Also, its optimal dose is yet undecided. Pyridostigmine (Mestinon)
is the usual first line treatment
for MG. Mycophenolate mofetil should be
used with caution in individuals who fail on azathioprine (Mycophenolate mofetil substitute) and corticosteroids. Plasma exchange (PE) and Human immune globulin are tried if there is respiratory problems and gysphagia. Some even benefit with thymectomy or removal of thymus. Tacrolimus is another drug which can be tried.