Correct Answer of 'Mestinon' for Myasthenia Gravis: Before or with the meals?

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Little bit confusing. I'm looking for verification about pyridostigmine (Mestinon) r/t meals: to take it before or with the food?

When is the best time to take this med?

I practiced from Saunders CD 2nd edition on pharm. section.

In question #55 the right answer is option 4: WITH FOOD

However, the question #2 the right answer is: BEFORE MEALS

Both questions here are related to difficulty chewing.

Anyone give me the simple-complete rationale for verification please?

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little bit confusing. i'm looking for verification about pyridostigmine (mestinon) r/t meals: to take it before or with the food?

when is the best time to take this med?

i practiced from saunders cd 2nd edition on pharm. section.

in question #55 the right answer is option 4: with food

however, the question #2 the right answer is: before meals

both questions here are related to difficulty chewing.

anyone give me the simple-complete rationale for verification please?

hi:

saunders 4th edition, pg 1042

it states to administer mestinon 30 mins before meals with milk and crackers to reduce gi upset.

i am not sure if this answers your question...but hope it helps.

jadu1106

p.s. feel free to correct me if i am wrong.

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We learned that all MG meds should be given about 30 min before meals, since pts often have difficulty with the muscles involved in chewing/swallowing. Per my med-surg book, meds should be scheduled so they peak at meal time (Lewis, Heitkemper, Dirksen, O'Brien, and Bucher; 2007, p. 1556). There are a couple of errors in the Saunders products, you probably found one of them.

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Yes, MG have a problem with their muscles so as the muscles for chewing, they must take it 30 minutes before meals so they will be able to chew.

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its before meal to improve mastication.

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