Myasthenia Gravis
Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.
Myasthenia gravis (MG) is a long-term disease that causes severe muscle weakness.
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Medicines:
- Anticholinesterase medicine helps improve energy and strength.
- Steroid medicine or other immunosuppressives may be given to slow your immune system and the progression of MG.
- Immune globulin is given as a shot or an IV infusion to help your immune system.
Drugs used to treat this and similar conditions
Mestinon
Mestinon (pyridostigmine) is used to increase muscle strength in conditions such as myasthenia ...
Soliris
Soliris infusion is used to treat adults with paroxysmal nocturnal hemoglobinuria (PNH), adults and ...
Benlysta
Benlysta infusion is used to treat active systemic lupus erythematosus (SLE) and active lupus ...
Vyvgart
Vyvgart is used for myasthenia gravis to improve muscle weakness in adults whose myasthenia gravis ...
Ultomiris
Ultomiris (ravulizumab-cwvz) is used for the treatment of myasthenia gravis, paroxysmal nocturnal ...
Rozanolixizumab
Rozanolixizumab is used to treat certain types of generalized myasthenia gravis (gMG) in adults. It ...
Efgartigimod alfa
Efgartigimod alfa (brand name Vyvgart) is used to treat generalized myasthenia gravis (gMG) in ...
Ravulizumab
Ravulizumab-cwvz is used to treat myasthenia gravis (gMG), hemolytic uremic syndrome (aHUS) ...
Eculizumab
Eculizumab (brand names Soliris, Bkemv, and Epysqli) is used to treat paroxysmal nocturnal ...
Tests:
- Blood tests are used to check for abnormal antibodies caused by autoimmune MG.
- A Tensilon test means IV medicine is given to see if your muscles get stronger after you get the medicine.
- An ice test checks for improvement in eyelid drooping after your eyelids are covered with ice packs.
- An electromyography (EMG) test measures the electrical activity of your muscles at rest and with movement.
- An MRI or CT scan may be used to check for an enlarged thymus gland. You may be given contrast liquid before the pictures are taken to help your thymus show up better in pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.
Treatment:
- A swallow or speech therapist may work with you if you have trouble swallowing. He or she can help you learn which foods and liquids are safe to eat and drink. You may be fed by an IV or a nasogastric (NG) tube if your swallowing problems are severe. You may be given thickened liquids and softer (mashed) foods. These are easier to swallow.
- A ventilator is a machine that gives you oxygen and breathes for you when you cannot breathe well on your own. An endotracheal (ET) tube is put into your mouth or nose and attached to the ventilator. You may need a trach if an ET tube cannot be placed. A trach is a tube put through an incision and into your windpipe.
- Plasmapheresis is a procedure used to remove abnormal antibodies from your blood.
- Surgery may be done to remove your thymus gland. This may reduce or prevent future symptoms of MG.
Treatment options
The following list of medications are related to or used in the treatment of this condition.
RISKS:
Left untreated, MG symptoms can worsen and make it difficult for you to swallow or breathe. This is called a myasthenic crisis. It is a serious condition that may become life-threatening.
CARE AGREEMENT:
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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