26th August 2024

A 35-year-old man who has been newly diagnosed with myasthenia gravis presents to clinic

A 35-year-old man who has been newly diagnosed with myasthenia gravis presents to clinic. He has been initiated on pyridostigmine with good control of his myasthenic symptoms. However, since starting this medication, he has been getting troubling symptoms of abdominal pain, diarrhoea, nausea and increased salivation. Decreasing his dose of pyridostigmine led to the return of his myasthenic symptoms.  What medication could you recommend to help manage his complaint?

Select the SINGLE most appropriate option from the list below. Select ONE option only.