Myasthenia gravis
Zapobieganie i profilaktyka

Myasthenia gravis (MG) to choroba autoimmunologiczna o niejasnej etiologii, w której profilaktyka zaostrzeń opiera się na zarządzaniu czynnikami ryzyka i unikaniu wyzwalaczy. Kluczowe jest zapobieganie infekcjom dróg oddechowych poprzez higienę, unikanie kontaktu z chorymi, szczepienia (coroczne przeciw grypie, jednorazowe przeciw pneumokokom, przeciw COVID-19 z dawkami przypominającymi, co 10 lat przeciw błonicy, tężcowi i krztuścowi oraz szczepienie przeciw półpaścowi Shingrix u osób z obniżoną odpornością). Szczególną ostrożność należy zachować wobec szczepionek żywych u pacjentów na immunosupresji oraz przed terapią ekulizumabem, gdzie wymagane jest szczepienie przeciw meningokokom. Profilaktyka obejmuje także unikanie skrajnych temperatur, nadmiernego wysiłku, stresu oraz leków nasilających objawy MG (aminoglikozydy, fluorochinolony, beta-blokery), a także prawidłowe stosowanie leków antycholinesterazowych (30-45 minut przed posiłkami).

Zapobieganie i profilaktyka w Myasthenia gravis

Myasthenia gravis (MG) jest chorobą autoimmunologiczną o niejasnej etiologii, co sprawia, że obecnie nie jest znany sposób całkowitego zapobiegania jej rozwojowi. Jednakże u pacjentów już zdiagnozowanych istnieje szereg działań profilaktycznych, które mogą zapobiegać zaostrzeniom objawów i powikłaniom choroby.12 Strategiczne podejście do zarządzania czynnikami ryzyka i unikanie znanych czynników wyzwalających jest kluczowe w zapobieganiu zaostrzeniom choroby oraz najpoważniejszemu powikłaniu – przełomowi miastenicznym.3

Strategie zapobiegania zaostrzeniom choroby

Właściwe postępowanie profilaktyczne w MG obejmuje kilka kluczowych obszarów interwencji, które mają na celu utrzymanie stabilnego stanu pacjenta i zapobieganie pogorszeniom:45

Profilaktyka infekcji

Infekcje, szczególnie dróg oddechowych, są jednymi z najczęstszych czynników wywołujących zaostrzenia u pacjentów z MG. Zalecane działania profilaktyczne obejmują:67

  • Systematyczne przestrzeganie zasad higieny, w szczególności regularne mycie rąk8
  • Unikanie kontaktu z osobami chorymi na infekcje dróg oddechowych (przeziębienia, grypa)910
  • Unikanie przebywania w zatłoczonych miejscach, szczególnie w sezonie infekcyjnym11
  • Szybkie i skuteczne leczenie infekcji, jeśli już wystąpią12
Szczepienia ochronne

Szczepienia są istotnym elementem profilaktyki infekcji u pacjentów z MG, jednak wymagają szczególnych uwag ze względu na charakter choroby i stosowane leczenie:1314

Szczególnej uwagi wymagają tzw. „żywe” szczepionki, które generalnie nie są zalecane u pacjentów leczonych lekami immunosupresyjnymi. Przed każdym szczepieniem konieczna jest konsultacja z lekarzem specjalistą MG.21 W przypadku planowanego leczenia ekulizumabem, pacjenci muszą otrzymać szczepienie przeciwko meningokokom przed rozpoczęciem terapii.22

Unikanie czynników wywołujących zaostrzenia

Zidentyfikowanie i unikanie czynników, które mogą wywołać objawy MG, jest kluczowe w profilaktyce zaostrzeń:2324

Temperatura i wysiłek fizyczny
  • Unikanie skrajnych temperatur – zarówno przegrzania, jak i wychłodzenia organizmu2526
  • Unikanie nadmiernego wysiłku fizycznego i przemęczenia27
  • Zachowanie równowagi między aktywnością fizyczną a odpoczynkiem2829
Stres i zdrowie psychiczne
  • Stosowanie technik redukcji stresu, takich jak medytacja uważności, ćwiczenia relaksacyjne czy hobby30
  • Unikanie skrajnych stanów emocjonalnych3132
  • Rozważenie dołączenia do grupy wsparcia dla pacjentów z MG, która może być źródłem informacji i wskazówek33
Leki i procedury medyczne

Niektóre leki mogą nasilać objawy MG, dlatego kluczowa jest ostrożność w ich stosowaniu:3435

  • Zawsze informowanie lekarzy o diagnozie MG przy przepisywaniu nowych leków3637
  • Szczególna ostrożność wobec leków znanych z potencjału zaostrzania objawów MG, takich jak:38
    • Antybiotyki aminoglikozydowe
    • Fluorochinolony
    • Beta-blokery
  • Informowanie chirurga o diagnozie MG przed każdym zabiegiem operacyjnym39
  • Przyjmowanie leków antycholinesterazowych dokładnie według zaleceń lekarza, co pomaga utrzymać siłę mięśni oddechowych4041
  • Przyjmowanie leków antycholinesterazowych 30-45 minut przed posiłkami, aby zmniejszyć ryzyko aspiracji pokarmów do dróg oddechowych4243

