Home HealthTopics Health Centers Reference Library Research
Join us on Facebook Join us on Facebook Share on Facebook

Myasthenia Gravis

Plasmapheresis did not work

11/29/2007

Question:

My mum, 73 years old was diagnosed with Myastheinia Gravis five months ago. Her problem started two weeks after she went through a major divericulitus surgery about eight months ago. Prior to that she did not have any MG symptom. Recently she did Plasmapherosis but it only helped her slightly and for three days and quickly double vision was back, one of the eyes was closed again, fatigueness, etc. My impression is that Plasmapherosis is usually effective for about three or more weeks. Why on her case this treatment was not as effective? By the way she did IVIG about two months ago but did not react positively and was advised not to do it again. She is currently on 6 Mestinon on a day and 2 tablets of Azatioprine.

Answer:

Treatment responses of MG is difficult disease to predict. Plasmapheresis and IVIG work quickly if they are going to work at all. Prednisone acts fairly quickly (over weeks) but has many side-effects. Other immunosupressing drugs (Imuran, Cellcept) are often used. It is likely that your mother will need a combination of these and other treatments to control her disease. Unfortunately, it impossible to tell which combination it will be. (I should note that often we choose medications based on the patient's other medical conditions -- trying to avoid side-effects.)

For more information:

Go to the Myasthenia Gravis health topic, where you can:

Response by:

John G Quinlan, MD John G Quinlan, MD
Professor of Neurology
College of Medicine
University of Cincinnati