There is no known cure for myasthenia gravis. Treatment may allow you to have periods without any symptoms (remission).
Lifestyle changes can often help you continue your daily activities. The following may be recommended:
- Resting throughout the day
- Using an eye patch if double vision is bothersome
- Avoiding stress and heat exposure, which can make symptoms worse
Medicines that may be prescribed include:
- Neostigmine or pyridostigmine to improve communication between the nerves and muscles
- Prednisone and other drugs (such as azathioprine, cyclosporine, or mycophenolate mofetil) to suppress the immune system response if you have severe symptoms and other medicines have not worked well.
Crisis situations are attacks of weakness of the breathing muscles. These attacks can occur without warning when either too much or too little medicine is taken. These attacks usually last no longer than a few weeks. You may need to be admitted to the hospital, where you may need breathing assistance with a ventilator.
A procedure called plasmapheresis may also be used to help end the crisis. This procedure involves removing the clear part of the blood (plasma), which contains the antibodies. This is replaced with donated plasma that is free of antibodies, or with other fluids. Plasmapheresis may also help reduce symptoms for 4 to 6 weeks and is often used before surgery.
A medicine called intravenous immunoglobulin (IVIg) may also be used
Surgery to remove the thymus (thymectomy) may result in permanent remission or less need for medicines, especially when there is a tumor present.
If you have eye problems, your doctor may suggest lens prisms to improve vision. Surgery may also be recommended to treat your eye muscles.
Physical therapy can help maintain your muscle strength. This is especially important for the muscles that support breathing.
Some medicines can worsen symptoms and should be avoided. Before taking any medicine, ask your doctor whether it is OK for you to take it.