Zapobieganie przełomowi miastenicznym

Przełom miasteniczny stanowi stan zagrożenia życia, charakteryzujący się skrajną słabością mięśni, szczególnie przepony i mięśni klatki piersiowej wspomagających oddychanie. Może być wywołany przez brak przyjmowania leków, infekcje, stres emocjonalny, zabiegi chirurgiczne lub inne czynniki stresogenne.44

Poza wcześniej wymienionymi działaniami profilaktycznymi, zaleca się:45

  • Utrzymywanie właściwego stanu odżywienia organizmu w celu zachowania optymalnej masy ciała i siły mięśniowej4647
  • Noszenie bransoletki lub innego identyfikatora medycznego informującego o chorobie w sytuacjach nagłych4849
  • Unikanie aktywności, które mogą być niebezpieczne w przypadku nagłego osłabienia mięśni, np. pływanie w samotności50
  • W przypadku prowadzenia pojazdów, zgłoszenie diagnozy MG odpowiednim organom51

Tymektomia jako metoda profilaktyczna

Zabieg chirurgicznego usunięcia grasicy (tymektomia) może być rozważany jako działanie profilaktyczne w MG:5253

  • Tymektomia może zmniejszyć prawdopodobieństwo konieczności stosowania innych leków immunosupresyjnych54
  • Może zmniejszyć ryzyko hospitalizacji z powodu nasilenia objawów55
  • Jest szczególnie zalecana w przypadku stwierdzenia grasiczaka56
  • W przypadku ocznej postaci MG (OMG), rola tymektomii pozostaje kontrowersyjna, ale może być rozważana, jeśli terapia pierwszego i drugiego rzutu zawiedzie57

Należy pamiętać, że tymektomia nie zawsze jest skuteczna i w niektórych przypadkach może nie przynieść poprawy lub spowodować jedynie niewielką zmianę w nasileniu objawów.58 Korzyści i ryzyko związane z zabiegiem powinny być omówione z każdym pacjentem, uwzględniając, że farmakoterapia lub inne środki mogą być nadal konieczne nawet po usunięciu grasicy.59

Poradnictwo genetyczne

W przypadku kobiet ciężarnych z MG lub planujących ciążę, zaleca się konsultację z lekarzem prowadzącym, który może doradzić poradnictwo genetyczne. Dzięki temu można lepiej zrozumieć ryzyko wystąpienia MG u potomstwa w przyszłej ciąży.60

