Suggest treatment for myasthenia gravies
Patient: My father age is 67 years old. Last month , he had dedeceted myasthenia gravies . Dr started the medicine myestin 60 , one tab three times a day. My father has 10% relif. Now dr suggest to start a new medicine azoran 50 g. But this have some side effects . Blood test report is _ ACHR ANTIBODIES , ACETYL CHOLINE RECEPTOR ANTIBODIES _ 20.1. Nmol/l please suggest me.what can I do??? Doctor: Hello ! Than you for the question on HCM!Regarding your concern I would say that his antibodies are really high . The small effect of myestin, is very indicative for a possible progression of the disease. This disease can lead to respiratory insufficiency, causing high morbidity and mortality. So I agree with your doctor to have a more aggressive treatment. We should put into balance the side effects of this drug and the benefits, taking into consideration the severity or this disease. Another option would be steroids. But they are contraindicated in hypertension, diabetes or gastritis and ulcers . I don't know if your father has any contraindications to oral steroids. I would also recommend a thoracic CT scan for thymoma, or thymic hyperplasia. This high level of antibody may be related with this disorder. Surgery would be very helpful in that case. Hope to have been helpful!Best wishes, Dr. Abaz Quka