am currently taking a dose of 40mg 3 times a day."

• CJW
• Taken for 6 months to 1 year
• August 30, 2023

Mestinon (pyridostigmine) "I've been taking Mestinon for about 6 months. I experimented with dosage in the beginning, but what I have found most helpful is half tablet (30mg) 2x daily. I had a few side effects in the very beginning like some dizziness and looser stools, however I tolerate this medication very well, and it has become more and more helpful over time in terms of less fatigue, improved energy, and cognition. This is the first medication I have tried for my dysautonomia (and ME/CFS) that has been more helpful than the side effects were harmful (and I have tried many). Really grateful for this drug!"

• POTSy...
• Taken for less than 1 month
• February 17, 2017

Mestinon (pyridostigmine) "I started on 30mg 2x/daily. I had initial loose stools, but have gone back to constipation. I didn't get much relief from my tachycardia, and also noticed an increase in body twitches (not tremors). I'm now trying 60mg 2x/daily and I still have the increase in twitches and most notably, headaches (worse than the normal every day ones), and breathing issues (I already have asthma and laryngospams). Not sure any benefit is worth these side effects, but it's only been a couple of days, so I'll give it a little more time."

• Anonymous
• March 31, 2012

Mestinon (pyridostigmine) "Starting taking this a few months ago for dysautonomia and the POTS secondary to it. It helps the low blood pressure, low body temperature, and the gut-transit issues. It does not help the nerve pain or cognitive impairment. Sometimes when I take it a tad too soon (or even sometimes when I take a normal amount at a normal time) it will help my guts, but I will have a lot of difficulty breathing. "

• Anonymous
• Taken for 1 to 6 months
• September 14, 2022

Mestinon (pyridostigmine) "I had been on Mestinon for 6 months, in the mean time I felt bad from the beginning. My brain fog worsened, and at times it was hard to move my tongue, almost stroke like symptoms. In the beginning it caused severe nausea and headaches. Just seen my neurologist again and he took me off of this drug. It definitely did not work for me."

• Denise
• Taken for 1 to 6 months
• September 9, 2023

"I started on 30 mg, 3x daily. Taking the middle of the day dose has been a struggle to remember. I have felt more energy, less brain fog, little less pain. We increased the dose to 60mg after 2 weeks. I feel antsy/restless still after a month with increased dose. I'm finding sleep is difficult (falling, staying, early waking) even with taking 5mg of Ambien. I like having more energy, but now have to manage rest times as I have small crashes, less intense and amount of time is shorter."

• Nay...
• Taken for 1 to 6 months
• June 11, 2019

Mestinon (pyridostigmine) "It actually made my breathing problems worse ~ was started on 30 mg once a day and increased to 30 mg 3 times a day"

• Anonymous
• June 13, 2009

Mestinon (pyridostigmine) "I take 30mg (half tablet) 4 x daily. Works great for dysautonomia. "

• Droopy
• Taken for 1 to 6 months
• March 20, 2018

"This medication has been a lifesaver for me. It allows me to breath much easier and has helped with brain fog. I would not be able to work without it."

• Tycho...
• Taken for 2 to 5 years
• November 30, 2020

Mestinon (pyridostigmine) "After two years of use symptoms improved"

• Bashe
• June 13, 2009

"Has been very helpful for both my dysautonomia and related gastroparesis symptoms. I feel stronger too, but the effect doesn't last long. I have to take it at least 4 x daily."