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1
    https://www.singhealth.com.sg/patient-care/conditions-treatments/myasthenia-gravis
    There is currently no known way to prevent myasthenia gravis as it is an autoimmune condition with unclear causes. However, for patients with MG, managing triggers and risk factors can help reduce symptom severity and prevent flare-ups. This includes taking medications as prescribed, avoiding infections, reducing stress and avoiding certain drugs that can worsen muscle weakness.
  • #2 Myasthenia Gravis – Harvard Health
    https://www.health.harvard.edu/a_to_z/myasthenia-gravis-a-to-z
    Preventing myasthenia gravis […] Because the cause of myasthenia gravis is unknown, there is no way to prevent it. However, once the disease has developed, there may be ways to prevent episodes of worsening symptoms or flare-ups: Give yourself plenty of rest. Avoid strenuous, exhausting activities. Avoid excessive heat and cold. Avoid emotional stress. Whenever possible, avoid exposure to any kind of infection, including colds and influenza (flu). You should be vaccinated against common infections, such as influenza, RSV and COVID-19. Work with your doctor to monitor your reactions to prescription medications. Some drugs commonly prescribed for other problems, such as infections, heart disease or hypertension, may make myasthenia gravis worse. You may need to choose alternative therapies or avoid some medications entirely.
  • #3 Myasthenia Gravis
    https://healthlibrary.brighamandwomens.org/library/PreventionGuidelines/85,P07785
    The most serious complications of myasthenia gravis is myasthenic crisis which is a medical emergency. This is a condition of extreme muscle weakness, particularly of the diaphragm and chest muscles that support breathing. Breathing may become shallow or ineffective. The airway may become blocked because of weakened throat muscles and a buildup of secretions. Myasthenic crisis may be caused by a lack of medicine or by other factors, such as a respiratory infection, emotional stress, surgery, or some other type of stress. In severe crisis, a person may have to be placed on a special machine (ventilator or respirator) to help with breathing until muscle strength returns with treatment. […] These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages)
  • #4 Myasthenia Gravis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK559331/
    It is important to stress the value of avoiding precipitants like infections, excessive exertion, emotional stress, worsening of chronic medical illnesses, and drugs (aminoglycosides, fluoroquinolones, beta-blockers). […] Patients are advised to take their medications as directed and to avoid taking new medicines without checking with the medical provider. […] Patients should also be educated about various complications and advised to seek medical care as early as possible. […] Wearing a medical identification bracelet that shows they have myasthenia gravis is also recommended. […] Health promotive measures to prevent infections like handwashing and yearly flu vaccine should be emphasized.
  • #5 Myasthenia gravis: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/179968
    MG cannot be prevented. However, a person can take steps to stop a flare-up of symptoms or prevent them from developing complications. […] These include practicing careful hygiene to avoid infections and treating them promptly if they do occur. […] It is also advisable to avoid extreme temperatures and overexertion. Effective stress management can also reduce the frequency and severity of symptoms.
  • #6 Myasthenia Gravis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK559331/
    It is important to stress the value of avoiding precipitants like infections, excessive exertion, emotional stress, worsening of chronic medical illnesses, and drugs (aminoglycosides, fluoroquinolones, beta-blockers). […] Patients are advised to take their medications as directed and to avoid taking new medicines without checking with the medical provider. […] Patients should also be educated about various complications and advised to seek medical care as early as possible. […] Wearing a medical identification bracelet that shows they have myasthenia gravis is also recommended. […] Health promotive measures to prevent infections like handwashing and yearly flu vaccine should be emphasized.
  • #7 How Is Myasthenia Gravis Diagnosed and Treated?
    https://www.webmd.com/brain/understanding-myasthenia-gravis-treatment
    There are no known ways to prevent myasthenia gravis. If you already have the condition, take these steps to help keep it from getting worse: […] Try to prevent infections with careful hygiene and by avoiding sick people. […] Treat infections promptly. […] Do not become overheated or too cold. […] Avoid overexertion. […] Learn effective ways to deal with stress.
  • #8 What Is Myasthenia Gravis? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/myasthenia-gravis/guide/
    There is no way to prevent myasthenia gravis. However, if you have the condition, there are steps you can take to prevent your symptoms from worsening, including: (1,3,6) […] Reduce Stress. Stress is known to worsen muscle weakness and contractions in myasthenia gravis. Avoiding stressful situations at home or work can help, but given that it’s not always possible, it makes sense to find stress management strategies like exercise, mindfulness meditation, or hobbies that work for you. […] Prevent Infections. Myasthenia gravis symptoms can be triggered by common infections, and the condition places you at increased risk for some of them. Practicing good hand hygiene (washing your hands regularly) can help you avoid many common infections. If you develop an infection, get treated for it as soon as possible.
  • #9 Myasthenia Gravis
    https://sanfordhealth.staywellsolutionsonline.com/Library/DiseasesConditions/Adult/Plastic/85,P07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency.
  • #10 Myasthenia Gravis | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/Diseases-and-Conditions/myasthenia-gravis
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency
  • #11 Myasthenia gravis symptoms, diagnosis & treatment – TeleMed2U
    https://www.telemed2u.com/neurology/myasthenia-gravis
    Making good lifestyle choices can help prevent or minimize MG symptoms, especially a myasthenic crisis. These include: […] Avoid crowds and people with respiratory infections (cold or flu) […] Whenever you’re prescribed a medication, be sure the prescriber knows you have MG because some medications interfere with MG.
  • #12 Myasthenia gravis: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/179968
