Treatment Options for Myasthenia Gravis
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- Опубліковано 28 лют 2022
- James Howard Jr., MD, Distinguished Professor of Neuromuscular Disease and Professor of Neurology and Medicine at UNC School of Medicine, reviews the treatment landscape for myasthenia gravis.
Myasthenia gravis is a chronic autoimmune neuromuscular disease characterized by weakness of the skeletal muscles. Common symptoms include weakness of the muscles that control the eyes, eyelids, facial expressions, chewing, talking, and swallowing. The condition is usually due to the presence of antibodies against acetylcholine receptors in the neuromuscular junction.
As Dr. Howard explains, due to the variety of ways this rare disease can present, treatment of myasthenia gravis is individualized to each patient based on their specific symptoms and unique comorbidities. In addition, the financial situation of each patient is taken into account.
Acetylcholinesterase inhibitors are often used as bridge therapies. Corticosteroids are also common bridge therapies in younger patients, while steroid sparing agents are more common in older patients or in patients with contraindications to steroids. In patients under the age of 60 with generalized disease and who are anti-acetylcholine receptor (AChR) antibody positive, the removal of the thymus gland is common.
Dr. Howard goes on to discuss approved treatments for myasthenia gravis. In 2017, eculizumab, a complement inhibitor, was approved by the U.S. Food and Drug Administration (FDA) for the treatment of generalized myasthenia gravis in adult patients who are anti-acetylcholine receptor (AChR) antibody positive.
More recently, in December 2021, the FDA approved efgartigimod alfa, an FcRn inhibitor, for the treatment of this same patient population. This approval was based on positive results from the global phase 3 ADAPT trial, which were published in the July 2021 issue of The Lancet Neurology. As Dr. Howard notes, each patient within this trial demonstrated unique responses to efgartigimod, with some patients experiencing treatment effects for three or more months.
While Dr. Howard stresses the need for individualized treatment for all myasthenia gravis patients, he is optimistic about the future of FcRn inhibitors for the treatment of myasthenia gravis. - Фільми й анімація
My son was born with congenital myasthenia graves and doctors had told us that there no medication for this disease, will like to schedule an appointment so you can see my son.
Thank you! I was diagnosed with Myasthenia gravis 2.5 months ago and I have only been able to see a neurologist once since discharge from the hospital. He was leaving the practice and was not committed to developing a treatment plan. You have given me a greater hope and understanding.
Learn Quigong... I have Myasthenia Gravis... And it DEFINITELY HELPS.. DO NOT CUT OUT YOUR THYMUS GLAND!
My partner has had significant improvement with avoiding processed foods, the Carnivore diet and supplementing with HIGH doses of B vitamins especially B1 (which tastes awful). God bless!
What therapy you segested sir
Ive had this for 7 years...
What is the cost for this option?
i was first very symptomatic and diagnosed in Nov 2021 with ocular, it rapidly passed thru bulbar to general. i was 65 and working full time and still am but struggling. i refused predisone and until i got a new neurologist nothing other than mestinon was on the table. I was willing to limp along with that rather than risk steroid damage. i just got approved for vyvgart. i am on cycle 1 infusion 3 or 4 weekly. i have had significant relief. how long? don't know. i am hopeful that i can keep my job and keeping having hopes and dreams. we will see.
I thought it was once a week for 4-weeks and then every 72-days. Stuff's pretty pricey. Last I looked, it came out to about $625K a year...
I was diagnose with Ocular Myasthenia gravis since April 2021.
Pls what should I do?
I am a Nigerian they don't know much about it
As a backup, have you looked at the Coimbra protocol? Dr Berg has a video here on youtube about it (search Dr Berg myasthenia gravis) where he talks about taking 10k iu of vitamin D, if not more. I'm testing it out now for 2nd day while on prednisone and mestinon. Yeah the steroids suck
How common is remission without surgery. I was diagnosed with MG and spent 6 days in the hospital. Two days unable to swallow my own spit. Then I don’t know how but it seems to be in remission. Don’t take any steriods or any meds for it. Took a few doses of IV IgG. But that has been over a year.
Thanks for bringing up this topic. I'm faced with the same dilemna right now. Facing a thymectomy and barely able to even sip water due to MG. Took 5 days of the IVIG which seemed to help but can't deny the steroids did help my drooping eye pop up after being droopy for a year. Ideally was hoping the vitamin D would take care of MG and keto diet the thymoma but I probably started too late
Can food be cause of myasthenia gravis, like ceolic disease which is a auto immune disease like MG
I also have these problem i only just discovered this recently
Glory to god for healing me from lupus through doctor Eseigbes herbal supplements on UA-cam channel . Thanks doctor for your kind gesture sir
I absolutely believe allergies (your body's immune system overreacting) could indeed be a trigger for MG...
I was diagnosed January 2022. I'm currently only on mestinon and to be honest it only helps a little for a little while. I have trouble eating swallowing and at times breathing. I also stay super weak at times I can't even get up from the restroom. I need help bathing and getting dressed on a daily basis
Sorry to hear that it will be well. I have been taking vitamin D supplement and am seeing some improvements.
@@patrickaidoo1125 daily how much dose to take vitamin D sir
@@arunasankar1893 1000 iu daily
@@patrickaidoo1125 u too have myasthania?
My mother is also a patient of generalized myasthania. I don't know what will help her in improvement.
@@rimjimborahh3873 yes I was diagnosed 2012
I have mg since 10 years I used 5 mestinon every day my doctor can't suggested me to surgery but I want I feel fatigue nd weakness but no one give me a sanciar idea plz help me out dear
Same here 10 years but was not taking my medication regularly. Just took them when I felt worse. Is there a way you can DM me?
@@patrickaidoo1125 than how you can manage ur daily routine without taking regular medicine?
@@dasigirl8416 I cut back on most of my activities and had more rest which meant make less or no money. But God been so good I'm still here and hoping for a better treatment.
@@patrickaidoo1125 Have you all looked at the Coimbra protocol? Where you take large doses of Vitamin D?
Hello I have congenital myasthenia gravis for almost 20 years. How or who do I call to schedule an appointment. I want this medication asap. I'm tired of pyrodostigme 60 mg 2 tablets 4 times a day. I feel like I just take it for nothing I'm still weak I can't walk this pills are useless. Please doctor give me number to call.
if they offer you vyvgart, take it. there are side effects and its not going to fix everything but just for the joy of the relief i have had in the first few weeks, wow. i forgot how good 'normal could be.
Hi Brandi thanks for the reply. I called my neurologist n he said this won't work on me. Mines a congenital myasthenia gravis 😔 but I don't understand why they won't just try it on me n just saying that medicine won't work. So sad. Brandi did u receive this medication n what did you feel. What kind of myasthenia do you have. There's different kinds
Compliment inhibitors - 2017
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