Treatment of ocular myasthenia gravis

summary

My friend's child is a patient with myasthenia gravis. When I went to the hospital for examination recently, the doctor said that the patient's condition has been basically stable, and now it is obviously better. Let's share the treatment of myasthenia gravis ophthalmic muscle type.

Treatment of ocular myasthenia gravis

Treatment 1: continue to decrease rapidly once / 3 days and a half, to stop taking 7.5 mg per day, the course of treatment is 28 days, if recurrence occurs during the follow-up period, then use glucocorticoid pulse therapy again.

Treatment 2: glucocorticoid long-term program: 60 mg per day, once a week, 10 mg per day until 40 mg per day, about 14 weeks; then once a week, 5 mg every other day until 40 mg every other day, four 35 mg per day, four weeks; if three 35 mg per day, three weeks; After that, the dosage will be reduced once every two weeks, 5 mg every other day for each time, to 35 mg every day. It will take about 190 days for a course of treatment: 4 35 mg per day for 6 weeks, 3 35 mg per day for 8 weeks.

Treatment 3: in the process of drug reduction, if the condition of myasthenia gravis patients worsens, the drug reduction will be stopped, and the dose will be maintained at the current level or slightly higher than the current dose level to continue treatment, and the drug reduction treatment will be continued after the condition is relieved.

matters needing attention

We suggest that we should pay attention to: patients should pay attention to the right amount of exercise, enhance their own physique, improve the body's immunity, but do not make their body too tired, so as to avoid the recurrence or crisis of myasthenia gravis caused by overwork. In addition, paying attention to the functional exercise of limbs can also prevent muscle atrophy.