    MG cannot be prevented. However, a person can take steps to stop a flare-up of symptoms or prevent them from developing complications. […] These include practicing careful hygiene to avoid infections and treating them promptly if they do occur. […] It is also advisable to avoid extreme temperatures and overexertion. Effective stress management can also reduce the frequency and severity of symptoms.
  • #13 Myasthenia Gravis – Harvard Health
    https://www.health.harvard.edu/a_to_z/myasthenia-gravis-a-to-z
    Preventing myasthenia gravis […] Because the cause of myasthenia gravis is unknown, there is no way to prevent it. However, once the disease has developed, there may be ways to prevent episodes of worsening symptoms or flare-ups: Give yourself plenty of rest. Avoid strenuous, exhausting activities. Avoid excessive heat and cold. Avoid emotional stress. Whenever possible, avoid exposure to any kind of infection, including colds and influenza (flu). You should be vaccinated against common infections, such as influenza, RSV and COVID-19. Work with your doctor to monitor your reactions to prescription medications. Some drugs commonly prescribed for other problems, such as infections, heart disease or hypertension, may make myasthenia gravis worse. You may need to choose alternative therapies or avoid some medications entirely.
  • #14
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4682
    Make sure you are up to date on your vaccines. Ask your doctor which ones you need. […] Avoid getting too hot, because heat seems to make symptoms worse. […] Consider joining a support group with other people who have myasthenia gravis. These groups can be a good source of information and tips for what to do. Your doctor can tell you how to contact a support group.
  • #15 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    Some infections can be more dangerous for people with myasthenia gravis (MG) than they are for those without the condition. Vaccinations can help protect your health, but its important to know which vaccines are safe if youre taking certain MG medications. […] Talk to your health care team about vaccinations if your treatment plan includes immunosuppressive therapy. […] If your treatment plan includes immunosuppressive therapy, its important to talk to your doctor about your risk of infection and which vaccinations may be appropriate for you. […] Here are some of the vaccinations that are recommended and considered safe for people with MG who are immunocompromised (have weakened immune systems) due to immunosuppressive treatment: Flu vaccination, given once each year; COVID-19 vaccinations with recommended boosters; Diphtheria, tetanus, and pertussis vaccination, which is recommended every 10 years; Pneumonia vaccination, recommended once a year; Shingrix vaccination, the nonlive shingles vaccination, given in two doses spread between two months and six months, recommended for immunocompromised people ages 19 and older; Standard nonlive polio vaccination, which is generally given to children but may be administered to adults; Hepatitis B vaccine, which may be appropriate for some people with MG, given in a series of two, three, or four shots.
  • #16
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    The symptoms of myasthenia gravis can sometimes have a specific trigger. Doing what you can to avoid your triggers may help. […] You may be advised to have an annual flu jab and the one-off pneumococcal vaccine, but get advice before having a „live” vaccine, such as the shingles vaccine (live vaccines contain viruses or bacteria that have been weakened). […] Make sure your doctor is aware of your condition and get advice before taking anything on the list of medicines that can trigger myasthenia gravis symptoms. […] Make sure your surgeon is aware of your condition before having any operation. […] It’s also a good idea to avoid activities that could be dangerous if you have sudden weakness, such as swimming alone. If you drive, you should tell the DVLA you have myasthenia gravis. […] Surgery to remove the thymus gland, known as a thymectomy, may sometimes be recommended if you have myasthenia gravis.
  • #17 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    Some infections can be more dangerous for people with myasthenia gravis (MG) than they are for those without the condition. Vaccinations can help protect your health, but its important to know which vaccines are safe if youre taking certain MG medications. […] Talk to your health care team about vaccinations if your treatment plan includes immunosuppressive therapy. […] If your treatment plan includes immunosuppressive therapy, its important to talk to your doctor about your risk of infection and which vaccinations may be appropriate for you. […] Here are some of the vaccinations that are recommended and considered safe for people with MG who are immunocompromised (have weakened immune systems) due to immunosuppressive treatment: Flu vaccination, given once each year; COVID-19 vaccinations with recommended boosters; Diphtheria, tetanus, and pertussis vaccination, which is recommended every 10 years; Pneumonia vaccination, recommended once a year; Shingrix vaccination, the nonlive shingles vaccination, given in two doses spread between two months and six months, recommended for immunocompromised people ages 19 and older; Standard nonlive polio vaccination, which is generally given to children but may be administered to adults; Hepatitis B vaccine, which may be appropriate for some people with MG, given in a series of two, three, or four shots.
  • #18 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    Some infections can be more dangerous for people with myasthenia gravis (MG) than they are for those without the condition. Vaccinations can help protect your health, but its important to know which vaccines are safe if youre taking certain MG medications. […] Talk to your health care team about vaccinations if your treatment plan includes immunosuppressive therapy. […] If your treatment plan includes immunosuppressive therapy, its important to talk to your doctor about your risk of infection and which vaccinations may be appropriate for you. […] Here are some of the vaccinations that are recommended and considered safe for people with MG who are immunocompromised (have weakened immune systems) due to immunosuppressive treatment: Flu vaccination, given once each year; COVID-19 vaccinations with recommended boosters; Diphtheria, tetanus, and pertussis vaccination, which is recommended every 10 years; Pneumonia vaccination, recommended once a year; Shingrix vaccination, the nonlive shingles vaccination, given in two doses spread between two months and six months, recommended for immunocompromised people ages 19 and older; Standard nonlive polio vaccination, which is generally given to children but may be administered to adults; Hepatitis B vaccine, which may be appropriate for some people with MG, given in a series of two, three, or four shots.
