Drugs associated with worsening of Myasthenia Gravis ...
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Description

Drugs associated with worsening of Myasthenia Gravis (MG):

•	D-penicillamine 

•	Botulinum toxin.

•	Telithromycin

•	Fluoroquinolones 

•	Quinine

•	Magnesium

•	Macrolide antibiotics 

•	Corticosteroids (may cause transient worsening within first 2 wks).

•	Aminoglycoside antibiotics.

•	Procainamide

•	Desferrioxamine

•	Beta-blockers

•	Statins

•	Iodinated radiologic contrast agents

•	Chloroquine/Hydroxychloroquine.

 

Thymectomy soon after first symptomatic presentation of generalized AChR-MG may prevent prolonged myasthenic crisis. 



Patients with MuSK-MG have a higher risk of myasthenic crisis because of bulbar weakness and may require prolonged therapy.



#Myastheniagravis #ocularmyasthenia #ptosis #diplopia #myastheniccrisis #Plasmapheresis #intravenousimmunoglobulin #IVIG #Pyridostigmine #acetylcholinereceptor #muscle-specificreceptortyrosinekinase #AChR #MuSK #VC #NIF #PEF #thymoma

Contributed by

Satyendra Dhar, MD
@DharSaty
Hospital Medicine
Clinical Assistant Professor

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