I was diagnosed in 2017 with generalized mg and put on 120 mg mestinon 5x day. When I struggled with severe cramping day and night for years, my neurologist brushed it off, never even mentioning that it might be a side effect of the mestinon. I finally changed doctors and he believes my cramping was caused by the high dose I was prescribed. He reduced the dose to 60 mg 3x a day, but the cramping is still very disruptive in my life, especially to those who witness my pain.
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