  • #19 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    Some infections can be more dangerous for people with myasthenia gravis (MG) than they are for those without the condition. Vaccinations can help protect your health, but its important to know which vaccines are safe if youre taking certain MG medications. […] Talk to your health care team about vaccinations if your treatment plan includes immunosuppressive therapy. […] If your treatment plan includes immunosuppressive therapy, its important to talk to your doctor about your risk of infection and which vaccinations may be appropriate for you. […] Here are some of the vaccinations that are recommended and considered safe for people with MG who are immunocompromised (have weakened immune systems) due to immunosuppressive treatment: Flu vaccination, given once each year; COVID-19 vaccinations with recommended boosters; Diphtheria, tetanus, and pertussis vaccination, which is recommended every 10 years; Pneumonia vaccination, recommended once a year; Shingrix vaccination, the nonlive shingles vaccination, given in two doses spread between two months and six months, recommended for immunocompromised people ages 19 and older; Standard nonlive polio vaccination, which is generally given to children but may be administered to adults; Hepatitis B vaccine, which may be appropriate for some people with MG, given in a series of two, three, or four shots.
  • #20 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    Some infections can be more dangerous for people with myasthenia gravis (MG) than they are for those without the condition. Vaccinations can help protect your health, but its important to know which vaccines are safe if youre taking certain MG medications. […] Talk to your health care team about vaccinations if your treatment plan includes immunosuppressive therapy. […] If your treatment plan includes immunosuppressive therapy, its important to talk to your doctor about your risk of infection and which vaccinations may be appropriate for you. […] Here are some of the vaccinations that are recommended and considered safe for people with MG who are immunocompromised (have weakened immune systems) due to immunosuppressive treatment: Flu vaccination, given once each year; COVID-19 vaccinations with recommended boosters; Diphtheria, tetanus, and pertussis vaccination, which is recommended every 10 years; Pneumonia vaccination, recommended once a year; Shingrix vaccination, the nonlive shingles vaccination, given in two doses spread between two months and six months, recommended for immunocompromised people ages 19 and older; Standard nonlive polio vaccination, which is generally given to children but may be administered to adults; Hepatitis B vaccine, which may be appropriate for some people with MG, given in a series of two, three, or four shots.
  • #21 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    If you and your doctor determine that you should start treatment with the immunosuppressant drug eculizumab, you will be required to have meningococcal vaccinations. The vaccination must be administered before treatment with eculizumab begins. […] Live vaccines are generally not recommended for people with myasthenia gravis who are in treatment with immunosuppressive therapies. In some cases, a live vaccine may still be advised for someone with MG, particularly if they are not receiving immunosuppressive treatment. Always check your MG specialist before getting a vaccine. […] Most vaccination side effects are mild, such as pain at the injection site, headache, or chills, and these usually go away within a day or two. Research has overwhelmingly shown that vaccination with myasthenia gravis is safe, and that the benefits far outweigh the risks.
  • #22 Vaccinations and Myasthenia Gravis Treatment: Which Are Needed? Why Is It Important? | MGteam
    https://www.mgteam.com/resources/vaccinations-and-myasthenia-gravis-treatment-which-are-needed-why-is-it-important
    If you and your doctor determine that you should start treatment with the immunosuppressant drug eculizumab, you will be required to have meningococcal vaccinations. The vaccination must be administered before treatment with eculizumab begins. […] Live vaccines are generally not recommended for people with myasthenia gravis who are in treatment with immunosuppressive therapies. In some cases, a live vaccine may still be advised for someone with MG, particularly if they are not receiving immunosuppressive treatment. Always check your MG specialist before getting a vaccine. […] Most vaccination side effects are mild, such as pain at the injection site, headache, or chills, and these usually go away within a day or two. Research has overwhelmingly shown that vaccination with myasthenia gravis is safe, and that the benefits far outweigh the risks.
  • #23 Myasthenia Gravis – Harvard Health
    https://www.health.harvard.edu/a_to_z/myasthenia-gravis-a-to-z
    Preventing myasthenia gravis […] Because the cause of myasthenia gravis is unknown, there is no way to prevent it. However, once the disease has developed, there may be ways to prevent episodes of worsening symptoms or flare-ups: Give yourself plenty of rest. Avoid strenuous, exhausting activities. Avoid excessive heat and cold. Avoid emotional stress. Whenever possible, avoid exposure to any kind of infection, including colds and influenza (flu). You should be vaccinated against common infections, such as influenza, RSV and COVID-19. Work with your doctor to monitor your reactions to prescription medications. Some drugs commonly prescribed for other problems, such as infections, heart disease or hypertension, may make myasthenia gravis worse. You may need to choose alternative therapies or avoid some medications entirely.
  • #24 How Is Myasthenia Gravis Diagnosed and Treated?
    https://www.webmd.com/brain/understanding-myasthenia-gravis-treatment
    There are no known ways to prevent myasthenia gravis. If you already have the condition, take these steps to help keep it from getting worse: […] Try to prevent infections with careful hygiene and by avoiding sick people. […] Treat infections promptly. […] Do not become overheated or too cold. […] Avoid overexertion. […] Learn effective ways to deal with stress.
  • #25
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4682
    Make sure you are up to date on your vaccines. Ask your doctor which ones you need. […] Avoid getting too hot, because heat seems to make symptoms worse. […] Consider joining a support group with other people who have myasthenia gravis. These groups can be a good source of information and tips for what to do. Your doctor can tell you how to contact a support group.
  • #26 What Is Myasthenia Gravis? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/myasthenia-gravis/guide/
    Avoid Temperature Extremes. Extreme heat or cold can trigger myasthenia gravis symptoms. […] Don’t Overdo It. Exercising too much or working too hard can worsen myasthenia gravis symptoms. Know your limits and rest when needed. […] Seek Work Accommodations When Needed. Pay attention to how you feel at work, and let your employer know if you need changes in your schedule or work environment to be more effective on the job. These organizations can help you learn more about your rights under the Americans With Disabilities Act and about possible accommodations that may help you at your job.
  • #27 What Is Myasthenia Gravis? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/myasthenia-gravis/guide/
    Avoid Temperature Extremes. Extreme heat or cold can trigger myasthenia gravis symptoms. […] Don’t Overdo It. Exercising too much or working too hard can worsen myasthenia gravis symptoms. Know your limits and rest when needed. […] Seek Work Accommodations When Needed. Pay attention to how you feel at work, and let your employer know if you need changes in your schedule or work environment to be more effective on the job. These organizations can help you learn more about your rights under the Americans With Disabilities Act and about possible accommodations that may help you at your job.
  • #28 Myasthenia Gravis
    https://sanfordhealth.staywellsolutionsonline.com/Library/DiseasesConditions/Adult/Plastic/85,P07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency.
  • #29 Myasthenia Gravis | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/Diseases-and-Conditions/myasthenia-gravis
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency
  • #30 What Is Myasthenia Gravis? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/myasthenia-gravis/guide/
    There is no way to prevent myasthenia gravis. However, if you have the condition, there are steps you can take to prevent your symptoms from worsening, including: (1,3,6) […] Reduce Stress. Stress is known to worsen muscle weakness and contractions in myasthenia gravis. Avoiding stressful situations at home or work can help, but given that it’s not always possible, it makes sense to find stress management strategies like exercise, mindfulness meditation, or hobbies that work for you. […] Prevent Infections. Myasthenia gravis symptoms can be triggered by common infections, and the condition places you at increased risk for some of them. Practicing good hand hygiene (washing your hands regularly) can help you avoid many common infections. If you develop an infection, get treated for it as soon as possible.
  • #31 Myasthenia Gravis | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/Diseases-and-Conditions/myasthenia-gravis
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency
  • #32 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=p07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency […] Tell your healthcare providers about your condition when any medicines are being prescribed. Certain medicines may interfere either with the disease or the action of the medicines you take for MG.
  • #33
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4682
    Make sure you are up to date on your vaccines. Ask your doctor which ones you need. […] Avoid getting too hot, because heat seems to make symptoms worse. […] Consider joining a support group with other people who have myasthenia gravis. These groups can be a good source of information and tips for what to do. Your doctor can tell you how to contact a support group.
  • #34 Myasthenia Gravis – Harvard Health
    https://www.health.harvard.edu/a_to_z/myasthenia-gravis-a-to-z
    Preventing myasthenia gravis […] Because the cause of myasthenia gravis is unknown, there is no way to prevent it. However, once the disease has developed, there may be ways to prevent episodes of worsening symptoms or flare-ups: Give yourself plenty of rest. Avoid strenuous, exhausting activities. Avoid excessive heat and cold. Avoid emotional stress. Whenever possible, avoid exposure to any kind of infection, including colds and influenza (flu). You should be vaccinated against common infections, such as influenza, RSV and COVID-19. Work with your doctor to monitor your reactions to prescription medications. Some drugs commonly prescribed for other problems, such as infections, heart disease or hypertension, may make myasthenia gravis worse. You may need to choose alternative therapies or avoid some medications entirely.
  • #35 Myasthenia Gravis Signs & Symptoms | Rush
    https://www.rush.edu/conditions/myasthenia-gravis
    Rush neuromuscular experts help you manage myasthenia gravis symptoms, including helping prevent myasthenic crisis. […] In addition, they work with you to develop a treatment plan that keeps your condition under control to prevent a crisis. […] Taking the right medications and avoiding ones that are harmful for myasthenia gravis is a big part of achieving control of your symptoms.
  • #36 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=p07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency […] Tell your healthcare providers about your condition when any medicines are being prescribed. Certain medicines may interfere either with the disease or the action of the medicines you take for MG.
  • #37 Myasthenia gravis symptoms, diagnosis & treatment – TeleMed2U
    https://www.telemed2u.com/neurology/myasthenia-gravis
    Making good lifestyle choices can help prevent or minimize MG symptoms, especially a myasthenic crisis. These include: […] Avoid crowds and people with respiratory infections (cold or flu) […] Whenever you’re prescribed a medication, be sure the prescriber knows you have MG because some medications interfere with MG.
  • #38 Myasthenia Gravis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK559331/
    It is important to stress the value of avoiding precipitants like infections, excessive exertion, emotional stress, worsening of chronic medical illnesses, and drugs (aminoglycosides, fluoroquinolones, beta-blockers). […] Patients are advised to take their medications as directed and to avoid taking new medicines without checking with the medical provider. […] Patients should also be educated about various complications and advised to seek medical care as early as possible. […] Wearing a medical identification bracelet that shows they have myasthenia gravis is also recommended. […] Health promotive measures to prevent infections like handwashing and yearly flu vaccine should be emphasized.
  • #39
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    The symptoms of myasthenia gravis can sometimes have a specific trigger. Doing what you can to avoid your triggers may help. […] You may be advised to have an annual flu jab and the one-off pneumococcal vaccine, but get advice before having a „live” vaccine, such as the shingles vaccine (live vaccines contain viruses or bacteria that have been weakened). […] Make sure your doctor is aware of your condition and get advice before taking anything on the list of medicines that can trigger myasthenia gravis symptoms. […] Make sure your surgeon is aware of your condition before having any operation. […] It’s also a good idea to avoid activities that could be dangerous if you have sudden weakness, such as swimming alone. If you drive, you should tell the DVLA you have myasthenia gravis. […] Surgery to remove the thymus gland, known as a thymectomy, may sometimes be recommended if you have myasthenia gravis.
  • #40 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=p07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency […] Tell your healthcare providers about your condition when any medicines are being prescribed. Certain medicines may interfere either with the disease or the action of the medicines you take for MG.
  • #41 Myasthenia Gravis | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/Diseases-and-Conditions/myasthenia-gravis
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency
  • #42 Myasthenia Gravis
    https://sanfordhealth.staywellsolutionsonline.com/Library/DiseasesConditions/Adult/Plastic/85,P07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency.
  • #43 Myasthenia Gravis
    https://healthlibrary.brighamandwomens.org/library/PreventionGuidelines/85,P07785
    The most serious complications of myasthenia gravis is myasthenic crisis which is a medical emergency. This is a condition of extreme muscle weakness, particularly of the diaphragm and chest muscles that support breathing. Breathing may become shallow or ineffective. The airway may become blocked because of weakened throat muscles and a buildup of secretions. Myasthenic crisis may be caused by a lack of medicine or by other factors, such as a respiratory infection, emotional stress, surgery, or some other type of stress. In severe crisis, a person may have to be placed on a special machine (ventilator or respirator) to help with breathing until muscle strength returns with treatment. […] These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages)
  • #44 Myasthenia Gravis
    https://healthlibrary.brighamandwomens.org/library/PreventionGuidelines/85,P07785
    The most serious complications of myasthenia gravis is myasthenic crisis which is a medical emergency. This is a condition of extreme muscle weakness, particularly of the diaphragm and chest muscles that support breathing. Breathing may become shallow or ineffective. The airway may become blocked because of weakened throat muscles and a buildup of secretions. Myasthenic crisis may be caused by a lack of medicine or by other factors, such as a respiratory infection, emotional stress, surgery, or some other type of stress. In severe crisis, a person may have to be placed on a special machine (ventilator or respirator) to help with breathing until muscle strength returns with treatment. […] These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages)
  • #45 Myasthenia Gravis Signs & Symptoms | Rush
    https://www.rush.edu/conditions/myasthenia-gravis
    Rush neuromuscular experts help you manage myasthenia gravis symptoms, including helping prevent myasthenic crisis. […] In addition, they work with you to develop a treatment plan that keeps your condition under control to prevent a crisis. […] Taking the right medications and avoiding ones that are harmful for myasthenia gravis is a big part of achieving control of your symptoms.
  • #46 Myasthenia Gravis | University Hospitals
    https://www.uhhospitals.org/health-information/health-and-wellness-library/article/Diseases-and-Conditions/myasthenia-gravis
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency
  • #47 Myasthenia Gravis
    https://sanfordhealth.staywellsolutionsonline.com/Library/DiseasesConditions/Adult/Plastic/85,P07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency.
  • #48 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=p07785
    These precautions may help to prevent or reduce the occurrence of myasthenic crisis: […] Taking anticholinesterase medicines 30 to 45 minutes before meals to reduce the risk of aspiration (food entering the lung passages) […] Taking anticholinesterase medicines exactly as prescribed to help maintain the strength of the breathing muscles […] Staying away from crowds and contact with people with respiratory infections, such as a cold or the flu […] Taking in correct nutrition to maintain your most desirable weight and muscle strength […] Balancing periods of physical activity with periods of rest […] Using stress-reduction methods and preventing emotional extremes […] Wearing a medical alert bracelet to advise others of your condition, in case of an emergency […] Tell your healthcare providers about your condition when any medicines are being prescribed. Certain medicines may interfere either with the disease or the action of the medicines you take for MG.
  • #49 Myasthenia Gravis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK559331/
    It is important to stress the value of avoiding precipitants like infections, excessive exertion, emotional stress, worsening of chronic medical illnesses, and drugs (aminoglycosides, fluoroquinolones, beta-blockers). […] Patients are advised to take their medications as directed and to avoid taking new medicines without checking with the medical provider. […] Patients should also be educated about various complications and advised to seek medical care as early as possible. […] Wearing a medical identification bracelet that shows they have myasthenia gravis is also recommended. […] Health promotive measures to prevent infections like handwashing and yearly flu vaccine should be emphasized.
  • #50
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    The symptoms of myasthenia gravis can sometimes have a specific trigger. Doing what you can to avoid your triggers may help. […] You may be advised to have an annual flu jab and the one-off pneumococcal vaccine, but get advice before having a „live” vaccine, such as the shingles vaccine (live vaccines contain viruses or bacteria that have been weakened). […] Make sure your doctor is aware of your condition and get advice before taking anything on the list of medicines that can trigger myasthenia gravis symptoms. […] Make sure your surgeon is aware of your condition before having any operation. […] It’s also a good idea to avoid activities that could be dangerous if you have sudden weakness, such as swimming alone. If you drive, you should tell the DVLA you have myasthenia gravis. […] Surgery to remove the thymus gland, known as a thymectomy, may sometimes be recommended if you have myasthenia gravis.
  • #51
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    The symptoms of myasthenia gravis can sometimes have a specific trigger. Doing what you can to avoid your triggers may help. […] You may be advised to have an annual flu jab and the one-off pneumococcal vaccine, but get advice before having a „live” vaccine, such as the shingles vaccine (live vaccines contain viruses or bacteria that have been weakened). […] Make sure your doctor is aware of your condition and get advice before taking anything on the list of medicines that can trigger myasthenia gravis symptoms. […] Make sure your surgeon is aware of your condition before having any operation. […] It’s also a good idea to avoid activities that could be dangerous if you have sudden weakness, such as swimming alone. If you drive, you should tell the DVLA you have myasthenia gravis. […] Surgery to remove the thymus gland, known as a thymectomy, may sometimes be recommended if you have myasthenia gravis.
  • #52
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    The symptoms of myasthenia gravis can sometimes have a specific trigger. Doing what you can to avoid your triggers may help. […] You may be advised to have an annual flu jab and the one-off pneumococcal vaccine, but get advice before having a „live” vaccine, such as the shingles vaccine (live vaccines contain viruses or bacteria that have been weakened). […] Make sure your doctor is aware of your condition and get advice before taking anything on the list of medicines that can trigger myasthenia gravis symptoms. […] Make sure your surgeon is aware of your condition before having any operation. […] It’s also a good idea to avoid activities that could be dangerous if you have sudden weakness, such as swimming alone. If you drive, you should tell the DVLA you have myasthenia gravis. […] Surgery to remove the thymus gland, known as a thymectomy, may sometimes be recommended if you have myasthenia gravis.
  • #53
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    Surgery can reduce the chances of needing to take other immunosuppressants. […] Surgery can reduce the chances of needing to go into hospital because of worsening symptoms. […] Though it is important to point out that surgery is not always effective and can sometimes make little or no difference to symptoms.
  • #54
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    Surgery can reduce the chances of needing to take other immunosuppressants. […] Surgery can reduce the chances of needing to go into hospital because of worsening symptoms. […] Though it is important to point out that surgery is not always effective and can sometimes make little or no difference to symptoms.
  • #55
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    Surgery can reduce the chances of needing to take other immunosuppressants. […] Surgery can reduce the chances of needing to go into hospital because of worsening symptoms. […] Though it is important to point out that surgery is not always effective and can sometimes make little or no difference to symptoms.
  • #56 Ocular Myasthenia Gravis Treatment Options Explained – Ophthalmology Advisor
    https://www.ophthalmologyadvisor.com/news/ocular-myasthenia-gravis-treatment-first-second-line-therapies/
    When OMG is identified, ophthalmologists must act quickly to develop a treatment plan that works for the patient to help prevent progression to GMG. […] The benefits and risks of thymectomy should be discussed with every patient with MG with the understanding that pharmacotherapy or other measures might still be necessary even after the removal of the thymus. […] Although there is no medical cure for OMG, symptomatic medical treatment including pyridostigmine, steroids, or steroid-sparing immunosuppression should be considered. Thymectomy for the treatment of OMG should be performed for thymoma but could be considered for nonthymomatous MG (especially GMG) if first and second-line medical therapy fails. The role of thymectomy in OMG remains controversial.
  • #57 Ocular Myasthenia Gravis Treatment Options Explained – Ophthalmology Advisor
    https://www.ophthalmologyadvisor.com/news/ocular-myasthenia-gravis-treatment-first-second-line-therapies/
    When OMG is identified, ophthalmologists must act quickly to develop a treatment plan that works for the patient to help prevent progression to GMG. […] The benefits and risks of thymectomy should be discussed with every patient with MG with the understanding that pharmacotherapy or other measures might still be necessary even after the removal of the thymus. […] Although there is no medical cure for OMG, symptomatic medical treatment including pyridostigmine, steroids, or steroid-sparing immunosuppression should be considered. Thymectomy for the treatment of OMG should be performed for thymoma but could be considered for nonthymomatous MG (especially GMG) if first and second-line medical therapy fails. The role of thymectomy in OMG remains controversial.
  • #58
    https://www.nhs.uk/conditions/myasthenia-gravis/treatment/
    Surgery can reduce the chances of needing to take other immunosuppressants. […] Surgery can reduce the chances of needing to go into hospital because of worsening symptoms. […] Though it is important to point out that surgery is not always effective and can sometimes make little or no difference to symptoms.
  • #59 Ocular Myasthenia Gravis Treatment Options Explained – Ophthalmology Advisor
    https://www.ophthalmologyadvisor.com/news/ocular-myasthenia-gravis-treatment-first-second-line-therapies/
    When OMG is identified, ophthalmologists must act quickly to develop a treatment plan that works for the patient to help prevent progression to GMG. […] The benefits and risks of thymectomy should be discussed with every patient with MG with the understanding that pharmacotherapy or other measures might still be necessary even after the removal of the thymus. […] Although there is no medical cure for OMG, symptomatic medical treatment including pyridostigmine, steroids, or steroid-sparing immunosuppression should be considered. Thymectomy for the treatment of OMG should be performed for thymoma but could be considered for nonthymomatous MG (especially GMG) if first and second-line medical therapy fails. The role of thymectomy in OMG remains controversial.
  • #60 Myasthenia Gravis (MG) in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=myasthenia-gravis-mg-in-children-90-P02612
    How can I help prevent myasthenia gravis in my child? […] Talk with your healthcare provider if you are pregnant and have MG. Your healthcare provider may advise genetic counseling. You can learn more about the risk of MG in a future pregnancy.